★★★☆☆CMS 3/528 bedsNon-profitMedicaid
- Nurse hours
- 5.17 /day
- Staff turnover
- 44%
- Serious cites
- 0
Westland House is a small nonprofit home in Monterey, 28 beds, and the raw staffing number looks strong at 5.17 nurse hours per resident day, well above the national average of 3.86. Weekend coverage dips only slightly below weekdays, and turnover at 44.4% is basically in line with the national figure. Where it gets interesting: the federal staffing star comes in at just 1 out of 5, which suggests the mix of RN versus aide hours matters more than the total. The inspection record is solid, 13 deficiencies, none causing harm and none abuse-related, with the most recent survey in September 2025.
★★★☆☆CMS 3/599 bedsFor-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 32%
- Serious cites
- 0
Carmel Hills runs on unusually strong staffing, 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 31.6% compared to 45.8% nationally. That consistency matters more than any single number, though weekend coverage dips about 11% below weekday levels, so you'll want to ask who's actually on the floor on Saturdays and Sundays. The inspection record is where the picture darkens: 39 deficiencies on file, including two tied to abuse, and the last inspection was April 2026. No harm-level citations, and the quality measures land mid-range at 3 out of 5. This for-profit corporate home is well-staffed on paper; the open question is what those 39 deficiencies looked like in practice.
★★★★☆CMS 4/578 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 51%
- Serious cites
- 0
Monterey Post Acute runs 78 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 5% below the home's own weekday level, and roughly half the staff turns over each year, a rate above the national figure.
The current record shows 55 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was in February 2025, and CMS rates the inspection history 3 out of 5 stars while quality measures score 5 out of 5. The gap between those two ratings is worth asking about directly.
★★★★☆CMS 4/599 bedsFor-profitMedicaid
- Nurse hours
- 4.42 /day
- Staff turnover
- 45%
- Serious cites
- 0
Cypress Ridge runs about 4.42 nurse hours per resident day, roughly 14% above the national average, and weekend coverage dips only slightly below weekdays, which matters because short-staffed weekends are where problems tend to surface. Staff turnover sits at 45.4%, essentially in line with the national figure, so retention isn't the issue here. What stands out is the inspection record: 44 deficiencies, including one at the harm level and one abuse-related, despite a recent May 2025 survey. The staffing star lands at 2 out of 5 even with those hours, and a 5/5 on quality measures doesn't offset the survey history under corporate ownership.