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.
Oroville Hospital Post-Acute Center runs 126 certified beds as a nonprofit, and its nurse staffing sits at 5.44 hours per resident day, roughly 41% above the national average of 3.86. That's a real strength, and it's why staffing earns a mid-tier rating. But look at what the extra hours are covering for: 46 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. Inspections and quality measures each land at the lowest star rating, and the most recent survey came in December 2024. One fine of $45,500 is on file. Weekend staffing also drops about 11% below its own weekday level, so the coverage thins out when families tend to visit.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
Coalinga Regional Medical Center's skilled nursing unit runs 99 beds under for-profit LLC ownership, and the federal numbers show strain on multiple fronts. Staffing is the weakest area, CMS gives it one star out of five, well below what you'd want for a resident needing daily help. The inspection record carries 40 deficiencies, including four that caused actual harm or put residents in immediate jeopardy and two tied to abuse. That's a serious pattern, not a paperwork problem. The most recent inspection was April 10, 2025, so the findings are current, not stale. Quality measures also sit at two stars. If you're considering this home, ask directly what changed after those harm-level citations and how they're staffing the floor now.
Chisolm Trail runs a 96-bed for-profit home in Lockhart, and the numbers point in two directions at once. Resident outcomes look good on the federal quality measures, but staffing sits at 2.72 nurse hours per resident day, roughly 29 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, plus a $37,541 fine; the most recent inspection was in August 2025. If you're weighing this one, ask how they cover weekends and what changed after that harm citation.
Val Verde runs lean on direct care: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday staffing. That's a real gap, not a rounding error, and it likely shows up on Saturday afternoons. Turnover is the bright spot, 31.1% versus 45.8% nationally, so the people who are there tend to stay. But the record holds 30 deficiencies, including two at harm level and three tied to abuse, plus a $138,908 fine. Inspectors were last in on June 6, 2025. Nonprofit ownership doesn't erase those numbers; staffing and past problems both matter when you weigh this one.
Brenham Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. Staff turnover sits at 44.3 percent, close to the national figure of 45.8 percent, so this isn't a retention crisis so much as a thin floor of coverage that thins further on Saturdays and Sundays. The inspection record is where the real trouble shows: 28 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $29,353. The most recent inspection was February 19, 2026. A five-star quality measure score doesn't offset a one-star inspection history at a home this size.
Avir At Dripping Springs runs 60 certified beds under corporate ownership, and the staffing numbers are the part that should get your attention. At 2.80 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekend coverage dips roughly 9% below its own weekday level. Annual turnover hits 68.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is genuinely strong, a 5/5 star rating and a clean December 2025 survey, with no deficiencies at the harm level. But 13 deficiencies on file, one abuse-related, plus a 1/5 staffing star, means the day-to-day coverage is where the risk lives.
Heritage Park Of Katy runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday staffing. That thin coverage sits behind a two-star CMS staffing rating, even though turnover at 43.5% is slightly better than the 45.8% national figure. The inspection record shows 17 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $25,508; the last inspection was November 2024. Owned by a hospital district, this home carries three stars each for health inspections and quality measures, middling marks that don't offset the low staffing.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Fox Hollow Post Acute runs 126 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average, with weekend coverage dropping another 14% below its own weekday level. The inspection record shows 28 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus four fines totaling $77,232 and a recent inspection date of January 22, 2026. Staff turnover lands at 47%, just above the 45.8% national figure. The quality measure rating of 4 out of 5 stands out against a 1 out of 5 on both health inspections and staffing, worth asking what's driving that gap before you decide.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
Appling Nursing and Rehabilitation Pavilion is a 101-bed nonprofit home in Baxley, and its federal record is about as rough as it gets. The staffing score sits at the bottom of CMS's scale, and a one-star health inspection history backs that up: 21 deficiencies on the current record, four of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. That combination is why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Three fines totaling $18,966 have been levied, and the most recent inspection was March 13, 2025. If you're considering this home, those inspection details are worth reading in full.
Aperion Care Greenfield runs 2.92 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip about 21% below what the building manages on weekdays. Turnover sits at 38.5%, actually better than the 45.8% national figure, so the problem isn't a revolving door so much as not enough staff on the floor to begin with. The current record shows 31 deficiencies, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in September 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at two out of five.
Ryder Memorial Hospital Inc runs 62 certified beds as a nonprofit corporation in Humacao, Puerto Rico, and the staffing numbers are the first thing that stand out. At 3.07 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 25% below its own weekday levels, so the hours are thin to begin with and thinner when families tend to visit. Annual turnover of 69.2% against a 45.8% national average suggests a workforce that doesn't stay long. Its last inspection was recent, March 2025, with 41 deficiencies on record, none at harm or jeopardy level and none abuse-related.
The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.
Weirton Medical Center runs a small 33-bed unit, and its inspection record is genuinely strong, a 4 out of 5 on health inspections with no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 2.50 hours per resident day against a national average of 3.86, roughly a third lighter, and weekends drop about 38% below what the home itself staffs on weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. Three abuse-related deficiencies also appear on the current record. Good surveys can reflect a single visit; staffing numbers reflect every day in between.
Willow Park runs 3.31 nursing hours per resident per day, roughly 14 percent under the national average, and weekends dip another 10 percent below its own weekday levels. The inspection record is the bigger concern: 27 deficiencies, three of them serious enough to put residents in harm's way, and three tied to abuse. Three fines totaling $59,972 have been levied, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One bright spot: staff turnover at 36.9 percent beats the 45.8 percent national figure, which suggests people stay. Corporate-owned, 110 beds, and a one-star health inspection rating. Ask about the abuse citations and who supervises residents on weekends.
Avir At Seguin runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends even thinner than weekdays. That shortfall shows up in the staffing rating and in a 60.8% annual turnover rate, well above the 45.8% norm, meaning the aides and nurses your family member sees are cycling out faster than anywhere nearby. The record holds 46 deficiencies, including three at the level that caused actual harm or jeopardy and two tied to abuse, plus one fine of $13,877. The quality measures look good on paper, but staffing is what actually gets someone to the bathroom on time.
Carrollton Health and Rehabilitation Center runs about 3.12 nurse hours per resident each day, roughly 19 percent under the national average, and weekend staffing drops another 18 percent below its own weekday levels. That thin coverage helps explain the two-out-of-five rating on CMS's staffing measure. The inspection record shows 36 deficiencies, including two at the level where harm or jeopardy occurred and three tied to abuse, along with two fines totaling $19,185. Texas surveyors last visited in May 2025. This is a 120-bed for-profit corporate home where the daily aide and nurse presence is the real story.
Memorial Woodland Village has 132 certified beds and enough nurses on paper, 4.08 hours per resident day, a bit above the national average, but that average hides a problem: weekends run about 20% leaner than weekdays, so care thins out exactly when families tend to visit. The bigger red flag is turnover, which sits at 100% against a national average near 46%, meaning the staff who know your relative are largely gone within a year. Eighteen deficiencies sit on the current record, two tied to abuse; none rose to actual harm, and the most recent inspection was in June 2025. Federal quality measures rate 1 out of 5.
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?