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
24
States
3
Beds
1,522
Avg score
67.4
Avg turnover
69%
Federal fines
$545,663
Flags across this group
4 of the group's homes carry a CMS abuse icon.
1 home is in or a candidate for the Special Focus Facility programme.
Lenox Care Center runs on an unusual split: five stars for staffing, two for health inspections. The 4.63 nurse hours per resident day beat the national average by about 20%, and turnover of 31.6% sits well under the 45.8% national figure, that kind of retention suggests people stay. Weekends thin out, though, running about 16% below the home's own weekday coverage. On the inspection side, 28 deficiencies sit on the record, two tied to abuse, none flagged at the harm or jeopardy level. The most recent inspection was March 2026, so the picture is current. For-profit partnership ownership, 36 beds. Strong hands on deck; the paperwork history is where questions remain.
Regency Park's inspection record is the strongest card here, a four-star health inspection and a five-star quality measure score, both built on a survey done in November 2025 with nine total deficiencies and just one at the harm level. No abuse findings on the record. Where it slips is staffing: 3.48 nurse hours per resident day, about 10% under the national average, with weekends running roughly 13% thinner than weekdays. Forty-six beds under corporate ownership means the numbers aren't hiding much. Ask how the weekend shift is covered, especially on evenings, and who's on call when it isn't.
Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.
Iowa City Rehab & Health Care runs 89 certified beds under for-profit LLC ownership, and its federal stars split sharply: quality measures score 4 out of 5, while inspection and staffing each land at 1. Staff turnover sits at 50%, above the 45.8% national average. The current record carries 42 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level. A May 2026 inspection is recent enough to reflect current conditions. The strong quality numbers suggest clinical care goals are being met on paper, but thin staffing and frequent turnover make that hard to sustain, and the inspection history is the number I'd weigh heaviest when deciding.
Cedar Falls Health Care Center runs 70 certified beds under for-profit LLC ownership, and its 2.72 nurse staffing hours per resident day sit roughly 30% under the national average of 3.86, a real gap when direct care time is what residents actually feel. Weekend staffing drops about 8% below weekday levels, so the leanest shifts get leaner. The inspection record is the bigger concern: 37 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating. Annual turnover at 43.8% is slightly better than the 45.8% national figure, and quality and staffing star ratings both come in at 4/5, but the January 2026 inspection and that deficiency count are what families should ask about directly.
Regency Park in Jefferson runs 46 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 12% below the home's own weekday level. The bigger number is turnover: 97.5% annually against a national average of 45.8%, meaning the staff caring for residents turns over almost completely every year. Its record shows 24 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was December 31, 2025, so the picture is current.
Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.
Legacy At Herington runs on thin margins when it comes to people. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, but weekends drop roughly 11% below what the home staffs during the week, so the coverage families see on a Tuesday isn't what shows up on a Sunday. Annual turnover of 97.6% means the entire staff essentially replaces itself every year, more than double the national rate. That churn sits behind a one-star health inspection rating, with 44 deficiencies on record including two at the harm level and three tied to abuse. A four-star quality measure score and recent October 2024 inspection don't erase those numbers.
University Park runs on thinner nurse staffing than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The bigger number is turnover: 97.5% of nursing staff leaving annually, roughly double the national rate, which means the people caring for residents are constantly new. Inspections in March 2026 turned up 22 deficiencies, one tied to abuse, though none rose to the level of actual harm. Its quality measure scores look strong on paper, but those rest on data the staff has to collect and report accurately, and a workforce that turns over almost completely every year makes consistency hard. For-profit corporate ownership, 108 beds.
Grundy Care Center runs 40 certified beds in Grundy Center, Iowa, under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 8% below its own weekday level. Staff turnover is 45.8%, which matches the national average rather than beating or trailing it.
The inspection record is the harder part. Thirty-five deficiencies are on file, three of them at the harm or jeopardy level and three flagged as abuse-related, with two fines totaling $65,677. CMS gave the health inspection domain one star out of five, while the quality measure domain scored four.
That combination, thin staffing, a recent inspection in January 2026, and a serious deficiency history, is what pulls the overall picture down. If you're considering this home, ask directly how those abuse-related findings were resolved and what weekend coverage looks like now.
The Bridges at Ankeny runs on thinner nurse coverage than most Iowa homes, 3.55 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, exactly when families tend to visit. Staff turnover is the harder number to get past: 99.1% a year means roughly the entire nursing staff turns over annually, against a national rate near 46%. Its current inspection record carries 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $14,015 fine. The five-star quality measure score reflects how residents are doing clinically; the two-star inspection and staffing ratings reflect what's happening around them.
Glenoaks Senior Living Campus runs 52 certified beds in New London under corporate for-profit ownership, and the numbers deserve a close look before you visit. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends run about 11 percent thinner than weekdays, so care on a Saturday may look different than on a Tuesday. Staff turnover of 80.5 percent, against a national average near 46 percent, means the aides and nurses who know your family member are likely to change often. The health inspection record is the harder part: 47 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $29,822. The most recent inspection was in April 2025, so the record is current, not stale.
Legacy At Salina runs 45 certified beds under for-profit LLC ownership, and its staffing score comes in at the lowest rung CMS assigns, one out of five stars. That shortage shows up in the inspection record too: 44 deficiencies on file, four of them serious enough to put residents in harm's way and four tied to abuse. Three fines totaling $31,773 round out the picture. The most recent state visit was September 10, 2025, so the findings are current, not stale. Quality measures sit mid-range at three stars, but low staffing plus that many serious citations is the pattern families should weigh when comparing this home to others in the Salina area.
Legacy At College Hill runs 75 certified beds in Wichita under for-profit LLC ownership, and its nurse staffing comes in at 3.84 hours per resident day, essentially right at the national average of 3.86. That sounds fine until you notice weekends run about 17 percent leaner than weekdays, which is when families tend to visit and when problems often surface. The bigger concern is the inspection record: 63 deficiencies, six of them serious enough to cause harm or jeopardy, three tied to abuse. Two fines totaling $43,188 and a 1-out-of-5 health inspection rating point to a home that has struggled to stay in compliance, even though its quality and staffing scores sit in the middle.
Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Oakland Manor runs on 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 15% below what it manages during the week. That thin staffing sits alongside a one-star health inspection rating and 68 deficiencies on the current record, including three at the harm or jeopardy level and 11 tied to abuse. Federal regulators have placed it in the Special Focus Facility program, the toughest track CMS uses, and the home carries a $15,593 fine. Ownership is for-profit through a limited liability company. The last inspection was January 8, 2026.
Bettendorf Health Care Center runs 3.22 nurse hours per resident per day, roughly 17 percent under the national average, and weekend staffing drops another 13 percent below its own weekday level. That thin coverage shows up in its inspection history: 62 deficiencies on the current record, including three at the harm level and five tied to abuse, with two fines totaling $35,622. The quality measure score looks strong, but that comes from resident assessments rather than day-to-day care on the floor. Corporate-owned and certified for 86 beds, this home was last inspected in September 2025. The staffing and inspection numbers are the ones worth weighing.
Altoona Nursing and Rehabilitation Center carries 48 deficiencies on its current record, including one tied to abuse, though none reached the harm or jeopardy level. The 106-bed for-profit home in Polk County was inspected most recently on March 19, 2026. Where the numbers get harder to explain away is staffing: CMS gives it 1 out of 5 stars there, and its annual turnover sits at 97.8 percent against a national average of 45.8 percent. That means the aides and nurses caring for residents are, almost without exception, new to the building each year. Inspection and quality measures each land at 2 stars. Families weighing this home against others nearby should ask directly how they hold onto caregivers.
Norwalk Nursing and Rehabilitation Center is a 45-bed for-profit home in Warren County, and the numbers pull in different directions. Its last inspection, at the end of 2025, produced seven deficiencies, none at the harm level, but one abuse-related, and CMS gives it solid marks on health inspections. Staffing is the problem: a one-star rating there, with annual turnover of 95.3% against a national average of 45.8%, meaning nearly the whole workforce turns over every year. Quality measures sit at two stars. A recent, mostly clean inspection record matters, but a building where almost nobody stays on staff is hard to run consistently, and that's what holds the overall picture down.
Osage Rehab runs 46 beds under for-profit LLC ownership, and the staffing numbers are where I'd start: 3.06 nurse hours per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is heavier still, 44 deficiencies, two at harm or jeopardy level and three tied to abuse, plus a $14,433 fine. That inspection was recent, December 2025. If you're weighing this one, ask about weekend coverage and how abuse-related findings were resolved.
Regency Care Center runs about 3.15 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends are thinner still, about 14% below its own weekday staffing. The inspection record is heavy: 49 deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and a $78,497 fine. The most recent inspection was in April 2025. Ownership is a for-profit limited liability company, with 101 certified beds. Federal staffing and health inspection ratings both sit at one star out of five.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.
Parkview Manor runs on 2.80 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 8% thinner than weekdays. The inspection record shows 46 deficiencies, including six at the harm or jeopardy level and seven tied to abuse, with one fine totaling $93,473 and a last inspection dated August 2025. This is a for-profit corporation operating 62 certified beds, and the numbers behind each CMS rating, one star for health inspections, one for staffing, two for quality measures, point the same direction.