604 Hospital-Based Nursing Homes in the United States

Nurse hours

3.17 /day

Staff turnover

—

Serious cites

0

Oneida Health Rehabilitation And Extended Care runs 160 certified beds as a nonprofit corporation, and its nursing hours come to 3.17 per resident day, roughly 18% under the national average of 3.86. Weekends drop about 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153, with the most recent survey dated January 27, 2026. No abuse-related citations appear. The staffing rating reflects those hours directly; the two-star inspection result reflects the deficiency history.

Nurse hours

2.59 /day

Staff turnover

—

Serious cites

0

Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.

Nurse hours

3.27 /day

Staff turnover

40%

Serious cites

0

Village Creek runs on 3.27 nurse hours per resident day, roughly 15% under the national average, and weekend coverage dips about 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. The inspection record is the bigger problem: 38 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with three fines totaling $125,838. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score tells you the charted care metrics look better than the day-to-day compliance record. Turnover at 40.3% is slightly better than the 45.8% national figure, and the hospital district ownership is a point in its favor. Ask about the abuse-related findings directly before deciding.

Nurse hours

3.57 /day

Staff turnover

45%

Serious cites

0

Madison Medical Resort runs 3.57 nursing hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thin weekend coverage matters more than the overall number, since gaps show up when fewer people are watching. The 44.8% turnover rate is basically in line with the national 45.8%, so retention isn't the standout problem here. What is: ten deficiencies on the current record, two of them at harm or jeopardy level, plus a $32,445 fine. A 3/5 on health inspections and quality measures is middling, and the 1/5 staffing rating reflects the hours above. Ownership is for-profit corporate.

Nurse hours

6.42 /day

Staff turnover

25%

Serious cites

0

Adventist Health Delano runs a nonprofit home in Kern County with 51 certified beds, and its staffing is genuinely unusual: 6.42 nurse hours per resident day, roughly 66% above the national average, with weekend coverage only about 6% below weekdays. Turnover sits at 25% against a national average near 46%, so the same caregivers tend to stay. The trouble is everything else. Inspectors cited 62 deficiencies on the current record, three of them at harm or jeopardy level and six abuse-related, with two fines totaling $123,442 and the most recent inspection in April 2025. High staffing can't offset that inspection history, and the federal stars split the difference: three for staffing, two each for health inspections and quality measures.

Nurse hours

3.19 /day

Staff turnover

66%

Serious cites

0

The Waters of Lebanon runs on 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. Staff turnover sits at 65.9 percent against a national 45.8 percent, so the people caring for residents change often. Its record shows 31 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level; the last inspection was September 11, 2025. CMS rates staffing 1 out of 5 stars and inspections 2 out of 5, while quality measures score 4 out of 5, a split worth asking about directly. Corporate ownership means decisions about staffing levels get made well above the building.

Nurse hours

3.73 /day

Staff turnover

51%

Serious cites

0

Meadowbrook Rehabilitation Hospital in Gardner runs 42 beds under for-profit LLC ownership, and the numbers worth your attention are on the inspection side. The current record shows 47 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, and CMS gave the home a 1 out of 5 on health inspections. Three fines totaling $98,974 have been levied. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, with weekends running roughly 10% lighter than weekdays, and turnover at 51.1% against a national 45.8%. Quality measures rate better than the inspection record does, but that gap itself tells you something.

Nurse hours

3.10 /day

Staff turnover

72%

Serious cites

0

Twin Lakes is a 140-bed nonprofit home in South Hill, and its inspection record is genuinely the bright spot here, a 4 out of 5 on health inspections, with the last survey done in May 2023. But 27 deficiencies sit on the current record, three of them serious enough to involve harm or jeopardy, plus one abuse-related citation. The bigger daily concern is staffing: 3.10 nurse hours per resident, roughly 20 percent under the national average, thinning out further on weekends. And 72 percent of staff turned over in a year, against 45.8 percent nationally, means the people at the bedside keep changing.

Nurse hours

3.35 /day

Staff turnover

64%

Serious cites

0

Midlothian Healthcare Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends dropping another 11% below its own weekday level. That thin coverage shows up in a 64.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for your relative are often new and still learning the building. The record carries 17 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, plus four fines totaling $50,830. Its last inspection was December 2024. Before you decide, ask how they're addressing turnover and weekend coverage.

Nurse hours

3.07 /day

Staff turnover

60%

Serious cites

0

Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.

Nurse hours

3.06 /day

Staff turnover

99%

Serious cites

0

Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.

Nurse hours

2.91 /day

Staff turnover

79%

Serious cites

0

Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.

Nurse hours

3.12 /day

Staff turnover

47%

Serious cites

0

Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.

Nurse hours

3.39 /day

Staff turnover

100%

Serious cites

0

Memphis Convalescent Center runs on 3.39 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 9% below its own weekdays, so the thinnest coverage lands when families tend to visit. Every aide and nurse on staff turned over last year, against a national rate near 46%, which means the people caring for residents are largely new to the building and to each other. The record shows 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $19,754; the last inspection was November 2025. Hospital-district ownership doesn't change what those numbers say about daily care.

Nurse hours

3.30 /day

Staff turnover

95%

Serious cites

0

Twilight Home in Corsicana runs about 3.30 nurse hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday staffing. The bigger problem is turnover: 94.9% of staff leave each year, more than double the national rate, so the people providing that already-thin care are constantly new. Inspections look strong on paper, a 4 out of 5 star rating, with the most recent visit in May 2025, but the record still carries 10 deficiencies, one of them serious enough to involve harm or jeopardy, plus a $12,795 fine. CMS rates the staffing domain 1 out of 5 stars, and that's the number that matters most day to day.

Nurse hours

3.30 /day

Staff turnover

91%

Serious cites

0

Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.

Nurse hours

3.03 /day

Staff turnover

56%

Serious cites

0

Archbold Living Cairo runs on 3.03 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home itself staffs on weekdays. That thin weekend coverage matters, since aides and nurses are the people who catch a change in condition before it becomes a hospital trip. Turnover sits at 55.7% against a national 45.8%, meaning more than half the nursing staff leaves in a year. Nine deficiencies are on record, none at the harm level and none abuse-related, and the last inspection was recent, in August 2025. County-owned, 75 beds. The quality measure rating of 1 out of 5 is the piece worth asking about directly.

Nurse hours

2.93 /day

Staff turnover

48%

Serious cites

0

Cordele Health And Rehabilitation runs 100 certified beds as a nonprofit corporation, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. That shortfall is the thread running through everything else here: weekends run about 12% thinner than weekdays already are, and 48.1% of staff turned over last year, slightly worse than the 45.8% national figure. The building's inspection record is its strongest suit, a 3-star rating with 18 deficiencies on file but none at harm or jeopardy level and nothing abuse-related, and the most recent inspection came in April 2025. Quality measures land at 2 stars. Nothing here reads as dangerous, but the day-to-day staffing math is what a family should weigh hardest.

Nurse hours

3.04 /day

Staff turnover

56%

Serious cites

0

Warm Springs Medical Center Nursing Home runs lean on staff. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover hits 56.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bright spot, a 4/5 health inspection rating, 10 deficiencies with none at the harm level, though one is abuse-related. Quality measures land at 1/5, staffing at 2/5. For-profit, LLC-owned, 79 beds, last inspected May 2026. If you're weighing this one, ask how they hold weekday staffing steady through the weekend and what that abuse deficiency involved.

Nurse hours

3.32 /day

Staff turnover

59%

Serious cites

0

Valley View runs 94 beds in Elkhart under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.32 nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 59% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record backs that up: 47 deficiencies, including several tied to abuse and two at the harm level, plus a single $284,560 fine. The quality measure score doesn't cancel out a one-star inspection history with that kind of churn.