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.
Milton Freewater Health and Rehabilitation runs 5.34 nursing hours per resident per day, well above the 3.86 national average, and its staff turnover of 34.1% is lower than the 45.8% typical elsewhere, both signs of a stable, well-manned floor. The catch is weekends, when staffing drops about 12% below its own weekday level, and a record of 26 deficiencies including one at the harm level and five tied to abuse. The most recent inspection was January 2026. Corporate ownership and a single $8,278 fine round out a picture of a home that's adequately staffed but has had real compliance problems worth asking about directly.
Seattle Medical Post Acute Care runs a for-profit operation with 103 beds, and the staffing numbers are genuinely strong on paper, 5.71 nurse hours per resident day, roughly 48% above the national average, with turnover at 43.4% that's slightly better than the typical home. The problem is what inspections keep finding. Eighty-two deficiencies sit on the current record, nine of them serious enough to endanger residents and eight tied to abuse. Six fines totaling $73,318 have piled up, and the most recent inspection was just September 2025, so this isn't a stale record. Quality measures score well and staffing looks adequate, but those inspection findings at the harm level tell a different story about what daily life there can actually be like.
North Cascades Health And Rehabilitation is a for-profit LLC home in Bellingham with 122 certified beds, and the numbers tell a split story. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average, and weekends run roughly 16% thinner than weekdays, so the days your family member might visit are often the days with the least coverage. Turnover at 34.5% is better than the national 45.8%, but the inspection record is the real concern: 95 deficiencies, 10 at harm or jeopardy level, 14 abuse-related, and six fines totaling $313,623, with the most recent inspection on April 13, 2026. Good quality scores don't cancel out a record like that.
Laurel Health & Rehabilitation Center runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 15% below its own weekday level. Staff turnover sits at 67.6% against a national 45.8%, which means the people caring for residents are, more often than not, recent hires or on their way out. The inspection record backs that up: 41 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with a fine of $7,163. Quality measures score well, but that's a narrow slice of the picture.
Laramie Health and Rehabilitation runs 105 certified beds under corporate for-profit ownership, and the staffing numbers are where you notice the strain first. At 2.89 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 17% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 51.8% tops the national rate, meaning many of the people caring for residents are still learning the building. The current record carries 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $43,618 in fines and the last inspection in October 2024.
Palisade Healthcare Center runs about 18% below the national average on nurse staffing, and weekends drop roughly another 17% below its own weekday level. The inspection record is the harder problem: 29 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $154,946. A 60% annual turnover rate against a 45.8% national average means the people at the bedside keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The quality measure score looks strong on paper, but it sits on top of a staffing and inspection record that families should ask about directly.
Firesteel Healthcare Center runs about 10% below the national average for nurse staffing, at 3.47 hours per resident day, and weekends get thinner still, roughly 15% lighter than the home's own weekdays. The 55% annual turnover rate means more than half the nursing staff leaves within a year, well above the 45.8% national figure. The inspection record is the bigger concern: 33 deficiencies on file, eight serious enough to put residents at risk of harm, one tied to abuse, and $153,308 in fines across six penalties. Ownership is a for-profit limited liability company. The most recent inspection was April 25, 2025, so the picture is current. Ask about weekend coverage and how they've addressed the abuse-related finding.
Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 2025.
Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.
Riverview Healthcare Center is a 63-bed for-profit home in Flandreau, and the numbers behind its record deserve a hard look. Nurse staffing sits at 3.62 hours per resident per day, about 6% under the national average, and it thins out further on weekends, roughly 12% below the home's own weekday levels. Annual turnover runs 66.7% against a national 45.8%, so caregivers are cycling through constantly.
That instability shows up in the inspection record: 35 deficiencies, 14 at harm or jeopardy level, 10 abuse-related, and six fines totaling $176,867. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with persistent serious problems. If you're considering this one, ask pointed questions about what's changed since the February 2025 inspection.
Shepherd of the Valley runs 192 certified beds in Casper under corporate ownership that changed hands within the past year. The numbers that stand out: a one-star health inspection rating, 39 deficiencies on the current record, including seven serious enough to put residents in harm's way and three tied to abuse. Staffing sits at 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends run about 18 percent thinner than weekdays. Add 47.4 percent annual turnover and $97,031 in fines across five penalties. When a home changes ownership while carrying that inspection record, families should ask who's actually running the building day to day.
Worland Health and Rehabilitation runs on thin nurse staffing, 3.25 hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the home manages on weekdays. The inspection record is the bigger concern: fifteen deficiencies, three of them at harm or jeopardy level and five tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A single fine of $6,788 is on file, and the last inspection came in March 2025. For-profit corporate ownership, 87 certified beds. If you're considering this home for someone you love, ask pointed questions about weekend coverage and how the abuse-related findings were corrected.