Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
14
States
1
Beds
995
Avg score
69.7
Avg turnover
47%
Federal fines
$850,124
Flags across this group
5 of the group's homes carry a CMS abuse icon.
2 homes are in or a candidate for the Special Focus Facility programme.
Palms Care Center runs 4.15 nurse hours per resident day, about 7% above the national average, so there's more direct care here than at a typical home. Turnover sits at 37.3%, which is better than the 45.8% national figure, though weekend staffing drops roughly 11% below weekday levels. The tradeoff shows up in the inspection record: 39 deficiencies, including two at the harm or jeopardy level and one abuse-related citation, even though the most recent inspection was April 2025 and CMS rated that side 4 out of 5. It's a for-profit limited liability company with 65 beds, and the pattern is decent daily staffing against a sizable citation history.
Brookside Care Center sits in Stockton with 99 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.88 hours per resident day, right around the national average of 3.86, and weekend coverage dips about 7% below weekday levels. Staff turnover is 39.5%, better than the 45.8% national figure, which matters for continuity of care. The trouble is the inspection record: 103 deficiencies, including one at the harm or jeopardy level and ten tied to abuse. CMS gave it a single star for health inspections, though quality measures and staffing each earned three. The last inspection was January 31, 2025. That mix, decent staffing, a rough regulatory history, is what drives the middling grade.
Almond View Care Center runs 99 certified beds in Williams under for-profit LLC ownership, and the staffing numbers are a mixed bag. Total nurse coverage sits at 4.15 hours per resident day, about 7% above the national average, but weekends drop roughly 9% below what the home staffs on weekdays, and annual turnover hits 49.1%, a bit worse than the 45.8% national figure. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though three are abuse-related, and the most recent inspection was November 2024. A 4/5 on health inspections and quality measures offsets a 3/5 on staffing.
Rolling Hills Care Center is a 34-bed for-profit home in Selma, and the numbers point in different directions. Nurse staffing averages 4.25 hours per resident day, roughly 10% above the national figure, and its 40% turnover is lower than the 45.8% national rate, but weekend coverage dips about 7% below its own weekday level, and CMS gives staffing only 2 of 5 stars. The current record carries 35 deficiencies, one serious enough to reach harm or jeopardy level, alongside a 2-star inspection rating, while quality measures score 4 of 5. The last inspection was May 2026. Small size and limited-liability ownership mean a thin margin for error when problems do surface.
Fowler Care Center runs 46 beds in Fresno County under for-profit LLC ownership, and its nurse staffing sits at 4.19 hours per resident day, roughly 9% above the national average of 3.86. That's the strongest thing in the file, though weekend coverage dips about 5% below its own weekday level, and annual turnover runs 50.8% against a national 45.8%, so the people providing that care change often. The inspection record shows 41 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality measures score well; the staffing and health inspection stars sit lower. Read together, this is a home with adequate hands on deck and a long paper trail of smaller problems.
Vineyards At Fowler runs 4.71 nurse hours per resident day, roughly 22% above the national average, which sounds good until you notice weekends drop about 13% below its own weekday numbers, coverage gets thinner exactly when families tend to visit. Staff turnover sits at 59.6% against a national 45.8%, so the people providing that care keep changing. The current record shows 53 deficiencies, including one at the harm level and two tied to abuse, with a health inspection rating of 2 out of 5. Ownership is a for-profit limited liability company. The last inspection was January 9, 2026, so the picture is recent.
Grand Oaks Care runs a 99-bed for-profit home in Tulare, and the staffing picture is mixed. The 4.25 nurse hours per resident day sits about 10% above the national average, which sounds good until you notice weekends run roughly 10% leaner than weekdays and turnover hits 50.4% against a national 45.8%, meaning a lot of the people providing that care are new or on their way out. Inspections from February 2026 turned up 55 deficiencies, none at the harm level but one tied to abuse. Ownership is a limited liability company, and the quality measure score looks stronger than the staffing score.
Evergreen Care Center sits in Fresno with 49 certified beds and for-profit LLC ownership. Its 4.20 nurse staffing hours per resident day beat the national average of 3.86 by roughly 9%, but that headline number hides weaker weekends, about 7% below the home's own weekday coverage, and 51.5% annual turnover, higher than the 45.8% national figure, which means unfamiliar faces are routine. The current record shows 35 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited May 17, 2024. Staffing quantity looks decent, but consistency and safety history are where the concerns stack up.
Valley View Care Center runs 53 beds in Delano under corporate for-profit ownership, and its staffing is genuinely above average: 4.60 nurse hours per resident day against a national norm of 3.86. Weekend coverage dips about 12% below weekday levels, though, and turnover sits at 35.4%, better than the 45.8% national figure, but still a third of the staff leaving each year. The inspection record is where the concern concentrates: 67 deficiencies on file, including one at the harm level and six tied to abuse, with the most recent inspection in December 2025. Staffing holds up reasonably well here; the survey history is the part worth pressing the administrator on.
Noble Care Center runs 99 certified beds in Stockton under for-profit limited liability ownership. Its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends dip about 6% below its own weekday coverage, small gaps that add up over time. What stands out more is the inspection record: a 1-out-of-5 health inspection rating, 88 deficiencies on the current record including one at the harm level and nine tied to abuse, with the last inspection in March 2025. Staff turnover at 32% is actually better than the 45.8% national average, but that's doing less work than it sounds given everything else. Worth asking hard questions before you decide.
Meadowood runs 4.13 nurse hours per resident day, about 7% above the national average, but that edge thins out on weekends, when staffing drops roughly 6% below its own weekday level. Turnover sits at 44.9%, essentially the national rate, so the crew is not unusually stable. The trouble is the inspection record: 64 deficiencies, including six at harm or jeopardy level and eight tied to abuse, with $91,067 in fines and a January 2026 inspection that earned one star out of five. Quality measures score five stars, but those are largely self-reported, and corporate ownership gives no reason to expect the pattern to change.
Feather River Care Center runs 50 beds in Oroville under for-profit LLC ownership, and its nurse staffing comes in at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage drops about 12% below its own weekday level. That staffing edge is undercut by churn: annual turnover sits at 58.2% against a national 45.8%, meaning the people providing that care keep changing. The inspection record is the real concern, 81 deficiencies, including one at the harm level and eight tied to abuse, plus a $59,794 fine and a one-star health inspection rating. The quality measure rating of four stars reflects resident care metrics, but the staffing star and inspection history tell a different story.
Shasta View Care Center has a staffing number that looks good on its face, 4.53 nurse hours per resident day, about 17 percent above the national average. But that number comes with a 69.7 percent annual turnover rate, well above the 45.8 percent national figure, and weekend coverage sits roughly 8 percent below weekdays. The inspection record is where the real trouble shows: 107 deficiencies on file, five at the harm or jeopardy level, 12 abuse-related, plus two fines totaling $189,423. CMS has placed this for-profit LLC home in its Special Focus Facility program, and the most recent inspection was June 2025.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.