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
43
States
6
Beds
4,078
Avg score
70.5
Avg turnover
51%
Federal fines
$2,201,050
Flags across this group
11 of the group's homes carry a CMS abuse icon.
4 homes are in or a candidate for the Special Focus Facility programme.
Transitional Care Of Seattle runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 7.83 hours per resident day, roughly double the national average of 3.86. That's the number driving its staffing score, though weekends dip about 17% below weekday levels, so coverage isn't evenly spread across the week. Staff turnover lands at 37.5%, better than the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection record: 42 deficiencies, including one at harm or jeopardy level and one abuse-related, with a health inspection rating of 3 out of 5. The most recent inspection was September 23, 2025. Strong staffing and quality scores, but the deficiency history is worth asking about directly.
La Grande Post Acute Rehab runs 4.73 nursing hours per resident day, roughly a quarter above the national average, and its weekend staffing only dips about 13% below weekdays, a smaller drop than many homes show. Staff turnover sits at 30.6%, well under the national 45.8%, which suggests people tend to stay. The tradeoff is the inspection record: 31 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in February 2025. Ownership is corporate for-profit. Strong staffing and steady retention are doing the heavy lifting here; the deficiency count is what a family should ask about directly.
Nurse staffing at Hillsboro Health & Rehabilitation Center runs 4.67 hours per resident day, about 21% above the national average of 3.86, a real margin, though weekend coverage dips roughly 10% below its own weekday level. Annual turnover sits at 41.1%, a bit better than the 45.8% national figure, so this isn't a home cycling through staff faster than everyone else. The current inspection record shows 27 deficiencies, three tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was in May 2025. Corporate for-profit ownership, 78 beds, and a four-star inspection rating alongside that staffing picture.
The Dalles Health and Rehabilitation runs on 5.06 nurse hours per resident per day, roughly 31% more than the national average of 3.86, a staffing level that stands out, though weekends run about 13% thinner than weekdays, so ask how coverage holds up on a Sunday. The 21 deficiencies on record, three of them at the harm or jeopardy level, temper that picture, and 48.1% annual turnover means the people providing that care are often new. The last inspection was December 2024, so the record is current. This is a for-profit corporate home where the direct-care hours are real and the oversight history is mixed.
Buena Vista Healthcare in Colville runs 4.28 nursing hours per resident day, which is about 11% more than the national average, that's the strongest part of its case. Weekend coverage drops roughly 12% below weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The 43.5% annual turnover is slightly better than the national 45.8%, and its last inspection was in February 2025, so the record is current. Against that, 17 deficiencies sit on file, three of them serious enough to involve harm or jeopardy, though none are abuse-related. The single fine of $13,104 is modest by industry standards.
Portland Health And Rehabilitation runs a for-profit corporate operation with 105 certified beds, and its nurse staffing sits at 4.68 hours per resident day, roughly 21% above the national average of 3.86. Weekend staffing drops about 13% below its own weekday level, and annual turnover hits 50%, against a national figure of 45.8%. The inspection record is where things get serious: 57 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with one fine of $24,827 and a 1-out-of-5 health inspection rating. Quality measures score 4 out of 5 and staffing 4 out of 5, but those inspection numbers, last reviewed February 2026, are what a family should weigh hardest.
Missoula Health & Rehabilitation Center runs on 3.96 nurse hours per resident day, a bit above the national average of 3.86, roughly 3% more. Weekend coverage dips about 10% below weekday levels, and staff turnover sits at 50%, higher than the 45.8% national figure, which matters for how well residents know their caregivers.
The current record shows 27 deficiencies, but none at the harm or jeopardy level and none abuse-related. Its last inspection was March 2026, and it holds a 4/5 on health inspections, a 3/5 on quality measures, and a 4/5 on staffing under corporate ownership.
Rawlins Rehabilitation and Wellness runs 62 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 3% below the home's own weekday level. Turnover is 38.7%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that. The inspection record is where the concern sits: 14 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus one fine of $14,433. The last inspection was August 7, 2025. Quality and health inspection ratings both land at 3 out of 5.
Village Health Care runs 106 certified beds in Gresham under corporate for-profit ownership, and its nurse staffing sits at 4.96 hours per resident day, roughly 28% above the national average of 3.86. That's a real cushion, though weekends dip about 10% below the home's own weekday levels. The trouble shows up in its inspection record: 44 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $21,890. Its last inspection was June 5, 2026, so the picture is current. Strong daily staffing, but a citation history that warrants questions before you sign anything.
Frontier Rehabilitation and Extended Care runs 140 certified beds in Longview, and the staffing picture is genuinely better than most: 4.21 nurse hours per resident day against a national average of 3.86, with turnover at 41.2% versus 45.8% nationally. Weekends thin out about 12% from weekday coverage, so ask how that plays out on a Sunday. The inspection record is recent and clean at the serious end, 23 deficiencies, none causing harm or jeopardy, though two are abuse-related and worth asking about directly. What pulls the quality measure rating down to 2 out of 5 is the piece families feel day to day: falls, infections, weight loss, the outcomes that don't show up on a tour.
Windsor Health and Rehabilitation runs a hundred beds in Salem under limited-liability, for-profit ownership, and it staffs them well, 5.07 nurse hours per resident per day against a national average of 3.86. The gap narrows on weekends, when hours drop about 11 percent below the home's own weekday level, and turnover sits at 51.4 percent, a few points above the national 45.8. Inspectors were last in on March 14, 2025, and the record shows 20 deficiencies, none at the harm level but four tied to abuse. Quality measure scores land low while staffing scores hold mid-range. Plenty of hands per resident, in other words, with questions about consistency and follow-through.
Polson Health & Rehabilitation Center runs 70 certified beds under for-profit LLC ownership, and its last inspection came in November 2025. The staffing picture is thinner than it looks at first: 3.13 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage. Turnover runs at 50%, higher than the 45.8% national figure. On paper the inspection history reads well enough at 4 of 5 stars, but the current record carries 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $17,404 fine.
Canterbury House runs a 100-bed for-profit operation in Auburn, and its staffing picture is genuinely solid: 3.85 nurse hours per resident day, right at the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 35.8%, well under the 45.8% national figure, which matters for continuity of care.
The trouble is the inspection record. Fifty-seven deficiencies, two serious enough to risk harm, three tied to abuse, and a $68,159 fine. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the people are there but the systems around them keep failing. The most recent inspection was January 2026, so that record is current, not old news.
Royal Park runs 164 beds in Spokane under for-profit LLC ownership, and the staffing numbers sit right at the edge: 3.82 nurse hours per resident day, just under the national average, with weekends about 14% thinner than weekdays and half the staff turning over each year. The bigger issue is the inspection record, 56 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and four fines adding up to $111,830. A recent inspection date of May 2026 means the record is current, not stale. The quality measure scores look strong, but those come from resident assessments, while the harm-level findings and abuse citations come from what surveyors actually saw on site.
Granite Rehabilitation and Wellness runs 146 certified beds in Cheyenne under corporate for-profit ownership that changed hands within the past year. Nurse staffing sits at 3.51 hours per resident day, roughly 9 percent under the national average, and weekends drop about 6 percent below the home's own weekday levels. Staff turnover, at 44.3 percent, is close to the national figure, so retention here isn't the outlier. What stands out is the inspection record: 25 deficiencies, three of them serious enough to signal harm or jeopardy, plus one fine of $15,548. A recent inspection date of March 2026 means the picture is current. The staffing star rating of 4 doesn't square neatly with those hours, which land below average, so weigh the inspection findings heavily.
Americana Health and Rehabilitation runs 74 certified beds in Longview, and its nurse staffing sits just above the national average, 3.93 hours per resident day against 3.86. That margin is thin, and weekends dip roughly 15% below the home's own weekday coverage, so the question of when you visit matters. Staff turnover is 33.3%, well below the 45.8% national figure, which suggests people tend to stay. The trade-offs show up elsewhere: 20 deficiencies on record, one at harm or jeopardy level and two tied to abuse, plus a 2/5 quality measure rating against 4/5 for inspections and staffing. Ownership is for-profit corporate, and the most recent inspection was November 2025.
Wheatcrest Hills runs a lean nursing floor, 2.69 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday numbers. That's the kind of gap families notice at 2 a.m., not on a brochure. Turnover sits at 32.4%, meaningfully better than the 45.8% national figure, and the last inspection was recent, December 2025.
The record isn't clean, though. Fourteen deficiencies are logged, three of them serious enough to involve harm or jeopardy, with four fines totaling $37,553. No abuse findings appear. Corporate-owned, 60 beds, mid-range marks on health inspections and quality measures, a home with real strengths in retention and none in raw staffing depth.
Sage View runs on thinner nurse coverage than most homes, 3.36 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers. That staffing pattern sits behind twelve deficiencies currently on record, including one at the harm level and one tied to abuse, along with a $12,735 fine. Turnover at 48.3% is slightly worse than the national 45.8%, meaning the aides and nurses who know your mother are leaving faster than average. The good news is the last inspection was recent, February 2025, and the quality measure score lands solidly above average. Ownership also changed within the past year, so the current operator has had limited time to fix what the surveyors found.
Thermopolis Rehabilitation and Wellness runs 60 certified beds under for-profit LLC ownership that changed hands within the past year. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 6% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The bigger worry is turnover: 73.2% annually, well above the 45.8% national figure, which means the people caring for your relative are often brand new. Sixteen deficiencies sit on the current record, three involving harm or jeopardy and four tied to abuse, plus two fines totaling $27,072. Quality measures look decent, but the staffing churn and inspection history are what pull this home down.
Pahrump Health and Rehabilitation runs a 120-bed for-profit operation, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends are thinner still, about 6 percent below its own weekday coverage, so the stretches when families tend to visit are the ones with the least help on hand. Staff turnover of 44 percent lands close to the national figure of 45.8 percent, meaning the workforce churns about as fast as everywhere else. Inspectors cited 23 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and fined the home twice for a combined $40,427. The most recent inspection was December 19, 2025.
Fountain Springs runs 90 certified beds in Rapid City under for-profit limited liability ownership, and the nurse staffing numbers sit slightly under the national mark, 3.79 hours per resident day against 3.86. That gap is small, but weekend coverage drops about 11% below weekday levels, and turnover hits 53.7% compared to 45.8% nationally, meaning the faces around a resident change more often than at the typical home.
The inspection record shows 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $22,526 in fines across two penalties. The most recent inspection was December 9, 2025, so the picture is current.
Wind River runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip even further, roughly 8% below its own weekday coverage. That thin margin matters more here because turnover sits at 54.7% while the national figure is 45.8%, meaning the staff who remain are stretched and the ones who leave take familiarity with residents with them. The inspection record is the harder read: 37 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, with $37,772 in fines across two penalties. New corporate ownership took over within the past year, so the current numbers reflect both the old operator's problems and whatever the new one has or hasn't fixed since.
Enumclaw Health and Rehabilitation runs 92 certified beds under for-profit LLC ownership, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. The bigger concern is consistency: weekends drop roughly 18% below weekday coverage, so care depends on which day your family member needs help. Staff turnover is 61.5% against a national average of 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record shows 67 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $23,203 in fines and a two-star health inspection rating. The most recent inspection was June 13, 2025, so that record is current.
Hot Springs Health & Rehabilitation Center runs 40 certified beds under corporate ownership, and its staffing numbers are the first thing to notice: 2.70 nurse hours per resident day against a national average of 3.86, roughly 30% lower. Weekend coverage drops about 11% below the home's own weekday level, so the thinnest shifts are the ones families tend to visit. Turnover sits at 45.2%, essentially tracking the national average, and the current record shows 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $22,614. The most recent inspection was February 10, 2026.
Shelton Health And Rehabilitation runs 76 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, not the cushion you'd hope for. The bigger issues show up in the inspection record: 59 deficiencies, four of them at harm or jeopardy level and five tied to abuse, with $65,213 in fines across three penalties. Staff turnover runs 55.3% against a national 45.8%, and weekend coverage drops about 13% below weekday levels. The most recent inspection was March 2026.
Independence Health and Rehabilitation runs a for-profit operation under a limited liability company, and the numbers tell a mixed story. Nurse staffing sits at 5.29 hours per resident day, well above the national average, but weekends run about 11% thinner than weekdays, so coverage isn't evenly spread across the week. Staff turnover is the bigger concern at 65.1%, far above the national rate, which matters because familiar caregivers know residents' routines and changes.
The inspection record shows 31 deficiencies, including one at the harm level, and three fines totaling nearly $70,000. Health inspection and quality measure ratings both sit at 2 out of 5.
Alaska Gardens runs a 123-bed for-profit home in Tacoma, and its nurse staffing sits right at the national average, 3.90 hours per resident day against 3.86. That number hides a wrinkle: weekends run about 9% leaner than weekdays, and half the nursing staff turns over each year, worse than the 45.8% national rate. Where the record really sours is inspections. Sixty-four deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $196,648. The last inspection was May 2026. State surveyors have flagged this home repeatedly, and that history is what a family should weigh before touring.
Prairie View runs leaner than most. At 3.61 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The bigger red flag is turnover: 73.1% of staff leaving annually against a national 45.8% means aides and nurses are constantly new, and familiarity is hard to build. Inspections turned up 11 deficiencies, including one at the harm level and one abuse-related, plus an $8,512 fine; the last survey was July 2025. For-profit LLC ownership, 42 beds, staffing and quality star ratings that don't match each other. Worth a visit on a weekend.
Mountain View runs 146 certified beds in Carson City under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 47.6%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, including one at the harm level and seven tied to abuse, with a $25,675 fine. Its last inspection was January 2026. If you're weighing this one, ask directly how they cover weekends and what changed since that January survey.
Gardnerville Health & Rehabilitation Center runs 60 certified beds under for-profit LLC ownership, and the numbers worth knowing are the ones a star rating can hide. Nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and it thins out about 10% on weekends, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover is the bigger flag: 63.6% of staff leave each year against a national average of 45.8%, which means unfamiliar faces at the bedside. The inspection record shows 55 deficiencies, including one at the harm level and six tied to abuse, with the most recent inspection in May 2025.