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.
La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.
Archbold Living Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Crestview runs 388 certified beds on 2.71 nursing hours per resident day, roughly 30% under the national average of 3.86. Weekends drop another 11% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year, and the ones who stay are stretched thin. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and six tied to abuse. CMS has placed the home in its Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems. Its last inspection was June 5, 2025.
Plainfield Health Care Center runs 189 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.22 nurse hours per resident per day, about 17% under the national average, with weekends running roughly 12% lighter than weekdays. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 56 deficiencies, four of them serious enough to put residents in harm's way and six tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. One fine of $31,852 is on record. The last inspection was May 21, 2026.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
Monument Healthcare South Salt Lake is a 140-bed hospital-district home that the federal government has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 57 deficiencies, nine of them serious enough to endanger residents, six tied to abuse, and two fines totaling $36,546. Its last inspection was in June 2025.
Nursing hours come in slightly under the national average, and weekends run about 15% thinner than weekdays, when supervision is already stretched. The quality-measure score looks good on paper, but that number reflects resident assessments, not the day-to-day care and oversight problems regulators keep finding here. Staff turnover sits just above the national rate.
Gracy Woods is for-profit, corporate-owned, 118 beds, and sitting in CMS's Special Focus Facility program, the designation reserved for homes with a persistent record of serious problems. The numbers back that up: 64 deficiencies on the current record, 10 of them at harm or jeopardy level, five abuse-related, and four fines totaling $222,188. Staffing runs slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency, weekends drop about 16% below the home's own weekday level, and turnover sits at 54.5% against a 45.8% national figure. When roughly half the staff leaves in a year, care routines fray. The most recent inspection was June 2026, so the record is current.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.
Warsaw Meadows runs 80 certified beds as a for-profit corporation, and the numbers worth knowing sit in its inspection record and its staffing. State inspectors have cited 29 deficiencies, four of them at a level involving actual harm or jeopardy, and five tied to abuse. Fines total $105,073, and the most recent inspection was September 8, 2025.
Nurse staffing comes to 3.35 hours per resident day, roughly 13% under the national average, with weekends about 4% thinner than weekdays. Annual turnover runs 54.7%, against a national 45.8%. CMS rates the health inspection side 1 out of 5, staffing and quality measures 2 out of 5 each.
If you're weighing this one, ask about the abuse citations directly, and ask how the weekend shift is covered.
Cuba Memorial's 61-bed nonprofit unit runs on 2.71 nursing hours per resident day, roughly 30 percent below the national average of 3.86, and staffing thins further on weekends, dropping about 15 percent from its own weekday level. That shortfall shows up in the numbers: a 57.4 percent annual turnover rate against a 45.8 percent national average, and CMS scoring staffing and quality measures at 1 out of 5 stars each, even though the health inspection rating sits at 4. The current record carries 15 deficiencies, none at harm or jeopardy level but five tied to abuse. A recent May 2024 inspection is the one clear positive here.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
If you're weighing Lakeside for someone you love, the staffing numbers are the place to start. At 3.13 nurse hours per resident day, this for-profit home runs roughly 19% below the national average, and weekends drop about 12% below its own weekday level. Annual turnover sits at 82.2% against a national average of 45.8%, which means the people caring for your family member are likely to change often. The record shows 44 deficiencies, three at harm or jeopardy level and six tied to abuse, with the most recent inspection in April 2025. That's a lot of history for a 93-bed building.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.
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?