All 3 Medicare-certified nursing homes in Roswell,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Casa Maria Healthcare runs about 3.18 nurse hours per resident day against a national average of 3.86, roughly 18 percent thinner, and weekends drop another 11 percent below what the building manages Monday through Friday. Staff turnover sits at 51.3 percent, higher than the 45.8 percent national figure, so the people left on the floor are often the newest. The current inspection record carries 54 deficiencies, five of them serious enough to involve harm or jeopardy, six tied to abuse, and $99,368 in fines across three penalties. The quality-measure score looks strong in isolation, but that is families' ratings of daily care, not proof the building is adequately staffed to deliver it.
Sunset Villa runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 5% below its own weekday level. That thin margin matters more when turnover sits at 53.4% against a national 45.8%, more than half the nursing staff leaving in a year makes consistent care hard to hold onto. On the record are 55 deficiencies, including 5 at the harm or jeopardy level and 6 tied to abuse, plus two fines totaling $80,968. Its last inspection was April 23, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. Strong quality measure scores don't offset staffing and inspection problems.
Spring River runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop another 13 percent below its own weekday levels. That thin coverage shows up in the inspection record: 67 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, plus $111,643 in federal fines. Staff turnover sits at 60.5 percent against a national 45.8 percent, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. The most recent inspection was December 12, 2024.