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.
Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.
Yuma Nursing Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.61 hours per resident per day, roughly 7% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so afternoon and Saturday shifts are where you'd feel the squeeze. Turnover lands at 44.4%, a hair under the national 45.8%, which is unremarkable rather than reassuring. The current inspection record shows 22 deficiencies with none at harm or jeopardy level, though 9 are abuse-related, a category worth asking about directly. The last full inspection was June 2023. Quality measure scores are weak even as the health inspection rating holds at 4 of 5.
Desert Highlands runs 120 beds in Kingman under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the 3.86 national average, but weekends drop roughly 13% below its own weekday levels. Turnover lands at 45%, a hair under the national 45.8%, so retention is roughly typical rather than a crisis. Inspectors were last in on March 14, 2025, and the record shows 27 deficiencies, none at harm or jeopardy level but seven tied to abuse, worth asking about directly. Its three CMS star ratings all sit at the middle.
Houston House sits right at the national average for nurse staffing, 3.86 hours per resident day, essentially matching it. But that average hides a drop on weekends, when coverage runs about 11% thinner than on weekdays, and turnover is slightly worse than typical at 47.2%. The inspection record is the stronger part of the story: a recent February 2025 survey, 21 deficiencies but none at the harm level, though one is abuse-related and worth asking about directly. Quality measure scores come in at 2 out of 5, which tends to reflect resident outcomes rather than the building itself. For-profit individual ownership means the person answering to regulators is also the person collecting the revenue. Ask about weekend coverage and that abuse citation before you decide.
Communities of Wildwood Ranch runs on for-profit corporate ownership, and its 120 beds are staffed at 4.81 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and turnover sits at 42.1%, slightly better than the 45.8% national figure. The problem is quality measures: CMS scores that category 1 out of 5, despite a 5 out of 5 on health inspections. Twelve deficiencies sit on the current record, including one at the harm level and one tied to abuse. Staffing and inspection results look strong on paper; the quality numbers pull the other direction.
Valley Manor runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends running about 9% thinner than its own weekdays. That gap matters because people don't stop needing help on Saturdays. The bigger signal is the 64% annual turnover against a national average near 46%: nearly two-thirds of the nursing staff leaves every year, which makes consistent care hard to build. The inspection record shows 45 deficiencies, including one abuse-related cite, and a one-star health inspection rating that was last reviewed in December 2025. Quality measures score well; the day-to-day staffing and oversight numbers are what pull this home down.
Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.
Granby House runs about 3.54 nurse hours per resident per day, roughly 8% under the national average, and weekend coverage drops about a fifth below its own weekday level. Staff turnover is 60.3% a year, well above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 27 deficiencies, including one at the harm level and two related to abuse. Its last inspection was June 27, 2024, and the quality measure rating is stronger than the staffing picture. For-profit corporate ownership rounds it out.
Shady Oaks runs a split operation: its last inspection, in December 2025, came back clean on the things that hurt residents most, thirteen deficiencies on record, but none at the harm level and none tied to abuse. The strain shows up in daily care instead. At 3.18 nurse hours per resident day, staffing sits about 18% under the national average, and weekends drop roughly 15% below the home's own weekday coverage. Annual turnover of 54% runs well past the 45.8% national figure, so the people handing out medications and answering call lights keep changing. For a 120-bed corporate-owned building, the pattern is straightforward: safe on paper, thin on the floor.
Riverways Manor runs 3.27 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 15% below its own weekday numbers. That thin coverage shows up in the staffing rating, and a 50% annual turnover rate means the aides and nurses working those shifts are often new. The last inspection was recent, and the home came through without any deficiencies at the harm or jeopardy level, which matters. But 22 total deficiencies sit on the record, including one abuse-related citation, and the quality measure rating is as low as it gets. Family-run for-profit ownership, sixty beds, and a pattern worth asking about directly: who's actually on the floor on a Saturday night.
Mountain View Manor runs 116 certified beds in Prescott and is owned by an individual for profit. Its nurse staffing sits at 4.29 hours per resident day, about 11% above the national average, but weekend coverage drops roughly 9% below its own weekday level, and annual turnover is 51.4% against a national 45.8%. The current record carries 45 deficiencies, 10 of them abuse-related, with none flagged at harm or jeopardy level. The most recent inspection was February 28, 2025. What stands out is the gap between how the place is staffed on paper and how it performed on its last health inspection, which CMS rated 1 out of 5.
Truman Healthcare & Rehabilitation Center runs 109 certified beds in Lamar under corporate for-profit ownership, and the numbers here pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 47.1% edges past the national 45.8%. The current record carries 47 deficiencies, nine of them abuse-related, with the most recent inspection in April 2025. CMS rated staffing 4 out of 5 but health inspections and quality measures both 1 out of 5, a gap worth asking about directly.
Hunter Acres Caring Center runs 120 certified beds in Sikeston under individual for-profit ownership, and the staffing numbers are where the trouble shows. At 3.42 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 20 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Half the staff turned over in the past year, above the 45.8 percent national figure. Inspections look decent on paper (4 of 5 stars, most recent in August 2025), but the record carries 24 deficiencies, including one at harm level and two tied to abuse, plus a $10,023 fine. Quality measures earned 2 stars, staffing just 1.
Quail Run runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 8 percent below its own weekday staffing. With 63.5% annual turnover, versus 45.8% nationally, that shortfall means a rotating cast of caregivers, which matters more in a building this size, 84 beds, than the raw hours suggest. The 45 deficiencies on record include nothing flagged at the harm or jeopardy level and no abuse citations, so what's documented is largely process and paperwork problems rather than injuries. The last inspection was November 2024, recent enough to reflect current conditions. Two out of five stars across health inspections, quality measures, and staffing tells the same story on all three fronts.
Havasu Nursing Center runs about 3.09 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and the gap widens on weekends, when staffing drops another 15% from its own weekday level. That thin coverage helps explain a 2-out-of-5 staffing rating, and it's compounded by 58.3% annual turnover, well above the 45.8% national figure, so the aides and nurses cycling through the building are often new to it.
The health inspection side is steadier: a 3-out-of-5 rating, 15 deficiencies on the current record, none at harm or jeopardy level, though three are abuse-related and worth asking about directly. State inspectors last visited in April 2025.
Southgate Living Center sits in Caruthersville with 94 certified beds and an individual for-profit owner. The staffing picture is the real story here: 3.57 nurse hours per resident day, about 8% under the national average, with weekends running roughly 18% thinner than weekdays, and half the staff turning over each year. Inspections look decent on paper, a 4 out of 5 star rating, most recent visit in March 2025, but 28 deficiencies sit on the record, including one at the harm or jeopardy level. One fine totaling $13,397. Quality measures come in at 3 stars. The pattern is a home that inspects reasonably well but runs lean on the people doing the daily work.
River Oaks runs a 90-bed home in Steele, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Turnover is the bigger flag: 60.6% of staff leaving annually against a national 45.8% means aides and nurses are cycling through constantly, and that's hard on residents who need consistency. The inspection record shows 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $41,389. The most recent inspection was in August 2025, so the picture is current. Ownership is for-profit, individual.
Heart Of The Ozarks runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 14% below its own weekday staffing. Annual turnover sits at 52.9% against a national 45.8%, so nearly a third of the typical caregiver churn comes on top of an already thin floor. The good news is inspections: a 4/5 health inspection rating, with the last visit in August 2024 and none of the 23 deficiencies flagged at harm or jeopardy level, though two are abuse-related, which families should ask about directly. Quality and staffing measures both land at 2/5, and that gap between a clean inspection record and weak daily numbers is the whole story here.
Adair Village runs 4.01 total nurse hours per resident day, which edges past the national average of 3.86, but that average masks a real drop on weekends, when coverage falls roughly 16% below its own weekday level. Staff turnover sits at 61.5% against a national 45.8%, so the people providing that care are cycling through quickly. The current record carries 34 deficiencies, three at harm or jeopardy level and two tied to abuse, plus $72,950 in fines across two penalties. The last inspection was January 2026, so the picture is recent. Quality and staffing each score 2 out of 5 from CMS; health inspection sits at 3.
Cotton Point Living Center runs about 4.11 nurse hours per resident day, roughly 7% above the national average, so the raw staffing number looks fine. The problem is what's around it. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 63.1% against a national average of 45.8%, meaning the aides and nurses in the building keep changing, which matters most for residents who need consistent hands.
Then there's the record itself: 32 deficiencies, one at the level of actual harm or jeopardy and four tied to abuse, plus a $14,069 fine. The most recent inspection was March 2025.
The Manor in Poplar Bluff runs about 4.10 nurse hours per resident day, roughly 6% above the national average, but that cushion thins on weekends when staffing drops about 18% below its own weekday level. Annual turnover sits at 61.9% against a national average of 45.8%, so a large share of the people providing that care are new or on their way out.
The current record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was April 2025. State inspectors rated health inspection at 4 of 5 stars, but quality measures came in at 1 of 5.
Autumn Oaks Caring Center is a for-profit, individually owned home with 120 beds in Mountain Grove. Staffing sits slightly under the national average at 3.79 nurse hours per resident day, but the bigger issue is consistency: weekend coverage drops about 19% below weekday levels, and annual turnover runs 55.7% against a national 45.8%. That churn shows up in the inspection record too, 30 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $48,539 from a January 2025 visit. Quality measure scores sit at the bottom of CMS's scale, and the health inspection rating is well below average, though staffing earned a middle mark.
Riverview Nursing Center in Mokane runs 60 beds under individual for-profit ownership, and the numbers pull in different directions. Inspectors have found the place in good shape, a clean five-star health inspection record as recently as May 2025, with 13 deficiencies on file and none rising to actual harm. The daily experience is a different question. Nurse staffing sits at 3.25 hours per resident, about 16 percent under the national average, and drops roughly another quarter on weekends. Staff turnover runs 64.3 percent against a national 45.8, meaning most of the people caring for your family member will be gone within a year. Quality measures come in at one star.
Heartland Care and Rehabilitation Center runs 102 certified beds in Cape Girardeau under individual for-profit ownership. The staffing numbers are the place to start: 3.05 nurse hours per resident per day, about 21% under the national average, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 66.2%, well above the national 45.8%.
What keeps this home from being a harder call is its inspection record, five stars, cleaned up recently, and 11 deficiencies with none at the harm level and none related to abuse. The tradeoff is real, though: residents get solid care oversight but thin coverage, especially on weekends. If you're considering it, ask how the weekend shift is actually staffed.
Apple Ridge runs on thin staffing. At 2.74 nurse hours per resident per day, it's about 29% below the national average of 3.86, and weekends dip even lower than its own weekdays. That shortfall shows up in its one-out-of-five staffing rating, and it's compounded by turnover: 62.9% of staff leave each year, against a national average of 45.8%. The inspection record carries 39 deficiencies, including 7 tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was September 11, 2024. Quality measures also land at two out of five. This is a for-profit corporate home where the numbers point to a persistent staffing problem rather than a one-time slip.
Hill Crest Manor runs about 3.01 nurse staffing hours per resident each day against a national average of 3.86, roughly a fifth less hands-on time than most homes provide, and weekends dip further below its own weekday pattern. Staff turnover sits at 54.2%, well above the 45.8% national figure, so the people caring for residents are changing often. The inspection record shows 45 deficiencies, including one tied to abuse, and federal fines total $13,033. CMS rates its staffing, quality measures, and inspection results at the low end, with the most recent state visit in January 2025. This is a for-profit, individually owned 90-bed home in Caldwell County where the numbers point to thin coverage and a rocky regulatory history.
Sikeston Convalescent Center runs 120 certified beds under individual for-profit ownership, and its inspection record looks solid on the surface, a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2026. The staffing numbers tell a different story: 3.85 nurse hours per resident day sits essentially at the national average of 3.86, but weekend coverage drops roughly 17% below the home's own weekday levels, and annual turnover hits 61.2% against a national average of 45.8%. Quality measures score just 1 out of 5. There are 27 deficiencies on record, one at the harm level, and a single fine of $13,627.
Ridge Crest runs on thinner staffing than most homes you'd compare it to, 3.01 nurse hours per resident day against a national average of 3.86, and weekends dip about 17% below what the building manages during the week. Annual turnover sits at 63.3%, well above the 45.8% national figure. The inspection record shows 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. State surveyors were last in the building in September 2025, so the picture is current rather than stale. Put those numbers next to a 1-out-of-5 staffing rating and 2s for inspections and quality measures, and you have a home where the shortfalls are consistent across categories, not a single bad stretch.
Westgate runs 3.74 nurse hours per resident day, a bit under the national average, and weekends dip about 15% below its own weekday staffing, so coverage gets thinnest exactly when families tend to visit. Annual turnover sits at 54.2%, well above the 45.8% national figure, which means caregivers are cycling through fairly quickly. The inspection history is mixed: a recent survey in mid-2024 and a 4-star health inspection rating, but 21 deficiencies on record, including one at the harm level and two tied to abuse. Quality measures come in at 2 stars, which is where the low overall picture really forms.
Maywood Terrace runs on thinner staffing than most homes, about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the building manages on weekdays. The turnover number is the one that should stop you: 92.6% of staff leaving annually, when the typical U.S. nursing home sits near 45.8%. That kind of churn usually means caregivers who know your mother's routine aren't there long enough to learn it. The inspection record backs up the concern: 54 deficiencies, including one at the harm level and one abuse-related, with a 2/5 inspection rating and 1/5 on both quality measures and staffing. It's for-profit, LLC-owned, last inspected July 2024.