Nursing homes across Butler County, Pennsylvania, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Sherwood Oaks sits in Cranberry Township with 43 certified beds and a nonprofit owner. Staffing is where it shines: 5.81 nurse hours per resident day, roughly half again the national average, with weekends running about 16% lighter than weekdays. Turnover lands at 43.6%, a touch better than the 45.8% national figure, steady by industry standards. The trouble is the inspection record. Sixteen deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a single fine of $8,281, and a health inspection rating of 2 out of 5 from the most recent survey in February 2026. Strong bedside hours don't cancel out a troubling survey history, and that tension is what pulls the overall picture down.
Transitions Healthcare Autumn Grove runs 103 certified beds in Harrisville under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average, with weekends roughly 6% thinner than weekdays. Turnover at 39.6% is actually better than the 45.8% national figure, but the inspection record is where the trouble shows: 25 deficiencies, two at harm or jeopardy level, one tied to abuse, and a single $179,218 fine. The last inspection was July 2025. A 2/5 inspection rating and 2/5 quality measures against a 4/5 staffing rating tells you the hours are there on paper, but the outcomes and oversight have problems.
Concordia Lutheran Health and Human Care runs 142 certified beds in Cabot under nonprofit ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts are predictable. Staff turnover is 36.6%, better than the 45.8% national figure, which matters for continuity. Against that, the current inspection record carries 34 deficiencies, including one at harm or jeopardy level and one abuse-related citation, with a single fine of $8,021 and a most recent inspection in August 2025. Quality measures score well; the inspection history is where the concerns concentrate.
Quality Life Services - Sarver runs 66 certified beds under for-profit LLC ownership, and its staffing numbers are the thing to look at first. At 3.55 nurse hours per resident day, it sits about 8% under the national average, with weekends running roughly 9% thinner than its own weekdays. The bigger concern is turnover: 70.6% of staff leaving annually, against a national average of 45.8%, which means the people showing up for your family member are often still learning the building. Inspections in November 2025 turned up 37 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Ownership is for-profit and staffing earns two stars.
Quality Life Services - Chicora runs 114 beds in Butler County under for-profit LLC ownership, and its record shows a persistent split between how it reports care and how it delivers it. The quality measure rating sits at 4 out of 5, yet the health inspection rating is 1 out of 5, with 67 deficiencies on file, two of them serious enough to involve harm or jeopardy, and eleven tied to abuse. Nurse staffing averages 3.61 hours per resident day, about 6% under the national figure, and weekends drop roughly 6% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. Turnover of 46.3% slightly exceeds the national rate, and one fine has totaled $91,936.
Passavant Retirement and Health in Zelienople runs on strong staffing numbers: 4.51 nurse hours per resident day, roughly 17% above the national average, and turnover of 36.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. Then there's the inspection record, and it's the reason the grade lands where it does: 38 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated February 27, 2026. A church-affiliated nonprofit with 102 beds, this home staffs well and scores well on quality measures, but its last survey turned up serious problems. Read that inspection report before you decide.
St. John Specialty Care Center in Mars runs high on nurse staffing, 3.96 hours per resident day, a bit above the national average, and that earned it a four-star staffing rating. But the inspection record tells a different story: 54 deficiencies on file, including 12 tied to abuse and two at the harm or jeopardy level, with the most recent inspection in October 2024. Staff turnover sits at 52.3%, well above the national 45.8%, and weekend coverage drops about 8% below weekday levels. A nonprofit corporation operates its 150 beds. Strong numbers on paper and repeated problems on inspection rarely point the same direction; here, the inspection history is what a family should weigh.
Sunnyview runs 220 beds in Butler under for-profit LLC ownership, and its 3.01 nurse hours per resident day sit well under the national figure of 3.86, roughly a fifth less hands-on time than average, with weekends thinner still. Turnover at 43.3% is near the national mark, so the problem isn't retention so much as how few staff hours the building puts on the floor. What stands out most is the inspection record: 93 deficiencies, four serious enough to endanger residents, eight tied to abuse, plus one fine of $30,011 and a place in CMS's Special Focus Facility program. That program exists for homes with a pattern of persistent problems, and a July 2025 inspection hasn't changed the picture.
Kadima Rehabilitation & Nursing At Harmony is a 115-bed for-profit home in Butler County, and the numbers behind its federal record are hard to dress up. Inspectors have cited 75 deficiencies, including two at the level where residents were actually harmed or put in immediate jeopardy, plus 11 tied to abuse, and two fines totaling $174,201 suggest the problems weren't paperwork. Staffing sits in the bottom tier nationally, and the most recent inspection was May 2025, so this isn't a stale record. Ownership is a limited liability company, which can make accountability harder to trace. One bright spot: the quality measure rating lands middle of the pack, meaning some clinical outcomes look average. But average care measures don't offset a staffing shortfall and that citation history.
Cranberry Place runs 150 certified beds in Butler County under nonprofit ownership, and its nurse staffing sits right at the national average, about 3.90 hours per resident day. The problem is who's left on weekends, when coverage drops roughly 15% below its own weekday level, and how fast the staff turns over: 66.3% annually against a national 45.8%. That churn shows up in the inspection record, where 87 deficiencies include 9 abuse-related citations and 6 at the harm or jeopardy level, drawing two fines totaling $42,774. The most recent inspection was January 31, 2026, so the record is current. Families weighing this home should ask specifically how weekend coverage and staff retention are being addressed.
Embassy of Saxonburg has a serious compliance problem. Federal inspectors have cited 64 deficiencies, including three that put residents in immediate harm and seven tied to abuse, enough to land it in CMS's Special Focus Facility program, which tracks the worst-performing homes in the country, and to draw $339,073 in fines. Staffing sits about 13% under the national average at 3.36 nurse hours per resident day, and the 52% annual turnover means the aides and nurses working weekends, already 4% leaner than weekdays, are often new. The quality star rating looks decent, but a one-star inspection record with abuse citations on file is the part that matters most.