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EPHRAM LAHASKY

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

22

States

9

Beds

2,112

Avg score

63.4

Avg turnover

53%

Federal fines

$1,778,948

Flags across this group

3 of the group's homes carry a CMS abuse icon. 5 homes are in or a candidate for the Special Focus Facility programme.

All 22 homes

B

80/100

Minerva Rehabilitation And Nursing Center

Minerva, OH · Stark County

CMS 4/532 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
52%
Serious cites
0

Minerva Rehabilitation And Nursing Center runs a 32-bed for-profit operation in Stark County, and the numbers pull in two directions. The clinical quality scores are strong, a 5/5 on CMS quality measures, but nurse staffing sits at 3.42 hours per resident day, roughly 12% under the national average, with weekends running about 3% thinner than weekdays. Annual turnover of 52% tops the national rate of 45.8%, so the people caring for residents are changing often. The current record shows 22 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection came in January 2026. Limited liability ownership means profits and care decisions stay close to the bottom line.

B

79.5/100

Center For Advanced Rehab At Parkside, The

Rossville, GA · Catoosa County

CMS 3/5125 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
46%
Serious cites
0

The Center For Advanced Rehab At Parkside runs 4.32 nurse hours per resident day, roughly 12% more than the national average of 3.86, and turnover at 45.5% is essentially flat with the national rate. What that average hides is weekends: staffing drops about 24% below the home's own weekday level, so the coverage your family member gets on a Saturday looks different from a Tuesday. The record shows 11 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, and the last inspection was April 2026. At 125 beds under for-profit LLC ownership, the numbers describe a home with real clinical hours but a thin weekend margin.

B

74/100

Brookside Rehabilitation And Healthcare Center

Webster, MA · Worcester County

CMS 2/581 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
42%
Serious cites
0

Brookside runs a for-profit shop with 81 beds in Webster, and the staffing numbers are its strongest card, 3.88 nurse hours per resident day, just barely over the national average, with a 4-out-of-5 staffing rating. Turnover sits at 41.8%, below the national 45.8%, which matters for whether you see the same faces month to month. The problem is what inspections keep finding: 30 deficiencies on the current record, including one at harm or jeopardy level and one tied to abuse, against a 1-out-of-5 quality measure rating. Weekend coverage also drops about 7% below weekday levels. Inspectors were last in on July 30, 2025. Ask pointed questions about that abuse citation and the harm-level finding before you decide.

B

72/100

Wachusett Manor

Gardner, MA · Worcester County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
44%
Serious cites
0

Wachusett Manor runs 3.29 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday pace, that staffing pattern is what sits behind its two-star staffing rating. The record shows 42 deficiencies, three of them serious enough to put residents at harm or jeopardy, though none are abuse-related, and the most recent inspection was September 2025. Turnover at 43.5% actually edges the national figure of 45.8%, so retention isn't the weak spot. A for-profit LLC with 96 beds, it earns four stars on quality measures but the direct-care hours are thin where it counts.

B

70/100

Poet's Seat Healthcare Center

Greenfield, MA · Franklin County

CMS 2/563 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
55%
Serious cites
0

Poet's Seat Healthcare Center runs on 3.00 nurse staffing hours per resident day, about 22% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level. That thin coverage helps explain the one-out-of-five staffing rating from CMS, and it sits next to 54.7% annual turnover against a national average of 45.8%, meaning the aides and nurses at the bedside keep changing. The inspection record shows 43 deficiencies, three serious enough to cause harm or jeopardy, one tied to abuse, plus a $5,541 fine. The five-star quality measure score reflects how residents' conditions are tracked, not how many hands are free to help. The last inspection was May 2025.

C

68/100

Watertown Rehabilitation And Nursing Center

Watertown, MA · Middlesex County

CMS 1/5163 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
30%
Serious cites
0

Watertown Rehabilitation and Nursing Center runs 163 beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage barely changes from weekdays, so that shortfall isn't a weekend problem; it's constant. Turnover is the one bright spot at 30.2%, well below the 45.8% national figure, which suggests some stability in the workforce even if there aren't enough hands. The inspection record is the bigger concern: 62 deficiencies, including one at harm or jeopardy level and three abuse-related, with a $56,440 fine and a survey as recent as May 2025.

C

67/100

Leominster Rehabilitation And Nursing Center

Leominster, MA · Worcester County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
34%
Serious cites
0

Leominster Rehabilitation and Nursing Center runs about 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 43 deficiencies, one serious enough to reach harm or jeopardy, and seven tied to abuse. A single $26,033 fine and a two-star inspection rating point to problems that persist rather than one bad survey. Turnover at 33.8 percent is actually better than the national 45.8 percent, and the most recent inspection was November 2025, so the picture is current.

C

67/100

Jaffrey Rehabilitation And Nursing Center

Jaffrey, NH · Cheshire County

CMS 1/583 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
40%
Serious cites
0

Jaffrey Rehabilitation and Nursing Center runs on thinner nurse staffing than most homes nationally, about 3.41 hours per resident day against a 3.86 average, and weekends dip roughly 6% below its own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record is the bigger concern: 21 deficiencies, one of them abuse-related, and the most recent inspection was May 2026. Turnover at 39.7% is actually better than the 45.8% national figure, which tells you something is keeping some staff around. With 83 beds under individual for-profit ownership, this is a home where the staffing and inspection numbers deserve a hard look before you decide.

C

66/100

Bayshore Residence And Rehabilitation Center

Duluth, MN · St. Louis County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
58%
Serious cites
0

Bayshore Residence and Rehabilitation Center runs 140 beds in Duluth under for-profit LLC ownership, and the staffing numbers tell two stories. Its 3.56 nurse hours per resident day sit about 8% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover hits 58% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder part: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,398 in fines, all from an April 2025 inspection. On paper the staffing star looks strong, but the same record shows real problems.

C

65/100

Fitchburg Rehabilitation And Nursing Center

Fitchburg, MA · Worcester County

CMS 1/587 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
31%
Serious cites
0

Fitchburg Rehabilitation and Nursing Center runs on 3.13 nursing hours per resident day, about 19% under the national average, and weekend coverage drops roughly 8% below what it manages on weekdays. The inspection record is the bigger concern: 41 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with two fines totaling $43,719. Staff turnover is 30.8%, which is actually better than the 45.8% national average, that's a real point in its favor. But a 1/5 staffing rating and a 1/5 health inspection rating, owned by a for-profit LLC, mean the thin coverage and the deficiency history are the things to weigh before you decide.

C

65/100

Derry Center For Rehabilitation And Healthcare

Derry, NH · Rockingham County

CMS 2/562 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
42%
Serious cites
0

Derry Center for Rehabilitation and Healthcare runs 62 certified beds in Derry, under for-profit individual ownership. Its nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average of 3.86, that gap is the main thing driving its lowest CMS star rating. Weekends thin out further, about 13 percent below its own weekday level, so coverage is lightest exactly when families tend to visit. Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, so the people who stay appear to stick around. The home carries 12 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its last inspection was December 11, 2025.

C

65/100

Gardens Of Belden Village

Canton, OH · Stark County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
59%
Serious cites
0

Gardens of Belden Village runs about 3.30 nurse hours per resident day, roughly 15% under the national average, and weekends dip another 12% below its own weekday staffing. That thin coverage shows up in the numbers: a one-star CMS staffing rating and 59.1% annual turnover, well above the 45.8% national figure. The current record carries 39 deficiencies, including one at the harm level and four tied to abuse. A four-star quality measure score doesn't cancel that out, those measures track resident outcomes, not how many hands are on deck. Ownership is a for-profit LLC, and the last inspection was April 2026.

C

64/100

Calvert County Nursing Ctr.

Prince Frederick, MD · Calvert County

CMS 2/5149 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
58%
Serious cites
0

Abuse icon on record

Calvert County Nursing Center runs 149 beds under corporate ownership, and its staffing sits at 3.69 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip further, roughly 4% below its own weekday levels, and annual turnover hits 58.2% against a national 45.8%. That churn matters when you're trying to keep consistent caregivers around a resident. The inspection record carries 45 deficiencies, including one at the harm or jeopardy level and five tied to abuse. CMS fined the home once, for $11,190. Its last inspection was March 26, 2026, so the picture is fairly current. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.

C

64/100

Chapel Hill Nursing Center

Randallstown, MD · Baltimore County

CMS 1/563 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
65%
Serious cites
0

Chapel Hill Nursing Center runs 63 certified beds in Randallstown under for-profit LLC ownership, and its nurse staffing sits at 3.72 hours per resident day, just under the national average, with weekends dropping about 13% below its own weekday coverage. Staff turnover is the real story: 65.1% of nurses leave each year, against a national average of 45.8%. The current record carries 64 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, plus one fine of $13,247, and the last inspection was March 30, 2026. CMS gives the home 2 out of 5 stars on health inspections and 1 on quality measures, even though staffing alone rates 4.

C

57/100

Gardens Of Euclid Beach

Cleveland, OH · Cuyahoga County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
71%
Serious cites
0

Gardens Of Euclid Beach runs on thin nursing coverage: 3.42 hours per resident day against a national average of 3.86, with weekends dipping about 12% below its own weekday levels. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure. The inspection record is the harder read: 60 deficiencies, two at harm or jeopardy level, two tied to abuse, and a single $200,605 fine, with the most recent inspection in September 2025. A for-profit limited liability company operates the 99-bed home. Its quality measure score looks strong, but staffing and inspection results sit at the bottom of CMS's scale, and those are the measures families feel day to day.

D

54/100

Knollwood Healthcare

Mobile, AL · Mobile County

71 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
74%
Serious cites
0

Special Focus Facility

Knollwood Healthcare runs 71 certified beds in Mobile under for-profit limited liability ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families visit most. Staff turnover of 74.2% means most of the people caring for residents this year likely won't be there next year. Forty-six deficiencies are on the current record, twelve at harm or jeopardy level and ten abuse-related, with four CMS fines totaling $318,070. CMS has placed it in the Special Focus Facility program, its last inspection was September 11, 2025, and you should ask pointed questions before considering it.

D

54/100

Highland Chateau Health And Rehabilitation Center

Saint Paul, MN · Ramsey County

64 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
69%
Serious cites
0

Special Focus Facility

Highland Chateau runs 4.02 nurse hours per resident day, modestly above the national figure, but that number hides a lot. Staff turnover sits at 68.7 percent against a national average near 46 percent, and weekend coverage dips below the home's own weekday level, so the people at the bedside are constantly changing. The inspection record is the bigger concern: 98 deficiencies logged, five serious enough to involve harm or jeopardy, two tied to abuse, and $67,594 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which the agency reserves for homes with a persistent pattern of poor care.

D

54/100

Valley View Manor Healthcare Center

Lamberton, MN · Redwood County

CMS 1/550 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
n/a
Serious cites
0

Special Focus Facility

Valley View Manor has enough nurses on paper, about 3.93 hours per resident day, just above the national average, and its staffing star reflects that. The trouble is what inspections keep finding. Fifty-two deficiencies sit on the current record, including two at the harm level and nine tied to abuse, with one $81,446 fine. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the health inspection rating sits at 1 out of 5. Weekend staffing also drops roughly 13% below weekday levels, so coverage thins exactly when oversight tends to be lightest.

D

54/100

The Shores Of Worthington

Worthington, MN · Nobles County

CMS 1/569 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
58%
Serious cites
0

Abuse icon on record

The Shores of Worthington carries 61 deficiencies on its current record, five of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. That's the kind of paper trail that lands a home in CMS's Special Focus Facility program, which it is. Staff turnover sits at 57.9% against a national average of 45.8%, more than half the nursing staff leaving in a year, which matters more than the 3.76 daily nurse hours per resident, slightly under the national 3.86. Seven fines totaling $160,691 round out the picture. The last inspection was April 2026. Ownership is a for-profit limited liability company. One star for health inspections, three for quality measures, four for staffing.

D

54/100

Country Lane Gardens Rehab & Nursing Ctr

Pleasantville, OH · Fairfield County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
55%
Serious cites
0

Abuse icon on record

Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.

D

53/100

Comprehensive Rehabilitation And Nursing Center At

Williamsville, NY · Erie County

CMS 1/5142 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
73%
Serious cites
0

Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.

D

48/100

Majestic Gardens At Memphis Rehab & Snc

Memphis, TN · Shelby County

CMS 1/5169 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
69%
Serious cites
0

Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly. The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.