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COVENANT CARE

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

11

States

2

Beds

1,545

Avg score

77.2

Avg turnover

48%

Federal fines

$197,991

All 11 homes

B

82/100

Pacific Gardens Nursing And Rehabilitation Center

Fresno, CA · Fresno County

CMS 3/5188 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
36%
Serious cites
0

Pacific Gardens runs on 4.06 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.9% is meaningfully lower than the 45.8% norm, people tend to stay. Weekend coverage thins out about 8% from weekday levels, worth knowing if your visits fall on Saturdays. The harder question is the inspection record: 48 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $30,654 fine and a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, but those come from resident assessments, not from surveyors walking the building. It's a for-profit LLC with 188 beds. Ask about the abuse deficiency and what changed since.

B

81/100

Palo Alto Post-Acute

Palo Alto, CA · Santa Clara County

CMS 4/566 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
45%
Serious cites
0

Palo Alto Post-Acute runs on 4.32 total nurse hours per resident day, roughly 12% above the national average, though weekend coverage drops about 15% below what the home staffs on weekdays. Turnover sits at 45.2%, essentially matching the national rate, and the most recent inspection was in May 2025. What stands out is the record itself: 38 deficiencies, two of them abuse-related, none serious enough to trigger a harm or jeopardy citation. That combination, strong quality scores, solid weekday staffing, and a long citation history, is worth asking about directly before you tour.

B

81/100

Pacific Coast Manor

Capitola, CA · Santa Cruz County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
50%
Serious cites
0

Pacific Coast Manor sits above the national average for nurse staffing at 4.39 hours per resident day, and its most recent health inspection from February 2025 earned top marks. Those are real strengths. But the 27 deficiencies on its current record, including two tied to abuse, are worth asking about directly. Staff turnover runs at 49.6%, higher than the national average of 45.8%, and weekend coverage dips about 12% below its own weekday levels, so care may feel thinner on Saturdays and Sundays. It's a for-profit operation, which doesn't decide anything on its own but is worth knowing as you weigh the numbers.

B

81/100

Los Altos Post-Acute

Los Altos, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
52%
Serious cites
0

Los Altos Post-Acute runs a for-profit LLC with 152 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, though weekends drop about 10% below its own weekday levels. That weekday strength is real, but the margin thins out when families visit most. Annual turnover is 52.4%, nearly seven points above the national figure, which means the person caring for your relative may be new to the building. The current record shows 49 deficiencies, including two at harm or jeopardy level and two tied to abuse. The last inspection was February 2025, so the picture is recent, and its four-star inspection and quality ratings reflect that.

B

81/100

Buena Vista Care Center

Santa Barbara, CA · Santa Barbara County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
48%
Serious cites
0

Buena Vista Care Center runs 150 certified beds in Santa Barbara under for-profit LLC ownership, and its staffing sits just barely above the national mark, 3.91 nurse hours per resident day against 3.86. That thin margin thins further on weekends, when coverage drops roughly 11% below the home's own weekday level. Staff turnover lands at 47.6%, a bit above the national 45.8%. The inspection record is the heavier concern: 32 deficiencies on file, two of them serious enough to involve harm or jeopardy, though none are abuse-related. A 2/5 health inspection rating against a 4/5 quality measure score suggests the clinical measures look better than the day-to-day compliance picture. The most recent inspection was April 2026.

B

80/100

Huntington Park Nursing Center

Huntington Park, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
30%
Serious cites
0

Huntington Park Nursing Center runs 99 beds under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 8% below the home's own weekday levels, so families should ask how that gap gets filled. Staff turnover is 30.1%, well under the national 45.8%, which suggests workers tend to stay. The current record shows 54 deficiencies, none at harm or jeopardy level, though one is abuse-related. Inspections were last done in May 2025, and the health inspection rating is 2 out of 5 while quality measures score 4 out of 5.

B

79/100

Gilroy Healthcare Center

Gilroy, CA · Santa Clara County

CMS 2/5134 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
52%
Serious cites
0

Gilroy Healthcare Center runs 134 certified beds under for-profit LLC ownership, and its nurse staffing sits just above the national average, 3.95 hours per resident day against 3.86, though weekends drop roughly 9% below its own weekday coverage. Turnover is the harder number: 52.2% of staff leave annually, well above the 45.8% national rate, so the people caring for your family member change often. The inspection record is the real concern: 33 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $69,735 fine and a one-star health inspection rating. Quality measures score well, but recent inspections in mid-2025 still found serious problems.

B

74.5/100

La Jolla Post-Acute

La Jolla, CA · San Diego County

CMS 4/5161 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
49%
Serious cites
0

La Jolla Post-Acute runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a percentage point above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 7% below the home's own weekday levels. Staff turnover is the bigger concern: 49.3% annually against a national average of 45.8%, meaning nearly half the nursing workforce turns over each year. The inspection record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Four stars on health inspections but three on staffing tells you the clinical care is holding up better than the workforce stability behind it.

B

72/100

Shoreline Care Center

Oxnard, CA · Ventura County

CMS 2/5193 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
37%
Serious cites
0

Shoreline Care Center has 193 certified beds and runs on corporate ownership, with nurse staffing at 3.93 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops about 7% below its own weekday level. Staff turnover sits at 37.2%, better than the 45.8% national figure. The trouble shows up in the inspection record: 63 deficiencies, including one at the harm level and two tied to abuse, plus a $28,248 fine, with the most recent inspection dated April 2026. CMS rates its health inspections and quality measures both 2 out of 5, while staffing earns 4 out of 5. Good retention and adequate hours don't offset a deficiency record that heavy.

B

70/100

Silver Ridge Healthcare Center

Las Vegas, NV · Clark County

CMS 4/5148 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
56%
Serious cites
0

Silver Ridge is a 148-bed for-profit home in Las Vegas where the direct-care staffing comes in around 3.47 hours per resident day, roughly 10% under the national average of 3.86, and it thins out further on weekends, dropping about 11% below its own weekday levels. Annual turnover sits at 55.6% against a national 45.8%, so CNAs and nurses are cycling through faster than average. The inspection record shows 32 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $69,343 in fines across two penalties and a survey dated April 2026. The five-star quality measure score reflects charted outcomes, not the hands available to deliver care.

C

68/100

Silver Hills Health Care Center

Las Vegas, NV · Clark County

CMS 2/5155 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
72%
Serious cites
0

Silver Hills runs on thin staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 9% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 71.6% of nursing staff leaving annually, against a national average near 46%. State inspectors cited 27 deficiencies on the current record, four tied to abuse, with none rising to harm or jeopardy. Its last inspection was August 2025. This is a for-profit corporate home whose quality scores look strong on paper while its staffing scores and inspection history tell a harder story.