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.
Willapa Harbor Care runs 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. Turnover sits at 42.9%, a touch better than the 45.8% national figure. The inspection record shows 31 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was August 8, 2025. This is a for-profit LLC with 60 certified beds, and its health and quality measure ratings both sit at 4 out of 5 stars while staffing lands at 3. The pattern here is a home that inspects well and scores well on quality measures, with a thinner staffing cushion than average, especially on weekends.
Three Rivers Care is a for-profit LLC home in Centralia with 83 beds, and the numbers tell a mostly steady story. Nurse staffing runs 4.27 hours per resident day, about 11% above the national average, but weekends drop roughly 18% below the home's own weekday level, so coverage isn't evenly spread across the week. The inspection record shows 9 deficiencies with none at the harm or jeopardy level, though 2 are abuse-related; the last inspection was November 2025, so the picture is current. A 5/5 inspection rating and 4/5 quality measures sit against a middling 3/5 on staffing, which is worth asking about directly.
Aurora Valley Care runs 105 deficiencies on its current record, three of them at the harm or jeopardy level and nine tied to abuse, a load that says something about how day-to-day care is supervised. Staffing sits at 3.71 hours per resident day, a bit under the national average, and it thins out further on weekends when coverage drops roughly 15% below its own weekday level. Annual turnover of 57.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The five-star quality measure score reflects reported care outcomes, but the one-star inspection rating and a $93,457 fine tell a different story.
Fir Lane Care runs 135 certified beds in Shelton under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.23 nurse hours per resident day, roughly 9% above the national average, with weekends about 10% thinner than weekdays. The problem isn't how many hours get scheduled, it's who's still there to work them. Annual turnover hits 64.5% against a national 45.8%, so nearly two-thirds of the nursing staff leaves each year. That churn sits alongside 77 deficiencies on the current record, three serious enough to threaten harm, five tied to abuse, and $121,488 in fines. A June 2025 inspection is recent, and its one-star health inspection rating reflects what surveyors found.
Nurse staffing at Puget Sound Care averages 4.02 hours per resident day, about 4% above the national figure, which is a real strength. The catch is consistency: weekend coverage drops roughly 16% below the home's own weekday level, so care on Saturdays and Sundays looks thinner than the average suggests. Staff turnover sits at 56% against a national average near 46%, meaning a large share of caregivers are still new to the building. Inspections in January 2026 produced 21 deficiencies, including one causing harm and one tied to abuse, plus an $8,018 fine. Ownership is a for-profit limited liability company.
Spokane Falls Care runs 100 beds under for-profit LLC ownership, and the direct-care staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends running about 14% thinner than weekdays. Annual turnover hits 60.7% against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is where things get serious: 102 deficiencies on file, three at harm or jeopardy level and ten tied to abuse, plus two fines totaling $125,736. The last inspection was April 2026. Quality measures score well at 4 stars, but that sits against 1-star health inspections and 2-star staffing.