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EXCEPTIONAL LIVING CENTERS

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

10

States

3

Beds

1,006

Avg score

70

Avg turnover

52%

Federal fines

$367,781

All 10 homes

B

78/100

Siena Woods Care Center

Dayton, OH · Montgomery County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
62%
Serious cites
0

Siena Woods sits at 99 beds in Dayton, corporate-owned, and it was inspected in February 2026, so the record you're looking at is current. The staffing number is the catch: 3.88 nurse hours per resident day looks fine next to the national average of 3.86, but that average hides a 13% drop on weekends, and turnover runs 62.4% against a national 45.8%. That churn matters more than the headline hours. The 34 deficiencies include one at the harm level, though none are abuse-related. Quality measures score well; the inspection and staffing picture is more mixed.

B

76.5/100

Dover Care Center

Dover, TN · Stewart County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
44%
Serious cites
0

Dover Care Center runs 88 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends are thinner still, about 17% below the home's own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 43.9% is a hair better than the 45.8% national figure, so aides and nurses here aren't leaving any faster than elsewhere. The current record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related, a category that deserves a direct question. The last inspection was July 2025, and all three CMS star ratings land at 3 out of 5.

B

75.5/100

Buchanan Place

New Tazewell, TN · Claiborne County

CMS 2/5134 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
37%
Serious cites
0

Buchanan Place runs 134 certified beds under corporate ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 17% below its own weekday coverage, so if you're planning visits, that gap matters. Turnover is the one number that beats the norm: 36.7% against a national 45.8%, which suggests some stability in the workforce even if raw hours run thin. What pulls the record down is the inspection side, 18 deficiencies on file, including one at the harm level and four tied to abuse, with a single fine of $8,021. The last inspection was June 2022, so this record is dated.

B

75/100

Park View Care Center

Edgerton, OH · Williams County

CMS 5/574 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
40%
Serious cites
0

Park View Care Center runs 74 beds in Edgerton under limited liability ownership, and its inspection record is the strongest part of the story, a recent March 2026 survey, 17 deficiencies on file, none of them tied to harm, jeopardy, or abuse. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 12% below the home's own weekday coverage. Turnover lands at 40%, which is better than the 45.8% national average, though the 2-out-of-5 staffing rating reflects that thinner daily coverage. Families weighing this one should ask how weekend shifts get covered, since that's where the gaps show.

B

72/100

Century Villa Health Care

Greentown, IN · Howard County

CMS 4/584 bedsNon-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
37%
Serious cites
0

Century Villa runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. That's the number to watch if your family member needs help on a Saturday. Turnover sits at 36.8%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The inspection record is clean where it counts: 15 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was December 2025. The non-profit owner has kept outcomes solid; the open question is whether staffing stays thin on weekends.

B

72/100

Charlestown Place At New Albany

New Albany, IN · Floyd County

CMS 1/5158 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
65%
Serious cites
0

Charlestown Place At New Albany runs a hospital-district operation with 158 beds, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average. That edge narrows on weekends, when coverage drops about 10% below its own weekday level, and it's undercut by turnover of 64.9% against a national 45.8%, meaning a large share of caregivers are still new to the building. The inspection record is the harder problem: 52 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with two fines totaling $31,784 and a health inspection rating of 1 out of 5. The most recent inspection was August 2025, so that picture is current, not stale. Quality measures score well; the day-to-day care environment is where the risk concentrates.

B

72/100

Bradford Place Care Center

Hamilton, OH · Butler County

CMS 2/579 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
60%
Serious cites
0

Bradford Place runs on more nursing hours than most places, 4.23 per resident day against a national average of 3.86, but that cushion thins on weekends, when coverage drops about 12% below its own weekday level. The staff itself turns over fast: 59.8% annually, well above the 45.8% national figure, which means new faces are constantly learning the building. Inspectors have logged 31 deficiencies, including one at the harm level and three tied to abuse, and the health inspection rating sits at 1 out of 5. The quality measure stars are perfect, but those come from resident assessments, not from how the place is run day to day.

C

67.5/100

Morning Breeze Retirement Community And Healthcare

Greensburg, IN · Decatur County

CMS 3/564 bedsNon-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Morning Breeze runs lean on nursing hours, 3.31 per resident per day against a national average of 3.86, and weekends dip about 16% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a bit above the 45.8% national figure, so the people who are there keep changing. The good news is the inspection record: 10 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. A nonprofit corporation owns the 64-bed building. What you have is a home that's stayed out of serious trouble and scores well on quality measures, but whose day-to-day staffing is thin enough that weekend coverage is the thing to ask about directly.

C

60/100

Best Care Health And Rehabilitation

Wheelersburg, OH · Scioto County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
56%
Serious cites
0

Best Care Health and Rehabilitation runs 101 certified beds in Wheelersburg under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.51 nurse hours per resident day, it sits roughly 9% under the national average, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 56% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The record shows 43 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its last inspection was October 2024, and the health inspection and staffing ratings both came back at 2 out of 5.

D

52/100

Smyrna Care Center

Smyrna, TN · Rutherford County

CMS 1/5125 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
65%
Serious cites
0

Smyrna Care Center runs on thin staffing even by industry standards, 3.22 nurse hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday numbers. That gap matters more when you look at turnover: 65% of staff leave each year, well above the 45.8% national figure. The inspection record is the harder read. Thirty deficiencies, six of them serious enough to put residents in harm's way, and one tied to abuse. The last full inspection was February 2020, more than five years ago. Corporate ownership, 125 beds. Families deserve to know all of this before deciding.