604 Hospital-Based Nursing Homes in the United States

Nurse hours

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Staff turnover

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Memorial Manor is a 107-bed home run by a hospital district, so it answers to a public board rather than a chain or a private owner. The staffing picture is the weak spot: Medicare rates it in the bottom tier for nurse coverage, well below what the average Georgia nursing home provides per resident day. The 19 deficiencies on the current record include two tied to abuse, though none rose to the level of actual harm or jeopardy at the last inspection in May 2025. Quality measures also land below average. In short, this is a home where the clinical numbers, not the inspection record, are what a family should be asking hard questions about.

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Jasper County Nursing Home in Bay Springs runs on county money, and its staffing is genuinely better than most: 4.57 nurse hours per resident day against a national average of 3.86. Turnover sits at 42.7%, slightly under the national rate, which suggests people stick around more than usual here. The catch is weekends, when hours drop about 16% below the home's own weekday level, and the inspection record: 24 deficiencies, three serious enough to put residents in harm's way, two tied to abuse. The last full inspection was October 2025. Strong daily coverage doesn't cancel out what those inspections found.

Nurse hours

3.02 /day

Staff turnover

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Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.

Nurse hours

3.04 /day

Staff turnover

39%

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Palo Duro Nursing Home runs 66 certified beds in Claude, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 39.1%, which is actually better than the 45.8% national figure, and the inspection record is recent and clean where it counts: 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in August 2025. The tension here is between a decent inspection history and thin daily staffing, which is what pulls the staffing measure down to one star.

Nurse hours

3.63 /day

Staff turnover

57%

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Bluebonnet Rehab At Ennis runs 136 certified beds under for-profit LLC ownership, and its staffing is the first thing that stands out: 3.63 nurse hours per resident day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 8% below its own weekday levels. Turnover sits at 56.9% against a national 45.8%, so that thinner staffing keeps getting rebuilt. The inspection record is comparatively clean, 17 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent April 2026 survey. The split is real, though: steady survey results alongside staffing hours and retention that trail what most homes manage.

Nurse hours

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Staff turnover

85%

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Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.

Nurse hours

2.83 /day

Staff turnover

51%

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Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.

Nurse hours

3.39 /day

Staff turnover

50%

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Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.

Nurse hours

3.31 /day

Staff turnover

35%

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Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

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Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.

Nurse hours

3.94 /day

Staff turnover

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San Mateo Medical Center's skilled nursing unit runs on county money and county rules, and the staffing numbers show it: 3.94 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating from CMS. Weekend coverage drops about 8% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The trouble sits elsewhere. Fifty-six deficiencies on the current record, ten of them serious enough to cite harm or jeopardy, ten tied to abuse, against a 1-out-of-5 inspection rating, two fines totaling $104,000, and a survey completed in July 2025. Good staffing can't offset that inspection history.

Nurse hours

4.97 /day

Staff turnover

64%

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Mayers Memorial Hospital sits in Fall River Mills and runs 99 certified beds as a hospital-district operation. Nurse staffing averages 4.97 hours per resident day, roughly 29% above the national figure of 3.86, but weekend coverage drops about 15% below its own weekday level, and annual turnover hits 64.2% against a national 45.8%, that much churn undercuts the staffing advantage over time. The inspection record is where the real weight sits: 36 deficiencies on file, including one at the harm level and 10 tied to abuse, plus a $62,258 fine. The most recent inspection was August 2025.

Nurse hours

3.78 /day

Staff turnover

46%

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Chatuge Regional runs a nonprofit shop in Hiawassee with 112 certified beds, and the staffing numbers tell a mixed story. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop about 13% below the home's own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover is 46.3%, slightly above the national figure, and the inspection record is the real concern: 33 deficiencies, five at harm or jeopardy level, six abuse-related, and one fine of $64,214 from a December 2025 inspection. The quality measure score is as low as it gets.

Nurse hours

3.69 /day

Staff turnover

63%

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Seven Sisters Living Center sits in Hot Springs with 52 certified beds and a nonprofit corporate owner. Staffing runs 3.69 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 11% below its own weekday coverage. The bigger concern is turnover: 63.2% of staff left over the past year, against a national average of 45.8%, which means the people caring for residents are often new to the building. Inspections look strong on paper, a 4-out-of-5 health inspection star, with the most recent visit in August 2025, but the record holds 10 deficiencies, including one at the harm level and one tied to abuse, plus an $8,278 fine. Quality measures land at 2 out of 5 stars, suggesting resident outcomes don't match the inspection score.

Nurse hours

3.19 /day

Staff turnover

50%

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Oak Park runs on 3.19 nursing hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip even below its own weekday numbers. Staff turnover sits at 50% against a national rate near 46%, so the people caring for residents keep changing. Behind those numbers is an inspection record with 53 deficiencies, including one at the harm level and two tied to abuse, plus a $9,280 fine. All three CMS star ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Ownership is for-profit and individual. The last inspection was March 13, 2026, so the record is recent, not stale.

Nurse hours

3.54 /day

Staff turnover

49%

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Golden Creek runs 125 certified beds in Navasota under corporate for-profit ownership, and its recent inspection history is the strongest part of the picture, a four-star health inspection rating, with the last survey done in April 2025 and 18 deficiencies on record, none at the harm or jeopardy level. That's one abuse-related citation, though, which families should ask about directly. Where the home slips is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekends run roughly 12% below its own weekday levels, and turnover is 48.9%. Those numbers are why CMS gives it a single staffing star, and they're worth weighing against the decent inspection score.

Nurse hours

2.43 /day

Staff turnover

61%

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Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.

Nurse hours

3.24 /day

Staff turnover

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Hospital De La Concepcion is a small nonprofit home in San German, just 30 certified beds, and its nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average of 3.86. Weekends run about 18 percent thinner than weekdays there, so coverage depends on when you visit. The inspection record carries 51 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level; the last survey was March 5, 2026. Federal inspectors rated health inspections 2 out of 5 stars while staffing earned 3. For a 30-bed home, that many deficiencies is worth asking about directly.

Nurse hours

3.46 /day

Staff turnover

63%

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Laughlin Health Care Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 63.3% is well above the 45.8% national figure, meaning most of the aides and nurses working with residents are relatively new. Its inspection record is the harder problem: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a one-star health inspection rating, with the last survey dating to October 2023. Two fines totaling $9,770.

Nurse hours

4.32 /day

Staff turnover

39%

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Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.