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.
Greenville Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and seven deficiencies on the current record, none of them serious enough to cause harm or involve abuse. The last state visit was in July 2025. Where it slips is staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends run about 11 percent thinner than weekdays. Turnover sits at 39 percent, which is actually better than the 45.8 percent national figure, so the people who stay tend to stay. This is a for-profit, limited-liability operation with 60 beds. Read the pattern honestly: clean inspections, thin coverage.
Seneca Place runs about 3.38 nurse hours per resident each day, roughly 12 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That thin weekend coverage sits alongside 34 deficiencies on the current record, 12 of them serious enough to cause harm or jeopardy, including 2 tied to abuse. The inspection history matters here too: the last survey was July 2025, so the record is recent, not stale. Turnover at 40.6 percent is actually a bit better than the national 45.8 percent, which suggests the problem isn't constant churn so much as how few hands are scheduled when they're needed most.
Boyd Nursing And Rehabilitation is a 60-bed for-profit home in Ashland, run by a limited liability company, and the numbers pull in different directions. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover at 43.2% is slightly better than the national 45.8%, which matters less than it sounds when aides are still leaving at that rate. The 17 deficiencies on record, three of them at harm or jeopardy level, line up with the 2/5 inspection and staffing ratings, even though resident quality measures score 5/5. That gap is worth asking about directly.
West Liberty Nursing and Rehabilitation runs 3.18 nursing hours per resident per day, roughly 18% under the national average, and weekend coverage drops another 5% below its own weekday level. With 54.8% annual turnover, staff are cycling out faster than the national rate of 45.8%, which matters when consistent caregivers are what families actually rely on. The inspection record shows 14 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related. Quality measures look strong, but that sits against staffing and inspection ratings of 2 out of 5 each. Corporate for-profit ownership, 48 beds, and an inspection as recent as August 2025 round out the picture.
Highlands Nursing and Rehabilitation runs 154 beds in Louisville under for-profit LLC ownership, and its nurses deliver 3.37 hours of care per resident each day, roughly 13 percent under the national average of 3.86, with weekend coverage dipping about 8 percent below its own weekday level. That thinner weekend presence matters, because the home carries 30 deficiencies on its current record, seven of them serious enough to reach harm or jeopardy, plus one tied to abuse. Turnover sits at 38.7 percent, better than the 45.8 percent national figure, and the last inspection came in February 2025, so the record is recent. Two fines totaling $17,523 round out the picture.
Elliott Nursing and Rehabilitation runs 75 certified beds in Sandy Hook under for-profit LLC ownership, and its numbers split in two directions. The health inspection and quality measure ratings both come in at 4 out of 5, and the last inspection was recent. But nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below the home's own weekday level, which is when coverage gaps tend to show. Turnover runs 48.3 percent, slightly above the national figure. Eleven deficiencies are on the current record, three at harm or jeopardy level and one abuse-related, with a single fine of $12,844.
South Shore Nursing and Rehabilitation runs 60 certified beds under for-profit LLC ownership, and its staffing numbers sit below where you'd want them. Total nurse coverage is about 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 52.5%, well above the 45.8% national figure, which matters because unfamiliar aides can miss subtle changes. The inspection record is genuinely decent: a four-star health inspection rating with 12 deficiencies and none at harm or jeopardy level, though one is abuse-related. Quality measures and staffing both come in at two stars. The most recent inspection was July 2025.
Wurtland Nursing and Rehabilitation runs 126 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. Inspections back that up. Twenty-four deficiencies sit on the current record, eight serious enough to involve harm or jeopardy, and one fine of $69,908 has been levied. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating tell you regulators and the payroll data agree. The most recent inspection, in March 2026, is the record to ask about directly.
Carter Nursing and Rehabilitation runs 120 beds in Grayson under corporate ownership, and the numbers behind its federal record are worth knowing before you visit. Nurse staffing sits at 3.21 hours per resident day against a national average of 3.86, weekend coverage drops about 21% below its own weekday level, and annual turnover hits 68.5%, well above the 45.8% national figure. Inspections tell a similar story: 18 deficiencies on the current record, four of them at harm or jeopardy level and five abuse-related, with three fines totaling $105,165. That record, combined with a one-star inspection and staffing rating, is what drives the low overall grade. Ask direct questions about who's on the floor on weekends and how the abuse findings were resolved.
Nicholasville Nursing and Rehabilitation runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover tells its own story: 83.1% a year, nearly double the 45.8% national figure, meaning most of the people caring for residents are new to the building. The state's most recent inspection, in August 2025, left 25 deficiencies on record, one tied to abuse; none rose to the level of immediate harm. Federal ratings land at 2 out of 5 for health inspections and quality measures, and 1 out of 5 for staffing.