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
9
States
2
Beds
799
Avg score
61.6
Avg turnover
59%
Federal fines
$765,818
Flags across this group
1 of the group's homes carry a CMS abuse icon.
1 home is in or a candidate for the Special Focus Facility programme.
Valley Vista runs about 3.01 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekend coverage dips further from its own weekday level. That thin staffing sits alongside a 70.4% annual turnover rate, well above the 45.8% national average, and a two-out-of-five CMS staffing rating. The health inspection record shows 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in August 2025. Quality measures score five out of five, but a limited liability for-profit operator with that turnover and those survey findings is the fuller picture.
Greenwood Center runs about 3.23 nurse hours per resident per day, roughly 16 percent under the national average, and weekends dip another 7 percent below its own weekday level. Staff turnover sits at 64.9 percent against a national 45.8 percent, so the people caring for residents are changing constantly.
The inspection record backs that up: 53 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS gives the home 2 out of 5 stars for both staffing and health inspections, though its quality measure score is a 3. The last inspection was in January 2026, so the record is recent. A for-profit limited liability company operates its 150 certified beds.
Mount Carmel Senior Living Community runs about 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekdays. That thin staffing shows in the CMS staffing rating of 1 out of 5, and turnover sits at 46.9%, slightly above the national 45.8%. The inspection record is heavy: 51 deficiencies, two at harm or jeopardy level, two tied to abuse, with one fine of $24,700 and a health inspection rating of 2 out of 5. The most recent inspection was July 2025. Quality measures score a middling 3 out of 5, but staffing and inspections are where the problems concentrate at this for-profit LLC.
Country Lane Manor runs on thin staffing: 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. That's the kind of gap that shows up as unanswered call lights. Turnover sits at 62.1 percent against a 45.8 percent national figure, so the aides who know your mother's routines keep leaving. The inspection record is the harder read: 57 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, and a $59,150 fine, with the last state visit in August 2025. Ownership is for-profit, through a limited liability company. The quality star rating of 4 out of 5 is real, but it measures a narrow slice of care.
Athens Nursing and Rehabilitation Center runs 90 beds under corporate ownership, and the staffing numbers tell a story worth sitting with. At 3.39 nurse hours per resident day, it sits roughly 12 percent under the national average of 3.86, and weekends dip about 8 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 49.3 percent edges past the 45.8 percent national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 57 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level as of the May 2026 survey. Quality measures and health inspections both scored low, and the pattern across these numbers points to a home struggling on multiple fronts at once.
Stone Cottage Care Center runs 41 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.80 hours per resident day, just under the national average, with weekends running about 6% thinner than weekdays. The bigger issue is consistency: turnover hits 53.8% against a 45.8% national rate, meaning nearly six in ten caregivers left over the year. Its inspection record shows 69 deficiencies, including three at harm or jeopardy level and seven tied to abuse, with one fine totaling $18,682 and a survey as recent as September 2025. State inspectors and quality measures both land at the bottom of CMS's five-star scale; staffing is the relative bright spot at three stars.
Shenandoah Senior Living runs on 3.13 nurse hours per resident per day, roughly 19% under the national average, and weekends drop about 8% below what the home itself staffs during the week. That thinner coverage matters more given the inspection record: 39 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $76,285. Annual turnover sits at 46.9%, just above the national figure. The most recent inspection was in May 2026. A for-profit limited liability company owns the 119-bed home. Whatever the quality measures suggest, the health inspection history is where the real trouble shows.
Royal Oaks is a 115-bed for-profit home in Urbandale that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The inspection record backs that up: 71 deficiencies, seven serious enough to put residents in harm's way, two tied to abuse, and three fines totaling $122,945. Staffing runs about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 9% below its own weekday level. Turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for residents are constantly changing. If you're considering this one, ask hard questions about what's changed since the May 2025 inspection.
Harvest Acres runs thin on nurses, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level. That's a problem in a 35-bed building, where there's no cushion when someone calls in. Turnover sits at 70.4%, well above the 45.8% national figure, so the people around your family member keep changing. The inspection record is the harder read: 50 deficiencies, six serious enough to involve harm or jeopardy, three tied to abuse, and a $136,500 fine. The most recent inspection was in December 2025, so the record is current, not stale. A for-profit LLC operates it.