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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 61 to 80 of 604, best-graded first.

A

94/100

M.m. Ewing Continuing Care Center

Canandaigua, NY · Ontario County

CMS 5/5178 bedsNon-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
33%
Serious cites
0

M.m. Ewing runs a tight ship on staffing. At 4.11 nurse hours per resident day, it sits about 6% above the national average, and its staff turnover of 33.1% is meaningfully lower than the 45.8% typical elsewhere, a sign people stick around. Weekend coverage dips roughly 12% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is clean where it matters most: nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse. The last full inspection was July 2023, so it's been a stretch since surveyors came through. Quality measure scores land at the top of the federal scale.

A

94/100

Upstate University Hosp At Community General T C U

Syracuse, NY · Onondaga County

CMS 5/520 bedsGovernment
Nurse hours
8.21 /day
Staff turnover
54%
Serious cites
0

Upstate University Hospital's TCU is a 20-bed unit in Syracuse run by New York State, and the staffing numbers stand out right away: 8.21 nurse hours per resident day, more than double the national average. That kind of coverage shows up in the inspection record too, with four deficiencies on file and none involving harm or jeopardy to a resident. The tradeoff is retention. At 53.7% annual turnover, this unit replaces over half its nursing staff every year, well above the 45.8% national figure, so consistent care often depends on newer faces. Weekend hours dip only slightly, about 2% under weekdays. Its last inspection was July 2025.

A

94/100

Novant Health Presbyterian Medical Center-Snu

Charlotte, NC · Mecklenburg County

CMS 5/512 bedsNon-profitMedicaid
Nurse hours
6.47 /day
Staff turnover
53%
Serious cites
0

Novant Health Presbyterian's skilled unit is tiny, just 12 certified beds inside a Charlotte hospital, and it runs on an unusual amount of nursing attention: 6.47 hours per resident day, roughly 68% above the national figure. Weekend coverage barely dips, about 1% off weekday levels, which is rare. Inspectors visited recently, in August 2025, and the record shows five deficiencies with none causing harm or involving abuse. The tradeoff is staff retention: 53.3% annual turnover sits above the 45.8% national average, meaning the people delivering that care keep changing. Five-star ratings across inspection, quality, and staffing round out the picture. For a short-term rehab stay after a hospital procedure, this is about as well-covered as it gets.

A

94/100

Transylvania Regional Hospital

Brevard, NC · Transylvania County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
11.41 /day
Staff turnover
17%
Serious cites
0

Transylvania Regional Hospital runs a small ten-bed nursing unit inside a hospital in Brevard, and it's owned by a for-profit corporation. The inspection record is genuinely strong: five deficiencies total, none causing harm or jeopardy, none tied to abuse, and the last survey came in late November 2025, so it's current. That's the profile of a place Medicare rates four stars for health inspections. Quality measures land at three, which is middle of the pack. With only ten beds, staff attention per resident tends to be easier to sustain than in a large facility, and nothing in the record suggests families should worry about safety or oversight here.

A

94/100

Avera Prince Of Peace

Sioux Falls, SD · Minnehaha County

CMS 4/5126 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
25%
Serious cites
0

Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.

A

94/100

Norton Community Hospital Snf Unit

Norton, VA · Wise County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
7.23 /day
Staff turnover
12%
Serious cites
0

Norton Community Hospital's skilled nursing unit runs on unusually heavy staffing: 7.23 nurse hours per resident day, roughly double the national figure. Turnover sits at 11.8 percent against a national average near 46 percent, so the people caring for residents tend to stay. The trade-off is a longer deficiency record, 21 findings, one serious enough to involve harm, though nothing abuse-related, and the last inspection was recent. A single $10,400 fine is modest by industry standards. Weekend coverage dips about 12 percent below weekday levels, worth asking about if your family visits on Saturdays or Sundays. For a 44-bed nonprofit unit, the numbers point to consistent hands-on care with some paperwork problems behind it.

A

94/100

Columbia Basin Hospital

Ephrata, WA · Grant County

CMS 3/512 bedsGovernmentMedicaid
Nurse hours
5.22 /day
Staff turnover
31%
Serious cites
0

Columbia Basin Hospital is a small county-run home in Ephrata, just 12 beds, and the nurse staffing number is genuinely high: 5.22 hours per resident day, roughly a third more than the national average. Turnover sits at 31.3%, well under the 45.8% national figure, and weekend coverage barely dips from weekday levels. The complication is its record. Thirty-one deficiencies are on file, including six tied to abuse, though none reached the harm or jeopardy level, and the last inspection was recent. CMS also rates its staffing at just 1 out of 5 stars, which sits oddly beside the hours reported. If you're considering it, ask directly about those six abuse-related findings and how the staffing star got so low when the hours look strong.

A

93/100

Marion Regional Nursing Home

Hamilton, AL · Marion County

CMS 3/579 bedsNon-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
21%
Serious cites
0

Marion Regional runs a tight ship on staffing. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and a 20.6% turnover rate is less than half the national figure of 45.8%, that kind of stability usually means residents see the same faces. Weekends dip about 14% below the home's own weekday coverage, worth asking about if your family visits then. The tradeoff shows up in inspections: 13 deficiencies on record, including one abuse-related, and a 2-star health inspection rating from CMS. None of those deficiencies rose to harm or jeopardy level, and the most recent inspection was February 2025, so the record is current. A nonprofit operator with strong staffing and a recent, mostly low-level survey history.

A

93/100

Skilled Nursing Unit At Oro Valley Hospital

Oro Valley, AZ · Pima County

CMS 5/533 bedsFor-profitMedicaid
Nurse hours
5.57 /day
Staff turnover
41%
Serious cites
0

The Skilled Nursing Unit at Oro Valley Hospital runs 5.57 nurse hours per resident day, about 44 percent above the national average of 3.86, that's the kind of staffing margin that shows up in everyday care, not just on paper. Weekend hours dip roughly 8 percent below weekdays, though the floor stays well above average even then, and turnover at 40.8 percent sits under the national 45.8 percent. Nine deficiencies are on record with none at the harm level and none abuse-related, and a 5-star inspection rating from a May 2026 survey is about as current as it gets. For-profit corporate ownership, 33 beds, and a clean inspection history together explain the grade without any single number carrying it.

A

93/100

Jewish Home & Rehab Center D/P Snf

San Francisco, CA · San Francisco County

CMS 5/5362 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
26%
Serious cites
0

The Jewish Home & Rehab Center runs 362 beds on a nonprofit model, and its nurse staffing sits at 5.20 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday levels, and staff turnover comes in at 25.6% against a national 45.8%, so the same caregivers are likelier to still be there next year. What pulls against that picture is the inspection record: 52 deficiencies, including one at the harm level and seven tied to abuse, with the most recent inspection dated February 2026. Strong staffing and low turnover are real advantages, but the abuse-related findings are the part worth asking about directly.

A

93/100

Providence Little Co Of Mary Transitional Care Ctr

Torrance, CA · Los Angeles County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
25%
Serious cites
0

Providence Little Co Of Mary Transitional Care Center runs on 6.85 nurse hours per resident per day, roughly 77% above the national average, and its staff tends to stay, turnover of 24.5% is about half the national figure. Weekend coverage dips around 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 28 deficiencies, none at the harm or jeopardy level, with one abuse-related citation worth asking about directly. Inspections are current as of April 2026, and this church-affiliated nonprofit holds a 4 out of 5 on health inspections and a 5 on staffing.

A

93/100

Shands Jacksonville Medical Center

Jacksonville, FL · Duval County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
27%
Serious cites
0

Shands Jacksonville runs a tight ship. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average of 3.86, and only about 27% of the nursing staff turns over in a year, well under the 45.8% national figure. Weekend coverage dips around 14% below weekday levels, the one soft spot worth asking about. The inspection record is spotless: zero deficiencies, none at harm level, none abuse-related, with the most recent survey in February 2026. This is a nonprofit hospital-based unit with 56 beds, and its staffing and quality scores back up what the numbers say.

A

93/100

Kindred Hospital South Florida Hollywood

Hollywood, FL · Broward County

CMS 5/530 bedsFor-profit
Nurse hours
5.03 /day
Staff turnover
24%
Serious cites
0

Kindred Hospital South Florida Hollywood runs on unusually heavy staffing for a 30-bed home, 5.03 nurse hours per resident day, roughly a third more than the national average, which is why CMS gives it the top staffing mark. Turnover sits at 23.5%, about half the national rate, so the people caring for residents tend to stick around. The trade-off shows up in inspections: 19 deficiencies on the current record, though none involved harm or abuse, and the most recent visit was in December 2024. Weekend coverage dips about 9% below its own weekday levels, worth asking about if your family visits then.

A

93/100

Southwell Health And Rehabilitation

Adel, GA · Cook County

CMS 5/595 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
35%
Serious cites
0

Southwell Health and Rehabilitation runs on 4.49 nurse hours per resident day, about 16% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, people tend to stay here. Weekend staffing drops roughly 15% below weekday levels, so ask how that plays out on Sundays. The 17 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Inspectors were last on site in January 2026, and the nonprofit ownership means no shareholder pressure on the budget.

A

93/100

Mercy Harvard Hospital Care Center

Harvard, IL · Mc Henry County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
6.76 /day
Staff turnover
36%
Serious cites
0

Mercy Harvard runs 34 beds as a nonprofit, and the staffing numbers are the story here: 6.76 nurse hours per resident day, roughly 75% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but that's a narrow gap and staff turnover sits at 35.5%, well under the 45.8% national figure. The current record shows 9 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 5/5 inspection rating with a February 2026 survey means the state looked recently and found nothing serious. Small homes live or die on consistency, and this one has it.

A

93/100

St Francis Home

Breckenridge, MN · Wilkin County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
33%
Serious cites
0

St Francis Home runs on a church-affiliated nonprofit model in Breckenridge, and the numbers back up the staffing side: 4.20 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating. Weekend coverage dips about 12% below its own weekday level, worth knowing if you visit Saturdays or Sundays. Turnover sits at 32.6%, well under the 45.8% national figure, which matters for whether your parent sees the same faces. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2026. Eight findings is a real number, not a spotless one, but the severity is what counts here.

A

93/100

St. Jane De Chantal

Lincoln, NE · Lancaster County

CMS 4/5103 bedsNon-profitMedicaid
Nurse hours
7.36 /day
Staff turnover
32%
Serious cites
0

St. Jane De Chantal runs on 7.36 nurse hours per resident day, nearly double the national average of 3.86, and that staffing depth shows up in a 5/5 CMS staffing rating. Turnover sits at 32.3%, well under the 45.8% national figure, so the people providing that care tend to stick around; weekend coverage dips only about 8% from weekday levels, a modest slide rather than a cliff. The trade-off is a 3/5 inspection rating with 11 deficiencies on record, one tied to abuse, though none reached harm or jeopardy. The most recent inspection was January 8, 2026. Quality measures score 4/5, and nonprofit ownership rounds out the picture.

A

93/100

Allied Services Transitional Rehab Unit

Scranton, PA · Lackawanna County

CMS 5/551 bedsNon-profit
Nurse hours
5.33 /day
Staff turnover
33%
Serious cites
0

Allied Services runs its transitional rehab unit with 5.33 nurse hours per resident per day, roughly a third more staffing than the typical American nursing home, and weekends dip only about 6% below weekday levels. That consistency matters, since weekend coverage is where a lot of homes quietly fall apart. Staff turnover sits at 33.3%, well under the national 45.8%, so the people caring for residents tend to stick around. Six deficiencies on the current record, none involving harm or abuse, and a December 2025 inspection that's still recent. It's a nonprofit with 51 beds, which keeps the operation small and lets the staffing numbers actually mean something. Nothing in the record reads as a warning sign.

A

93/100

United Transitional Care Center

Bridgeport, WV · Harrison County

CMS 5/532 bedsNon-profit
Nurse hours
4.41 /day
Staff turnover
33%
Serious cites
0

United Transitional Care Center runs 32 certified beds in Bridgeport under nonprofit corporate ownership, and the staffing numbers are the story here. At 4.41 nurse hours per resident day, it sits about 14% above the national average, and weekend staffing holds steady rather than dropping off the way it does at many homes. Staff turnover lands at 33.3% against a national 45.8%, which suggests people stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Small homes can be uneven, but the federal ratings and the retention figures point the same direction.

A

93/100

Thomas Hospitals Skilled Nursing Unit

Charleston, WV · Kanawha County

CMS 5/529 bedsNon-profit
Nurse hours
7.57 /day
Staff turnover
24%
Serious cites
0

Nurse staffing here runs at 7.57 hours per resident per day, roughly double the national average of 3.86, and that holds across a five-star staffing rating. Weekend coverage dips about 14% below weekday levels, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 24.1% against a national average near 46%, so the people caring for residents tend to stay. Fourteen deficiencies appear on the current record, none involving harm or jeopardy and none abuse-related, with the most recent inspection completed July 31, 2025. Quality measure scores land mid-range at three stars, suggesting clinical outcomes don't match the staffing strength quite as neatly.

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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