604 Hospital-Based Nursing Homes in the United States

Nurse hours

4.71 /day

Staff turnover

28%

Serious cites

0

Adventist Health Sonora's nursing home runs four and a half nurse hours per resident each day, about a fifth more than the typical American nursing home, and its weekend coverage, while lighter than weekdays, doesn't fall off a cliff. Staff turnover of roughly 28 percent is well below the national figure, which matters more than any single inspection score, since familiar aides tend to notice changes in a resident's condition. The trade-off sits in the record: 39 deficiencies, including five tied to abuse, though none rose to the level of actual harm. State inspectors were last in the building in June 2025.

Nurse hours

5.45 /day

Staff turnover

22%

Serious cites

0

Sharp Chula Vista Med Ctr Snf runs on a level of nurse staffing you rarely see: 5.45 hours per resident per day, about 41% above the national average, with weekend coverage dipping only slightly below weekdays. Staff turnover sits at 21.6%, less than half the national rate, a sign people stay. Inspections were recent and the health record is solid, though 34 deficiencies include one at harm level and two tied to abuse, which families should ask about directly. Nonprofit ownership and a B grade reflect a home whose day-to-day care capacity is strong, with specific past problems worth understanding before you decide.

Nurse hours

10.07 /day

Staff turnover

20%

Serious cites

0

Staffing at Presbyterian Intercomm Hosp Dp/Snf runs at 10.07 nurse hours per resident day, roughly two and a half times the national figure, and only about 20% of its nurses leave each year against a national average near 46%. Weekends dip about 14% below its own weekday coverage, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 21 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was July 2025, and its health inspection and staffing ratings both sit at five stars out of five. Quality measures come in lower, at three. It's a small nonprofit home, 35 beds.

Nurse hours

4.61 /day

Staff turnover

25%

Serious cites

0

Washington County Nursing Home runs on numbers that hold up. Nurse staffing sits around 4.61 hours per resident day, roughly a fifth above the national figure, and weekend coverage dips about 16 percent from weekday levels, a gap worth asking about, since that's when families tend to visit. Staff turnover is 25.3 percent, well under the national 45.8 percent, which suggests people stay. The one mark against the place is on the inspection side: a single deficiency on record, abuse-related but not at harm or jeopardy level, and the last full inspection was June 2021, so that record is getting old. County-owned, 88 beds.

Nurse hours

4.19 /day

Staff turnover

26%

Serious cites

0

Buchanan County Health Center runs on county ownership, and the numbers that stand out most are the ones about people. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, and the staff stays: turnover is 26.3% against a national rate near 46%. Weekends are leaner, though, about 19% below the home's own weekday coverage. The inspection record is mixed, 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single $4,011 fine, and the last inspection was fairly recent, in March 2026. Quality and inspection ratings both came in at 4 out of 5, but those 12 deficiencies and the thin weekend hours are what pull the overall picture down.

Nurse hours

5.87 /day

Staff turnover

23%

Serious cites

0

The numbers at MyMichigan Skilled Nursing in Standish are mostly good news: 5.87 nurse hours per resident per day, roughly half again the national average, and staff turnover of 22.6% against a national 45.8%, both signs of a stable, well-covered floor. Weekend coverage dips about 18% below weekday levels, worth asking about if a family member needs more help on Saturdays and Sundays. The caution is in the inspection record: 18 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a single $32,175 fine. Quality and staffing each scored 5 out of 5 from CMS, and the most recent inspection was April 2026, so the picture is current.

Nurse hours

4.30 /day

Staff turnover

20%

Serious cites

0

Country Manor Healthcare runs on 4.30 nurse hours per resident day, roughly 11 percent above the national average, and its staff turnover of 20.4 percent is less than half the national figure of 45.8 percent, a combination that usually signals a stable, well-staffed floor. Weekend coverage dips about 6 percent below weekday levels, so ask how that plays out on Sundays. The caution sits in the inspection record: 66 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against a 2-out-of-5 health inspection rating. The most recent inspection was February 2026, and fines total $8,018. Good staffing, thin regulatory margin.

Nurse hours

7.24 /day

Staff turnover

39%

Serious cites

0

Courage Kenny Rehabilitation Institutes Trp runs 56 certified beds in Golden Valley under nonprofit ownership, and the staffing numbers are the standout: 7.24 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 38.7% sits below the 45.8% national figure. The weaker side is inspections, where CMS rates it 2 out of 5, with 12 deficiencies on record including one at the harm or jeopardy level and one tied to abuse, plus a $16,355 fine. That last inspection was recent, in March 2025, so the record is current rather than stale. Strong hands-on care, but a citation history worth asking about directly.

Nurse hours

4.09 /day

Staff turnover

24%

Serious cites

0

Legacy Square runs a lean but well-staffed floor: 4.09 nurse hours per resident day, roughly 6% above the national average, and weekend coverage holds up better than you'd expect, dipping only about 13% below weekdays. Turnover sits at 23.5% against a national 45.8%, which means the people caring for residents tend to stick around. The trouble is on the inspection side. Eleven deficiencies are on the current record, including one at the harm level and two tied to abuse, and the health inspection rating reflects that. A single $14,069 fine and a January 2026 inspection round out the picture. Strong staffing can't paper over those findings.

Nurse hours

4.29 /day

Staff turnover

35%

Serious cites

0

Nurse staffing at this county-run home in Warsaw runs about 11% above the national average, and its 35% turnover is meaningfully lower than the typical 45.8%, both signs of a stable core staff. Weekend coverage, though, drops roughly 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections in March 2024 turned up 15 deficiencies, two tied to abuse, but none at the harm or jeopardy level. That mix, with strong quality measures and solid inspection history, is why it sits near the top of what we grade.

Nurse hours

4.67 /day

Staff turnover

44%

Serious cites

0

Roane General Hospital runs 35 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average of 3.86. Weekend coverage dips about 13% below its own weekday levels, so families should ask how that gap gets handled on Saturdays and Sundays. Annual turnover of 43.9% is slightly better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 36 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was in September 2025, so the picture is current. CMS rates it 4 of 5 on health inspections and 5 of 5 on quality measures.

Nurse hours

8.83 /day

Staff turnover

23%

Serious cites

0

St. John's Hospital Camarillo runs a 99-bed skilled nursing unit, and the staffing numbers stand out: 8.83 nurse hours per resident per day, roughly 129% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 23.2%, about half the national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at the harm level, though two are abuse-related, and the most recent inspection was in April 2025. It's a for-profit corporate operation, so worth asking who's actually on the floor day to day.

Nurse hours

4.34 /day

Staff turnover

32%

Serious cites

0

Barton Hospital's skilled nursing unit sits at 48 beds in South Lake Tahoe, run by a nonprofit corporation. Nurse staffing averages 4.34 hours per resident day, roughly 12% above the national figure, and the 32% annual turnover is meaningfully lower than the 45.8% national average, people tend to stay here. Weekends thin out about 11% from weekday levels, so ask how that plays out on a Saturday. The current inspection record carries 17 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $9,110. The most recent inspection was April 2026. Strong staffing and steady retention are doing real work here; the deficiency history is what a family should ask about directly.

Nurse hours

4.93 /day

Staff turnover

12%

Serious cites

0

Joyce Eisenberg Keefer Medical Center runs on 4.93 nurse hours per resident day, roughly 28% above the national average, and its weekend staffing only dips about 6% below weekday levels, a smaller drop than many homes show. Staff turnover sits at 11.8% against a national average near 46%, which matters more than almost anything else for consistency of care. The trade-off shows up in its inspection record: 44 deficiencies on file, three tied to abuse, though none at the harm or jeopardy level. The last inspection was March 2026. For a 344-bed nonprofit, the staffing numbers are the strongest signal here; the inspection history is the one to ask about directly.

Nurse hours

4.47 /day

Staff turnover

27%

Serious cites

0

Fayette Medical Center's long-term care unit runs on county ownership and a payroll that stays put, 26.7% turnover against a national average near 46% means the aides and nurses here are unusually likely to still be around next year. Nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national figure, though weekends drop about that same amount below the home's own weekday pace, so coverage thins out when families tend to visit. Ten deficiencies sit on the record with none at the harm level and none tied to abuse, and the last full inspection was in May 2021, worth asking what's been surveyed since.

Nurse hours

7.91 /day

Staff turnover

45%

Serious cites

0

Wrangell Medical Center's long-term care unit runs 7.91 nurse hours per resident day, roughly double the national figure of 3.86. That kind of staffing depth is rare anywhere, and it matters more in a place as remote as Wrangell, where bringing in backup isn't quick. Weekend coverage drops about 17% below its own weekday level, so families should ask how that gap gets filled. Turnover sits at 45.2%, essentially the national rate, and the current record shows six deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was March 2026, so the picture is recent. For 18 residents, that staffing ratio is the story.

Nurse hours

5.74 /day

Staff turnover

41%

Serious cites

0

Boundary County Nursing Home runs on unusually heavy staffing for its size, 5.74 nurse hours per resident day, roughly half again the national average, and that shows up in a five-star staffing rating. Weekend coverage dips about 16% below weekday levels, so ask how that plays out on Saturdays. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which matters in a 20-bed home where one departure is felt. The inspection record is the weak spot: 26 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was May 2026. Quality measures score well; the compliance history is what to press on.

Nurse hours

4.33 /day

Staff turnover

31%

Serious cites

0

Franklin General Hospital runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and the 30.6% turnover rate is well under the national 45.8%, experienced caregivers tend to stay. Weekend coverage dips about 17% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The county-owned home carries 8 deficiencies, none at the harm level, though 2 are abuse-related and deserve a direct question. Inspectors were last on site in May 2025.

Nurse hours

3.94 /day

Staff turnover

45%

Serious cites

0

Anderson County Hospital Ltcu runs 3.94 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. The catch is weekends, when hours drop roughly 18% below the home's own weekday level, that's when gaps tend to show up. Turnover sits at 44.7%, slightly better than the national 45.8%, so the crew is comparatively stable. Inspections in February 2025 turned up 16 deficiencies, two serious enough to involve harm or jeopardy, though none were abuse-related. For a 36-bed nonprofit hospital-based unit, the day-to-day numbers look reasonable; the weekend dip and those two harm-level findings are what pull the overall picture down.

Nurse hours

7.66 /day

Staff turnover

21%

Serious cites

0

East Jefferson General Hospital's skilled nursing unit runs on 7.66 nurse hours per resident day, roughly double the national figure, and its staff turnover of 20.5% is less than half the national rate, a combination that usually shows up as consistent caregivers who know the residents. The tradeoff is weekends, when hours drop about a fifth below the unit's own weekday level. Six deficiencies sit on the current record, none involving harm or abuse, and the last inspection was February 2026. Quality measures score midrange against a five-star inspection and staffing picture, which fits a hospital-based nonprofit unit that's strong on people and watchful on weekends.