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
18
States
9
Beds
1,624
Avg score
70.6
Avg turnover
45%
Federal fines
$1,188,782
Flags across this group
3 of the group's homes carry a CMS abuse icon.
3 homes are in or a candidate for the Special Focus Facility programme.
Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.
St Francis Home runs on a church-affiliated nonprofit model in Breckenridge, and the numbers back up the staffing side: 4.20 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating. Weekend coverage dips about 12% below its own weekday level, worth knowing if you visit Saturdays or Sundays. Turnover sits at 32.6%, well under the 45.8% national figure, which matters for whether your parent sees the same faces. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2026. Eight findings is a real number, not a spotless one, but the severity is what counts here.
Community Convalescent Center Of San Bernardino runs on 9.85 nurse hours per resident day, roughly two and a half times the national average of 3.86, and keeps its staff: turnover is 23.9% against a national 45.8%. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. Inspectors were last in on April 24, 2025, and found 12 deficiencies, none at the harm or jeopardy level but one flagged as abuse-related, which is worth asking about directly. The nonprofit operator has a 5/5 inspection rating and 5/5 on quality measures, though staffing scored 4/5 despite the high hours, likely a mix or retention issue.
St. John's Hospital Camarillo runs a 99-bed skilled nursing unit, and the staffing numbers stand out: 8.83 nurse hours per resident per day, roughly 129% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 23.2%, about half the national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at the harm level, though two are abuse-related, and the most recent inspection was in April 2025. It's a for-profit corporate operation, so worth asking who's actually on the floor day to day.
Lakewood Care Center runs on a church-affiliated nonprofit model with 32 beds in Baudette, and its staffing is the clear strength here: 4.41 nurse hours per resident day sits about 14% above the national average, with turnover at 37% compared to 45.8% nationally. That's a real retention advantage in a rural market where it's hard to keep nurses.
The tradeoffs show up elsewhere. Twenty deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation. Health inspection scoring landed at 3 out of 5, and the quality measure rating is 2 out of 5. The last inspection was June 26, 2025, so the record is recent. Strong staffing, thinner outcomes on care measures and inspection findings.
Community Hospital of San Bernardino's skilled nursing unit sits inside a nonprofit hospital, and the numbers show a split personality. Clinical quality measures look good at 4 out of 5 stars, but staffing is a different story, just 1 star, meaning nurse hours per resident fall well below what CMS expects. That gap matters more than the quality score, because staffing is what determines whether anyone answers when your mother presses the call button. The inspection record raises real questions too: 21 deficiencies on file, including two at the harm level and one tied to abuse, along with a $9,110 fine. The most recent inspection was in August 2025, so the picture is current. Ask hard questions about direct-care staffing before you consider this one.
Madonna Manor has the staffing hours most families are told to look for, 6.85 per resident day, well above the national average, and the church-affiliated nonprofit ownership that often signals stability. The inspection record tells a different story. Twenty-one deficiencies on file, six of them serious enough to put residents at risk of harm, two tied to abuse, and $181,278 in fines across two penalties. Staff turnover sits at 63.3% against a national 45.8%, so the generous hours are delivered by a workforce that keeps changing. Weekend coverage also drops below weekday levels. The last inspection was recent, December 2025, meaning the problems are current rather than past.
Bailey-Boushay House is a 35-bed nonprofit in Seattle, and its inspection record shows 48 deficiencies with none rising to actual harm or jeopardy, but four abuse-related citations stand out, and that combination tells you the problems found were serious enough to document without crossing into immediate-danger territory. The last inspection was in May 2025, so the picture is current. With health inspection and quality measure ratings both at 3 out of 5, this home sits squarely in the middle of the federal pack rather than above it. For a small nonprofit with only 35 beds, 48 deficiencies is a lot of paperwork to accumulate. Ask to see the plan of correction for those four abuse citations specifically.
Providence Care Center runs a 138-bed nonprofit home in Sandusky with about 3.43 nurse hours per resident day, roughly 11% under the national average, and weekends dip another 11% below its own weekday coverage. That thin staffing lines up with a 1-out-of-5 staffing rating and a 50.5% turnover rate, meaning half the nursing staff leaves within a year. Inspectors cited 41 deficiencies, none rising to harm or jeopardy, but six tied to abuse. The quality measure rating sits at 4 out of 5, and a May 2025 inspection is recent. The church affiliation doesn't change the math: care quality may look strong on paper, but the people providing it are stretched and cycling through fast.
St. Clare Commons runs 3.82 nurse hours per resident day, just under the national average, and weekends drop about 8% below what the home staffs on weekdays. The bigger concern is turnover: 50.8% annually against a 45.8% national rate, meaning roughly half the nursing staff leaves each year. Inspections tell a similar story, 49 deficiencies on record, including one at the harm level and six tied to abuse, plus a $40,433 fine. The most recent inspection was June 2025, so the record is current. Quality measures score well, but staffing and inspection results are where the problems sit.
Mount St Francis runs lean on nursing hours, 3.50 per resident day against a national average of 3.86, and weekends get thinner still, roughly 11% below its own weekday coverage. That dip matters, since 55% of staff turned over in the past year versus about 46% nationally. Inspectors cited 20 deficiencies at the latest visit in March 2025; none rose to harm or jeopardy, but two were abuse-related, which is worth asking about directly. The non-profit owner does earn a 4/5 staffing star from CMS, though the state's own quality and inspection scores sit at 2/5.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.
Chi Franciscan Villa runs 90 beds in South Milwaukee, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.46 hours per resident day, about 10 percent under the national average, and weekends drop roughly 16 percent below what the home itself staffs on weekdays, while half the nursing staff turned over in a year. The inspection history carries more weight than the staffing shortfall: 65 deficiencies on the current record, including 10 at the harm or jeopardy level and 11 tied to abuse, plus four fines totaling $208,607. Its last inspection was May 29, 2026.
The Gardens of St. Francis runs on 1.48 nurse staffing hours per resident day, roughly 62% below the national average, and weekend coverage drops about 15% below what it manages on weekdays. Turnover sits at 65.6% against a national rate of 45.8%, so a large share of the staff you'd meet is relatively new. The record shows 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $45,250 fine. Inspections are recent, and the quality measure score is strong, but that staffing number is the one worth weighing hardest.
Bishop Drumm is run by a church-affiliated nonprofit, and its staffing numbers tell two stories. Nurse hours sit at 3.64 per resident day, about 6% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 34.9% against a national 45.8%, which suggests people stay. But the inspection record is where this home falls apart, 77 deficiencies, 9 of them at harm or jeopardy level, four fines totaling $258,177, and a place in CMS's Special Focus Facility program, reserved for the country's most troubled homes. A July 2025 inspection is recent, so the picture isn't stale.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.