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
34
States
7
Beds
3,711
Avg score
63.4
Avg turnover
56%
Federal fines
$2,151,873
Flags across this group
4 of the group's homes carry a CMS abuse icon.
2 homes are in or a candidate for the Special Focus Facility programme.
Southwest Montana Veterans Home in Butte runs 4.34 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in the numbers CMS cares about. Turnover is the weak spot: 53.9% of staff leave annually, well above the 45.8% national figure, and weekend coverage drops about 12% below weekday levels, worth asking about if your visits would fall on Saturdays or Sundays. The inspection record shows 18 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was recent and the home earns strong marks on health and quality measures.
Highland Care Center runs 103 beds in Holladay under corporate ownership, and its inspection record is genuinely clean, 25 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related. The state last walked through in June 2024. Where it gives ground is staffing: 3.56 nurse hours per resident day sits about 8 percent under the national average, and weekends run roughly 16 percent thinner than weekdays, which is when families tend to visit and notice. Turnover is the quieter strength here, 32.8 percent against a national average near 46 percent means fewer unfamiliar faces than most places. Solid survey history, steadier workforce than typical, but ask specifically who covers Saturday and Sunday.
Elkhorn Healthcare and Rehabilitation runs 70 certified beds in Clancy under corporate ownership, and its nurse staffing sits at 2.73 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 41.3% is slightly better than the 45.8% national figure, and the 26 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2026.
Bangs Nursing and Rehabilitation runs 48 beds in Brown County under for-profit LLC ownership, and its inspection record is the strong point, a five-star health inspection rating with a recent survey in August 2025 and six total deficiencies on file, none of them causing harm or jeopardy. Staffing sits at 3.89 nurse hours per resident day, just barely above the national average, though weekends drop roughly 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover at 44.8% is slightly better than the national rate, and one abuse-related deficiency appears on the record. Quality measures score 2 out of 5, the weakest number here.
Hacienda Oaks runs leaner on nursing hours than most homes, about 3.42 per resident per day, roughly 11% under the national average, and weekends get thinner still, dropping around 14% below its own weekday coverage. That's the tradeoff to weigh against a staff turnover rate of 29.3%, well below the national 45.8%, which suggests people here tend to stay. The inspection record is decent: 23 deficiencies, none rising to harm or jeopardy, nothing abuse-related, and the last survey was in May 2025, so the picture is current. Owned by a for-profit limited liability company, the home has no serious safety citations against it, but the staffing pattern is the number worth asking about directly.
Prairie Heights runs 3.53 nurse hours per resident each day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. Those gaps explain why CMS gives it the lowest staffing rating even as quality measures score top marks and the last inspection, in July 2025, came back clean: five deficiencies, none causing harm, none tied to abuse. That's a home that treats residents well by the measures families notice most, but it's doing so with thinner coverage than most places, especially on Saturdays and Sundays. Worth asking how call lights get answered when weekend numbers dip.
Copper Ridge runs 186 beds in Butte under corporate ownership, and its inspection record is the strongest part of the picture, a recent April 2026 survey and decent marks on health inspections and quality measures. The staffing side is where it thins out. At 3.33 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover lands right at the national rate of 45.8 percent. Twenty-eight deficiencies are on record, two at harm or jeopardy level and three tied to abuse, with $9,311 in fines. One inspection alone doesn't tell you how a place runs on a Tuesday night.
Golden Years runs a five-star health inspection record, with its most recent survey done in August 2025, and the twelve deficiencies on file include one that caused actual harm and one tied to abuse, isolated problems rather than a pattern of poor care. Staffing is where the tradeoff shows: 2.96 nurse hours per resident day sits about 23% under the national average, weekends run roughly 14% thinner than weekdays, and CMS rates staffing 2 out of 5. Turnover of 26.9% is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. For-profit corporate ownership, one fine of $8,021.
Silver Creek runs lean on nursing hours: 3.04 per resident day against a national average of 3.86, which is roughly a fifth less hands-on time than most homes provide. Weekends dip about 15% below the home's own weekday staffing, so coverage thins out right when families tend to visit. The inspection record is stronger than the staffing number suggests, 4 out of 5 stars, last surveyed in July 2025, with 20 deficiencies on file and none rising to actual harm, though one is abuse-related. Turnover at 39.7% beats the national 45.8%, which means caregivers stick around longer here. The Limited Liability ownership structure is worth knowing about, but the numbers themselves tell the larger story: stable staff, thin hours.
Pleasanton South runs on a government hospital district license with 88 certified beds, and the staffing numbers are the first thing to notice: 2.78 nurse hours per resident per day, roughly 28% under the national average, with weekends running about 23% below its own weekday level. That thin coverage shows up in the staffing star rating and in 47.3% annual turnover, slightly above the national rate. The inspection record carries 33 deficiencies, three at harm or jeopardy level and two abuse-related, plus $24,653 in fines; the most recent inspection was December 10, 2025. Quality measures score well, but a 3/5 inspection rating and low staffing tell you where the risk sits.
Eastern Montana Veterans Home in Glendive runs 4.29 nurse hours per resident day, about 11% above the national average, but weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover: 79.7% annually, well above the 45.8% national figure, which means the people at the bedside keep changing. Its record shows 31 deficiencies, including 6 at the harm or jeopardy level and 6 abuse-related, with three fines totaling $50,805. The last inspection was February 13, 2025, and the state owns the 80-bed home. Strong weekday coverage doesn't cancel out a heavy deficiency history and unstable staffing.
Hurst Plaza passed its most recent inspection cleanly, a 5/5 health inspection rating, no deficiencies at the harm level, and no abuse citations. That's genuinely good, and it matters. The problem is the day-to-day coverage. Nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average, with weekends running about 13% thinner than weekdays. Staff turnover is 57.4%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. A home can inspect well and still leave your family member waiting for help. Ask what a Tuesday night actually looks like, and how long the current director of nursing has been there.
Bear Creek runs lean on nursing staff, 3.31 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, dropping about 10% below its own weekday coverage. More than half its nurses left over the past year (55% turnover), a rate well above the 45.8% national figure. The inspection record is where things get serious: 34 deficiencies, six of them at the harm or jeopardy level, one abuse-related, and three fines totaling $148,612. A 1-out-of-5 health inspection rating reflects that pattern, and a 3-out-of-5 quality measure score doesn't offset it. For-profit LLC ownership rounds out the picture.
Keystone Post-Acute runs 65 beds in Fresno under for-profit LLC ownership, and its staffing numbers look better on paper than they hold up in practice. Total nurse hours sit slightly above the national average, but weekends drop about 11% below the home's own weekday coverage, that's when gaps tend to show. Turnover is 47.1%, a bit worse than the 45.8% national figure, so the people providing care keep changing. The inspection record is the bigger issue: 48 deficiencies, three of them serious enough to put residents at harm or jeopardy, and one fine of $42,764. The last inspection was in May 2025, so the record is current, not stale.
The Suites Rio Vista runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly another 9% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 68.3% against a national 45.8%, which means close to seven in ten caregivers were replaced over the year. Its current record carries 63 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, plus a $17,215 fine. A 4/5 quality measure score can't offset that inspection history or the staffing math behind it.
Spearfish Canyon Healthcare runs 105 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover of 58.8 percent against a 45.8 percent national figure means caregivers are cycling through steadily, which matters more than any single star rating. The inspection record backs that up: 21 deficiencies, including four tied to abuse and one at the harm level, with a $9,718 fine. The most recent inspection was August 2025, so the record is current, not stale.
Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.
Parkview runs about 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends drop another 19% under its own weekday numbers. That thin coverage shows up in the inspection record: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $64,967 and a two-star health inspection rating. Staff turnover sits at 47.5%, slightly above the national figure. The quality measure score of 4/5 is the one bright spot, but it reflects reported care measures rather than the staffing and safety problems regulators have actually cited here.
Heritage Trails is a 122-bed for-profit home in Cleburne, and its inspection history is genuinely decent, four out of five stars, with a survey done in August 2025. The staffing is where it comes apart. At 2.76 nurse hours per resident day, it runs about 28% under the national average, and weekend coverage drops roughly 13% below its own weekday level, which matters most when families visit and problems tend to surface. Turnover sits at 53.2%, higher than the 45.8% national figure. Twelve deficiencies are on the current record, three of them at the harm level and one tied to abuse, with seven fines totaling $67,124.
The Meadows On University runs a for-profit LLC with 95 beds, and the numbers show some strain. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 10% below the home's own weekday coverage, so families visiting Saturday or Sunday may notice thinner attention. Staff turnover is the bigger flag: 65% annually against a national 45.8%, meaning nearly two-thirds of the nursing team turns over each year. The current inspection record carries 20 deficiencies, one serious enough to involve harm or jeopardy, plus a $41,041 fine. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Cypress Woods runs lean on nurses, 2.65 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That thin floor shows up in the numbers: annual turnover of 64.2% means most of the people caring for your family member are newer than the average aide elsewhere, and CMS itself rates staffing at just one star out of five.
The counterweight is inspection history. Twenty deficiencies on record, one serious enough to involve harm or jeopardy, and a single $22,104 fine, but a four-star health inspection rating and a recent survey from January 2025. This is a for-profit limited liability company where the care, when it happens, has generally satisfied state inspectors, even as the daily staffing margin stays slim. Ask about weekend coverage specifically.
Lakeshore Village runs on thinner staffing than most Texas nursing homes can claim as an excuse. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 15% below what the building itself manages Monday through Friday. That matters more than the quality measure score suggests, because 52 deficiencies sit on the current record, seven at harm or jeopardy level, two tied to abuse, with $107,407 in fines and a one-star inspection rating. Annual turnover of 52.1% means more than half the nursing staff leaves each year, against 45.8% nationally. Hospital district ownership hasn't translated into stability here, and the April 2026 inspection is the only recent look regulators have taken.
The Suites Pasadena runs on thinner nurse staffing than most homes nationally, 3.66 hours per resident day against a 3.86 average, and weekends drop about 13% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover sits at 75.5% against a 45.8% national figure, so the people caring for your family member are likely to keep changing. Behind the numbers: 46 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, plus nine fines totaling $324,713. State inspectors were last in on January 16, 2026.
Pleasanton North runs on thin staffing: 2.68 nurse hours per resident per day, roughly 31% below the national average of 3.86, and weekends drop another 16% below its own weekday levels. The inspection record is the bigger concern, 47 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with two fines totaling $167,869 and a health inspection rating of 1 out of 5. Turnover at 42.3% is slightly better than the 45.8% national figure, but that's the one number here that isn't working against the home. The most recent inspection was July 2025, so the record is current.
San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is on the floor at night.
Rolling Hills Healthcare runs below the national average on nurse staffing, about 3.62 hours per resident day against 3.86, and weekends drop roughly 19% below its own weekday levels, which is when families tend to notice. Staff turnover sits at 65.1% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 34 deficiencies, five at harm or jeopardy level, three tied to abuse, and four fines totaling $80,634, with the most recent inspection in February 2026. It's a for-profit limited liability company, and the pattern across these numbers is worth weighing carefully before you decide.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
Ennis Care Center runs on thin staffing: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home itself manages Monday through Friday. That shortfall shows up in turnover too, 58.2% of staff leave each year, well above the 45.8% national rate, which means caregivers are constantly new to residents who need consistency. The inspection record backs this up: 21 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and $187,220 in fines across three penalties. Corporate ownership is for-profit. The most recent inspection was March 2025, so the picture is current, not stale, and it's a hard one.
Deer Creek runs about 30% below the national average on nurse staffing, 2.69 hours per resident day against 3.86, and weekends dip another 13% below its own weekday level. That thin coverage shows up on the inspection side too: 35 deficiencies on the current record, 6 of them at the harm or jeopardy level, plus 2 abuse-related findings and $75,581 in fines across 4 citations. Staff turnover sits at 56.1%, well above the 45.8% national figure, which matters most when residents need consistent hands on deck. The last inspection was recent, so the picture is current, and the ownership is a for-profit corporation.
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.