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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 141 to 160 of 604, best-graded first.

A

89.5/100

Denali Center

Fairbanks, AK · Fairbanks North Star County

CMS 3/571 bedsNon-profitMedicaid
Nurse hours
5.36 /day
Staff turnover
n/a
Serious cites
0

Denali Center runs 5.36 nurse hours per resident day, roughly 39 percent above the national average, and weekends dip about 13 percent below its own weekday level, a real drop, though the floor stays higher than most places. The tradeoff shows up in inspections: 30 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, with a $10,358 fine and a January 2026 inspection date. Quality measures score 5 out of 5, which suggests the day-to-day clinical care tracks well even where the survey history doesn't.

A

89.5/100

Baton Rouge General Medical Center, Snf

Baton Rouge, LA · E. Baton Rouge County

CMS 5/52 bedsNon-profit
Nurse hours
5.89 /day
Staff turnover
n/a
Serious cites
0

Baton Rouge General Medical Center's skilled nursing unit runs on 5.89 nurse hours per resident per day, roughly 53% more than the national average of 3.86, and it holds that pace on weekends, dropping only about 1% below weekday levels. That consistency matters, because weekend coverage is where a lot of homes quietly thin out. The inspection record is clean where it counts: 7 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a 5/5 health inspection rating and the most recent survey dated April 2026. As a nonprofit corporation, it isn't answering to shareholders. Two certified beds means this is a small unit inside a hospital, so ask how that arrangement works if you need long-term placement rather than a short rehab stay.

A

89.5/100

Madison Medical Center

Fredericktown, MO · Madison County

CMS 5/599 bedsGovernmentMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.

A

89.5/100

Memorial Community Care

Aurora, NE · Hamilton County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
28%
Serious cites
0

Memorial Community Care runs on a nonprofit model with 48 certified beds in Aurora, and the staffing numbers are the story here: 4.68 nurse hours per resident day, roughly 21% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 28.3% against a national average of 45.8%, which matters more than any single inspection score, consistent caregivers know the residents. Weekend coverage dips about 16% below weekday levels, worth asking about directly. The inspection record shows 10 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey was in February 2026. Quality measures come in at three stars, softer than the staffing picture.

A

89.5/100

Wayne Health Care

Newark, NY · Wayne County

CMS 4/5182 bedsNon-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
37%
Serious cites
0

Wayne Health Care runs 182 certified beds as a nonprofit corporation, and its numbers tell a fairly steady story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 36.5%, which is actually better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. Inspectors found six deficiencies on the current record, one serious enough to involve harm or jeopardy, with no abuse citations. The last inspection was September 13, 2024, so the record is reasonably current.

A

89.5/100

St Catherine Laboure Health Care Center

Buffalo, NY · Erie County

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

St Catherine Laboure runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and its staff tends to stay, 33% turnover against a national 45.8%. The tradeoff shows up on weekends, when coverage drops about 17% below the home's own weekday level, so ask how that plays out on the floor. State inspectors visited in February 2026 and logged eight deficiencies, none causing harm or jeopardy, though three were abuse-related, worth asking about directly, since those can reflect reporting and screening issues rather than incidents. Church-affiliated and nonprofit, 80 beds. Strong inspection and staffing marks, with a few specific questions worth raising.

A

89.5/100

Meadville Medical Ctr Tcu

Meadville, PA · Crawford County

CMS 5/532 bedsNon-profit
Nurse hours
10.84 /day
Staff turnover
n/a
Serious cites
0

Meadville Medical Ctr Tcu runs 32 certified beds inside a hospital system, which helps explain the staffing figure: 10.84 nurse hours per resident day, roughly 2.8 times the national average. That's an unusual number, and it's backed by a four-star staffing rating and a five-star quality measure score. Weekend coverage dips about 11% below weekdays, so if you're planning visits or asking about a Saturday concern, know that the floor runs leaner then. The inspection record shows 7 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Three fines totaling $7,172 is modest. The last survey was November 2025, so the record is recent.

A

89.5/100

Amie Holt Care Center

Buffalo, WY · Johnson County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
4.97 /day
Staff turnover
41%
Serious cites
0

Amie Holt Care Center runs on a government hospital-district model in Buffalo, and the staffing numbers show it: 4.97 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 16% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving each year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in April 2025.

A

89/100

Lake Regional Health Systems

Osage Beach, MO · Camden County

CMS 5/516 bedsNon-profit
Nurse hours
9.33 /day
Staff turnover
62%
Serious cites
0

Lake Regional Health Systems runs a small 16-bed unit inside a hospital system, and its nurse staffing sits at 9.33 hours per resident per day, roughly two and a half times the national figure. That's an unusual level of coverage, and it shows in the four-out-of-five staffing star, held back mainly by turnover of 61.9% against a national 45.8%. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, though one is abuse-related, which is worth asking about directly. A five-star inspection and five-star quality rating from a September 2025 survey round out a strong picture, with weekend staffing running about 9% lighter than weekdays.

A

89/100

Saunders Medical Center

Wahoo, NE · Saunders County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Saunders Medical Center is county-owned, and that shows in the numbers. Nurse staffing runs 4.83 hours per resident day, roughly a quarter above the national average of 3.86, and turnover sits at 39.7% against a national 45.8%, a fairly stable crew for this industry. Weekend coverage dips about 8% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on the current record, none at the harm level, none abuse-related, and the last inspection was in April 2026, so the picture is recent. All three CMS ratings, health inspection, quality measures, staffing, come in at 4 out of 5.

A

89/100

Bergen New Bridge Medical Center

Paramus, NJ · Bergen County

CMS 4/5574 bedsNon-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
16%
Serious cites
0

Bergen New Bridge Medical Center runs 574 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. The number that stands out is turnover: 15.8% annually, roughly a third of the 45.8% national figure, which suggests people stay. Weekend staffing dips about 8% below its own weekday level, a gap worth asking about. The current record shows 15 deficiencies, one at the harm level and none abuse-related, with an inspection in May 2025. Quality and staffing star ratings come in at 4 and 5; health inspections at 3.

A

89/100

Childrens Specialized Hospital Mountainside

Mountainside, NJ · Union County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
7.79 /day
Staff turnover
33%
Serious cites
0

Childrens Specialized Hospital Mountainside runs 7.79 nurse hours per resident day, roughly double the national average of 3.86, and that staffing depth holds up on weekends, dipping only about 7% below weekday levels. Turnover sits at 33%, well under the 45.8% national figure, so the people caring for residents tend to stay. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its most recent inspection was in January 2026. As a nonprofit, it answers to a mission rather than shareholders. For a 64-bed pediatric facility, the numbers point to steady, well-staffed care.

A

89/100

Sherman Oaks Hospital Snf Dp

Sherman Oaks, CA · Los Angeles County

CMS 4/522 bedsFor-profitMedicaid
Nurse hours
8.71 /day
Staff turnover
5%
Serious cites
0

Sherman Oaks Hospital Snf Dp runs 22 certified beds under corporate for-profit ownership, and its nurse staffing sits at 8.71 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, but that's a minor wobble against a turnover rate of 4.5%, which is dramatically lower than the national 45.8% and suggests a stable crew rather than a revolving door. The tradeoff shows up in its record: 33 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent April 2025 inspection and solid marks on quality measures round out a home that's clearly well-staffed but not spotless on compliance.

A

89/100

O'connor Hospital D/P Snf

San Jose, CA · Santa Clara County

CMS 5/524 bedsGovernmentMedicaid
Nurse hours
8.73 /day
Staff turnover
12%
Serious cites
0

O'Connor Hospital's skilled nursing unit is small, 24 beds, and county-run, which tends to mean steadier staffing than the for-profit average, and the numbers bear that out. Nurse staffing sits at 8.73 hours per resident day, well over twice the national figure, and weekend coverage only dips about 10% below weekdays instead of falling off a cliff. Staff turnover is 11.5% against a national 45.8%, so the people caring for residents largely stay put. The tradeoff is paperwork: 23 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, and the last inspection was recent, in August 2025.

A

89/100

Pih Health Good Samaritan Hospital D/P Snf

Los Angeles, CA · Los Angeles County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
10.60 /day
Staff turnover
29%
Serious cites
0

Pih Health Good Samaritan's skilled nursing unit runs on unusually heavy staffing, 10.60 nurse hours per resident day, roughly two and a half times the national figure. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 29.3%, better than the 45.8% national average, and the last inspection was recent, in December 2025. The inspection record shows 22 deficiencies with none at the harm level, though one is abuse-related, and the quality measure score is weaker than the staffing and inspection scores. Nonprofit ownership, 28 beds.

A

88.5/100

Ozark Health Nursing And Rehab Center

Clinton, AR · Van Buren County

CMS 4/5118 bedsNon-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
32%
Serious cites
0

Ozark Health runs a nonprofit home in Clinton with 118 certified beds, and the numbers behind it hold up. Nurse staffing sits at 4.27 hours per resident day, about 11% above the national average, and the 31.9% turnover rate is well below the 45.8% national figure, a sign people stay. Weekend staffing drops roughly 18% from weekday levels, so coverage thins out on Saturdays and Sundays. The home has 13 deficiencies on its current record, none rising to harm or jeopardy, though two are abuse-related, which is worth asking about directly. Its last inspection was April 17, 2025, and it earned 4 out of 5 stars on health inspections, quality measures, and staffing.

A

88.5/100

Hazel Hawkins Memorial Hospital D/P Snf

Hollister, CA · San Benito County

CMS 4/5119 bedsGovernmentMedicaid
Nurse hours
4.31 /day
Staff turnover
13%
Serious cites
0

Hazel Hawkins runs on a hospital district's budget, and the numbers show where the money goes: nurse staffing at 4.31 hours per resident per day, about 12% above the national average, with a 5-star staffing rating to match. Turnover sits at 13.3% against a national average of 45.8%, that kind of retention is rare and usually means residents see the same faces. The catch is weekends, when coverage drops roughly 15% below the home's own weekday level. Inspections turned up 28 deficiencies, one abuse-related, though none at the harm or jeopardy level, and the last visit was September 2025.

A

88.5/100

Georgia Regional Atlanta Ltc

Decatur, GA · De Kalb County

CMS 3/566 bedsGovernmentMedicaid
Nurse hours
5.15 /day
Staff turnover
n/a
Serious cites
0

Georgia Regional Atlanta Ltc runs on state government ownership in Decatur, and its nurse staffing sits at 5.15 hours per resident day, roughly a third above the national average of 3.86. That said, weekends drop about 15% below its own weekday coverage, so care can thin out when families visit. The current record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site September 18, 2025. Its quality measure rating is perfect at 5/5 while health inspections land at 2/5, a split worth asking about directly.

A

88.5/100

St Luke's Regional Medical Center Snf

Sioux City, IA · Woodbury County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
10.85 /day
Staff turnover
n/a
Serious cites
0

St. Luke's Regional Medical Center SNF is a 20-bed nonprofit unit in Sioux City, and the staffing numbers are the first thing that stand out. At 10.85 nurse hours per resident day, it runs far above the national average of 3.86, that's not a rounding difference, it's a different model of care. Weekend staffing dips about 7% below its own weekday level, worth knowing if you'll be visiting Saturdays and Sundays. On the regulatory side, the record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was July 2025. Ownership changed within the past year, so ask how that's affected day-to-day operations.

A

88.5/100

Recuperative Services Unit-Hebrew Rehab Center

Boston, MA · Suffolk County

CMS 5/550 bedsNon-profit
Nurse hours
5.02 /day
Staff turnover
n/a
Serious cites
0

The Hebrew Rehabilitation Center's Recuperative Services Unit runs 50 certified beds under nonprofit ownership in Boston, and its nurse staffing sits at 5.02 hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday levels, so the weekday-to-weekend difference is worth asking about if your family member needs consistent attention on Saturdays and Sundays. The home carries 12 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was in July 2025. Quality measures score 5 out of 5 stars, health inspections 4 out of 5, staffing 3 out of 5.

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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