604 Hospital-Based Nursing Homes in the United States
604 of the 14,697 Medicare-certified nursing homes in the United States (4%) are hospital-based, and all are listed below. 228 of the 602 graded homes earn an A and 21 earn a D or F. They average 4.94 nursing hours per resident per day, 1.08 hours above the 3.86 for every home in the United States. Transitional Sub-Acute Unit in Wyomissing grades highest at A (100 out of 100).
How hospital-based homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Russell Regional Hospital Ltcu is a 23-bed nonprofit unit, and the numbers here deserve a close look before you decide anything. The inspection history shows 33 deficiencies on the current record, including three tied to abuse, none of those reached the level of actual harm or jeopardy, but the volume still stands out for a home this small. Staffing and quality measures both sit at one star out of five, meaning the direct-care hours and clinical outcomes fall well below what CMS expects. The most recent inspection was in September 2025, so the picture is fairly current. With a record this heavy on a 23-bed unit, ask hard questions about turnover and who's actually on the floor at night.
Terrebonne General's skilled unit is tiny, six beds, run by a nonprofit, and its last inspection in February 2026 found ten deficiencies, none of them causing harm or jeopardy, though two were abuse-related. That's a lot of paperwork for a six-bed operation, and it's why the inspection record looks better than the overall picture. The quality measure side is the real drag: residents here fare poorly on the clinical benchmarks CMS tracks nationally, and on a unit this small, even one or two residents having a bad stretch moves the numbers hard. The inspection itself is recent, which is a point in its favor. If you're considering it, ask directly what those two abuse deficiencies involved and how the unit's staffing compares to what you'd expect for skilled care.
Edgemoor Hospital is county-run, and the staffing shows it: 6.43 nurse hours per resident day, roughly two-thirds more than the national average of 3.86, with turnover at 21% against a national 45.8%. Weekends run about 10% thinner than weekdays, but that's a mild dip for a nursing home. The caution is inspections. The current record holds 25 deficiencies, including five tied to abuse and one at the harm level, with a $41,895 fine, and the most recent inspection dates to December 2025. Strong care measures and staffing don't erase a citation record like that. Ask about those abuse deficiencies directly.
Crisp Regional runs 143 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth noticing: 3.41 nurse hours per resident day sits about 12% under the national average of 3.86, with weekends dipping roughly another 12% below its own weekday levels. Turnover lands at 36.2%, which is actually better than the 45.8% national figure, a rare bright spot. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 2026, so the record is fresh. What pulls the overall picture down is the split in CMS ratings: a 4/5 on health inspections against just 1/5 on quality measures and 2/5 on staffing.
Franklin County Transitional Care runs on 5.01 nurse hours per resident day, roughly 30 percent above the national average, and its staff turnover of 27.1 percent sits well under the national 45.8 percent, people tend to stay here. Inspectors were in the building recently, in May 2025, and found 17 deficiencies, none of them serious enough to put a resident in immediate harm, though one was abuse-related, which is worth asking about directly. Weekend staffing dips about 10 percent below weekdays, a common pattern but one that matters if your family member needs help on a Saturday.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Portagepointe runs on a lot of nurse hours, 5.45 per resident per day, roughly 41% above the national average of 3.86. That staffing level is the main reason the home lands where it does. Weekends dip about 9% below its own weekday coverage, so care gets a little thinner on Saturdays and Sundays. Its inspection record shows 10 deficiencies, none serious enough to cause harm or jeopardy and none tied to abuse, and the most recent visit was May 29, 2025. Quality measures score lower than staffing does. The tradeoff here is real: strong day-to-day coverage, weaker marks on clinical outcomes, and a corporate for-profit owner.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
Alice Hyde runs a tight clinical ship on paper, its quality measure rating sits at 4 out of 5, and the staffing rating matches. But the hours aren't quite there: 3.67 nurse hours per resident day lands about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday coverage. That matters, since turnover is 57.1% against a national 45.8%. The inspection record is the real weight, 19 deficiencies, one at harm or jeopardy level, six tied to abuse. The most recent survey closed in December 2025, so it's current, but a 2-star inspection rating alongside that count tells you the problems are recent enough to still be shaping care.
Aurelia Osborn Fox Memorial Hospital sits in Oneonta with 131 certified beds and a nonprofit owner. Staffing runs slightly under the national average at 3.80 hours per resident day, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. The bigger issue is the inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating. Turnover at 37.1% actually beats the national 45.8%, which suggests staff stick around. Ask about that harm-level finding and what changed after the April 2025 inspection.
Samaritan Keep is a 272-bed for-profit home in Watertown, and its numbers tell two different stories. The good one is quality measures, where it rates 4 out of 5, but that sits next to a 1-star health inspection record with 30 deficiencies, including three at harm or jeopardy level and four tied to abuse, plus two fines totaling $76,137. Staffing looks better on paper at 4.05 nurse hours per resident day, about 5% above the national average, but weekends run roughly 20% below its own weekday level, and CMS rates staffing just 2 stars. Its most recent inspection was March 2026, so the record is current. Ask about weekend coverage and how the abuse-related findings were resolved.
Jennie B Richmond Chaffee in Springville runs a nonprofit home of 80 beds where the day-to-day staffing is genuinely strong, 4.04 nurse hours per resident day, slightly above the national average, and its 32.6% turnover is well below the 45.8% typical elsewhere, which matters because consistent aides know the residents. Weekends thin out about 15% from weekday coverage, so ask how that plays out on a Sunday. The harder reading is the inspection record: 14 deficiencies, including two at harm level and four tied to abuse, plus a $68,591 fine, and the state's last visit was June 2025. Good care on paper, uneven oversight in practice.
Terrace View is a 390-bed county-run home in Buffalo, and its numbers pull in different directions. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, which matters at this size, but weekends drop roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. The inspection record is the harder part: 18 deficiencies on file, including two at the harm or jeopardy level and four tied to abuse, plus one fine of $30,843. The last inspection was August 2024. County ownership can mean steady funding; it doesn't erase those findings.
McMahon-Tomlinson runs a nonprofit shop with 142 beds in Lawton, and the staffing number is the one bright spot: 4.05 nurse hours per resident day, about 5% above the national average. Weekends slip roughly 7% below its own weekday coverage, so the weekday-to-weekend gap is real.
The inspection record is where the trouble sits. Twenty-one deficiencies on the current record, two of them at harm or jeopardy level, three tied to abuse. CMS has fined the home once, for $9,750, and the most recent inspection closed in December 2025. All three star ratings, health inspection, quality measures, staffing, come in at 2 out of 5. Stronger-than-average hours haven't translated into a clean survey history, and that combination is worth asking the administrator about directly.
Woodridge Nursing Home in Barre runs a genuinely strong staffing operation, 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is what earns it a four-star staffing rating. That cushion matters, since weekend coverage drops about 18% below its own weekday level. The harder question is stability: annual turnover sits at 62.6% against a national 45.8%, meaning a large share of those hours are delivered by people who weren't there last year. The inspection record reflects that tension, 32 deficiencies on file, including 10 abuse-related citations and one at the harm level, with a two-star health inspection rating and a $21,453 fine. The most recent inspection was September 12, 2025.
Weston County Health Services runs 58 certified beds as a nonprofit, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger concern is the weekend drop, when coverage runs about 9% below its own weekday level. Turnover is the sharper problem: 58.9% of staff leaving annually against a national 45.8% means caregivers are cycling through, which matters more in a small rural home where replacements aren't easy to find. The inspection record shows 18 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey in July 2024.
New Horizons Care Center is a hospital-district home in Lovell, and its strongest number isn't obvious at first glance. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so coverage does dip. What offsets that is stability: turnover is 33.9%, well below the national 45.8%, meaning the people showing up are more likely to already know the residents. Inspections are recent, from January 2025, and the record shows 12 deficiencies, including one at the harm level and two tied to abuse, with a single $7,521 fine. Read those together and you get a home that's steady on staff but has had real problems worth asking about directly.
Powell Valley Care Center runs on a hospital-district model, and the staffing reflects it: 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 24.2% against a national 45.8%. That consistency matters, though weekend coverage dips about 8% below weekdays. The trouble sits elsewhere. Two of the six deficiencies on record are serious enough to involve harm or jeopardy, and two are abuse-related, which is why the health inspection rating lands at 2 out of 5. Quality measures score 1 out of 5. Two fines totaling $29,120, and the last inspection was January 31, 2025. Staffing is the strength; the care record is the concern.
Seneca District Hospital's skilled nursing unit is small, 16 beds, and it's run by the hospital district, not a chain. The staffing numbers genuinely stand out: 6.07 nurse hours per resident day, well above the national average, and weekends only dip about 14% from weekday levels, which is better than many homes manage. Turnover, though, sits at 48.1%, slightly worse than average. And the inspection record is the real concern: 14 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with one $11,408 fine. The last inspection was in December 2025. Strong daily coverage, but a recent survey history that warrants questions before you decide.
Valley of the Moon runs a small house, 27 beds, and staffs it well above average, about 5.05 nurse hours per resident day against a national 3.86. That's real coverage, though weekends thin out roughly 11% below the weekday level, and turnover sits at 47.2%, a touch worse than the national 45.8%.
The problem is the inspection record. Twenty-nine deficiencies, three serious enough to put a resident in harm's way, one tied to abuse, and a $13,065 fine. The state's last look was in October 2024.
So you have a home that's well staffed on paper and scores 5/5 on quality measures, but its last two years of inspections tell a messier story. Ask about staffing on Saturdays and what changed since that October visit.
Frequently asked questions
How many hospital-based nursing homes are there in the United States?
There are 604 hospital-based Medicare-certified nursing homes in the United States, 4% of the 14,697 nursing homes there.
Are hospital-based nursing homes better staffed?
In the United States they average 4.94 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +1.08 hours. Staff turnover averages 41.7% against 45.8%.
Which hospital-based nursing home grades best in the United States?