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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.

Nursing hours per resident per day

4.94

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

41.7%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

78.9/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

228 grade A, 228 grade B, 125 grade C, 21 grade D,

The best-graded hospital-based home in the United States is Transitional Sub-Acute Unit in Wyomissing, PA, grade A, 100/100.

Every hospital-based nursing home in the United States

Showing 41 to 60 of 604, best-graded first.

A

96/100

Fairmont Medical Center

Fairmont, WV · Marion County

CMS 5/530 bedsNon-profit
Nurse hours
5.33 /day
Staff turnover
33%
Serious cites
0

Fairmont Medical Center runs 30 beds as a nonprofit, and the staffing numbers are the first thing that stands out: 5.33 nurse hours per resident day against a national average of 3.86. That's roughly 38% more hands-on time than the typical home, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly flat. Turnover sits at 33.3%, better than the 45.8% national figure. Six deficiencies are on the current record, none at the harm level and none abuse-related, with the last inspection in August 2025. All three CMS star ratings, inspections, quality measures, and staffing, come in at 5 out of 5.

A

96/100

St John's Health Sage Living

Jackson, WY · Teton County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
3.97 /day
Staff turnover
32%
Serious cites
0

St. John's Health Sage Living runs 60 beds under hospital-district ownership, which tends to mean steadier budgets than a for-profit chain can offer. Its nurse staffing sits at 3.97 hours per resident day, just above the national average of 3.86, though weekends dip about 14% below its own weekday coverage, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 32%, well under the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies appear on the current record, none at the harm level, one abuse-related. The last inspection was May 2025.

A

96/100

Tahoe Forest Hospital D/P Snf

Truckee, CA · Nevada County

CMS 5/537 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
22%
Serious cites
0

Tahoe Forest Hospital's skilled nursing unit runs on a nonprofit model with 37 certified beds, and the numbers suggest it's doing right by its residents. Nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only slightly from weekday levels, which matters because that's where many homes cut corners. Staff turnover is 22%, less than half the national rate, so you're seeing familiar faces rather than a revolving door. The home has 8 deficiencies on record, none involving harm or abuse, and its most recent inspection was in February 2026. For a small rural unit, this is a steady operation.

A

96/100

Marian Regional Medical Center D/P Snf

Santa Maria, CA · Santa Barbara County

CMS 5/595 bedsNon-profitMedicaid
Nurse hours
6.18 /day
Staff turnover
16%
Serious cites
0

Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.

A

96/100

Grossmont Hospital D/P Snf

La Mesa, CA · San Diego County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.71 /day
Staff turnover
15%
Serious cites
0

Staffing at this La Mesa nonprofit runs 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86, and the 15.2% annual turnover is far below the 45.8% national figure, so the same caregivers tend to stay. Weekend coverage dips about 9% below weekdays, worth asking about. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was June 2025. With 30 certified beds, it's small enough that a hospital-based operation can keep close tabs on residents.

A

96/100

Totally Kids Rehabilitation Hospital - D/P Snf

Loma Linda, CA · San Bernardino County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
11.90 /day
Staff turnover
31%
Serious cites
0

Totally Kids Rehabilitation Hospital runs about 11.9 nurse hours per resident day, roughly triple the national average, and its weekend staffing only dips about 7% below weekdays, a gap that's often wider elsewhere. Staff turnover sits at 31.3%, well under the 45.8% national figure, which matters for kids who need consistent caregivers. The tradeoff shows up in its record: 23 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. This is a for-profit operation in Loma Linda with a recent inspection, and the staffing numbers are doing most of the work here.

A

96/100

Glendale Adventist Medical Center Dp/Snf

Glendale, CA · Los Angeles County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
6.51 /day
Staff turnover
18%
Serious cites
0

Glendale Adventist runs about 6.51 nurse hours per resident per day, roughly 69% above the national average of 3.86, and weekend staffing dips only around 12% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 18.3% against a national average of 45.8%, which matters because unstable staffing often shows up in care quality before it shows up on paper. The current record lists 14 deficiencies, none at the harm level and none abuse-related, with the last inspection in August 2025. It's a for-profit partnership with 40 certified beds, so it's small, and small homes can be uneven, but the numbers here are steady rather than strained.

A

94.5/100

Community First Medical Center

Chicago, IL · Cook County

CMS 5/566 bedsFor-profit
Nurse hours
7.62 /day
Staff turnover
31%
Serious cites
0

Community First Medical Center sits on Chicago's north side with 66 certified beds and a for-profit individual owner. The staffing numbers stand out: 7.62 nurse hours per resident day, roughly double the national average, though weekend coverage drops about 16% below its own weekday level. Staff turnover of 31.3% beats the 45.8% national figure. The inspection record is mixed but not alarming. Twenty deficiencies on file, none at the harm or jeopardy level, with one abuse-related citation. The last inspection was August 2024, so the record is reasonably current. CMS gives it four stars for health inspections and quality measures, five for staffing. What the numbers describe is a small home that invests heavily in nursing hours and retains staff better than most, while carrying a moderate deficiency load and a slight weekend gap worth asking about directly.

A

94.5/100

Owensboro Health Muhlenberg Community Hospital Lon

Greenville, KY · Muhlenberg County

CMS 4/545 bedsNon-profitMedicaid
Nurse hours
5.77 /day
Staff turnover
39%
Serious cites
0

Owensboro Health Muhlenberg Community Hospital Ltc runs 45 certified beds in Greenville under nonprofit ownership, and the staffing numbers here are the story. At 5.77 nurse hours per resident day, it sits roughly 49% above the national average of 3.86, a margin few homes can match. Weekend coverage dips about 15% below its own weekday level, and annual turnover of 38.9% is better than the 45.8% national figure. Ten deficiencies appear on the current record, none at harm or jeopardy level, though one is abuse-related, and the health inspection rating sits at 2 out of 5 with a survey dated March 2026. Strong quality and staffing scores carry the weight; the inspection history is what keeps this from being an unqualified picture.

A

94.5/100

Lakeview Extended Care And Rehabilitation

Harbor Beach, MI · Huron County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
5.72 /day
Staff turnover
18%
Serious cites
0

Lakeview runs on unusually steady ground. Nurse staffing sits at 5.72 hours per resident day, roughly half again the national mark, and only 18.2% of staff left last year against a national average near 46%, that kind of retention usually shows up as familiar faces who know the residents. Inspections are recent and clean where it counts: fifteen deficiencies on record, none causing harm or involving abuse, and the health inspection rating came back perfect. The one soft spot is weekends, when coverage drops about a fifth below the home's own weekday level. Nonprofit ownership, 30 beds, and a four out of five on quality measures round out a record that's hard to argue with.

A

94.5/100

Appleton Area Health

Appleton, MN · Swift County

CMS 3/547 bedsGovernmentMedicaid
Nurse hours
4.81 /day
Staff turnover
34%
Serious cites
0

Appleton Area Health runs on city government ownership and 47 certified beds, and the raw numbers are unusual in one respect: total nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real margin, though the CMS staffing star lands at just 1/5, and weekend coverage drops about 18% below the home's own weekday level, so the daily experience isn't as steady as the annual figure suggests. Turnover at 34% is better than the 45.8% national rate. Thirteen deficiencies sit on the current record with none at harm or jeopardy level, one abuse-related, and the last inspection was April 2026.

A

94.5/100

Northern Regional Hospital

Mount Airy, NC · Surry County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
18%
Serious cites
0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

A

94.5/100

Augusta Medical Ctr Skilled Ca

Fishersville, VA · Augusta County

CMS 5/517 bedsNon-profit
Nurse hours
6.29 /day
Staff turnover
35%
Serious cites
0

Augusta Medical Center Skilled Care is a small unit, 17 beds, run by a nonprofit corporation, and the numbers behind its record are worth knowing. Nurse staffing sits at 6.29 hours per resident day, well above the national average, though weekends run roughly 17% lighter than weekdays, so coverage isn't perfectly even. Staff turnover is 35%, better than the national 45.8%. Inspections tell a clean story: four deficiencies on record, none involving harm or abuse, and the most recent visit was in May 2024. For a family weighing a rehab stay or longer-term placement, the low deficiency count and steady staffing carry more weight than any single score.

A

94/100

California Pacific Medical Ctr- Davies Campus Hosp

San Francisco, CA · San Francisco County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
8.97 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

A

94/100

Skytop View Rehabilitation Center

Clermont, FL · Lake County

CMS 5/530 bedsFor-profit
Nurse hours
5.95 /day
Staff turnover
44%
Serious cites
0

Skytop View runs on about 5.95 nurse hours per resident day, roughly half again the national figure of 3.86, and weekend coverage barely dips from its weekday level. State inspectors visited in March 2025 and logged 13 deficiencies, none involving harm or jeopardy and none tied to abuse. Staff turnover sits at 43.8%, a touch under the 45.8% national rate. This is a small for-profit home, 30 beds, individually owned, so the numbers rest on a narrow staff, and 13 deficiencies is a real count even without any at the harm level. The staffing margin is what separates it.

A

94/100

Candler Skilled Nursing Unit

Savannah, GA · Chatham County

CMS 5/522 bedsNon-profitMedicaid
Nurse hours
7.95 /day
Staff turnover
30%
Serious cites
0

Candler Skilled Nursing Unit runs 22 certified beds as a nonprofit, and the staffing numbers are the story here: 7.95 nurse hours per resident per day, roughly double the national average of 3.86. That holds up on weekends too, dipping only about 2% below weekday levels when many homes thin out. Turnover sits at 30.4%, well under the 45.8% national figure, which suggests people stay. The tradeoff is a middle-of-the-road 3/5 on quality measures, though the 4/5 inspection rating and seven deficiencies with none at harm or jeopardy level look clean. A small unit with this much nurse time per resident is unusual, and the recent March 2026 inspection means the record is current.

A

94/100

Gottlieb Memorial Hospital

Melrose Park, IL · Cook County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.56 /day
Staff turnover
39%
Serious cites
0

Gottlieb Memorial is small, 32 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. The staffing numbers are the real story here: 5.56 nurse hours per resident per day against a national average of 3.86. That's roughly 44% more hands-on time than a typical home, and weekend coverage barely drops off from weekdays, so your family member isn't getting a skeleton crew on Sundays. Turnover sits at 38.6%, better than the 45.8% national figure, though not low enough to call it settled. Six deficiencies on record, none at the level that suggests actual harm, but two tied to abuse, worth asking about specifically.

A

94/100

Tupper Lake Center For Nursing And Rehabilitation

Tupper Lake, NY · Franklin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
34%
Serious cites
0

Tupper Lake Center runs about 4.68 nurse hours per resident per day, roughly 21% above the national average, and its staff turnover of 34.4% is meaningfully lower than the 45.8% typical elsewhere, two signs of a stable, well-staffed building. That said, weekend staffing drops about 28% below its own weekday level, so coverage isn't perfectly even across the week. The 23 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was January 2024. As a nonprofit with strong quality and staffing marks, the main things to ask about directly are weekend coverage and that abuse flag.

A

94/100

Mercy Hospital Skilled Nursing Facility

Lackawanna, NY · Erie County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
44%
Serious cites
0

Mercy Hospital Skilled Nursing Facility runs 4.68 nurse hours per resident per day, about 21% above the national average, and its quality measure rating is perfect at 5 out of 5. The catch is weekends: staffing drops roughly 14% below its own weekday levels, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover sits at 43.7%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over annually. Four deficiencies sit on the current record, none at harm level, one abuse-related, with the last inspection in July 2025.

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?
Transitional Sub-Acute Unit in Wyomissing, PA, grade A, 100 out of 100.
Does being hospital-based mean a nursing home is safe?
No. Of the 602 graded hospital-based homes in the United States, 228 grade A and 21 grade D or F.
Do hospital-based nursing homes in the United States accept Medicaid?
534 of the 604 are certified to accept Medicaid. See Medicaid and nursing homes.

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