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HILL VALLEY HEALTHCARE

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

5,452

Avg score

65.7

Avg turnover

54%

Federal fines

$1,759,192

Flags across this group

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

All 43 homes

B

80/100

Laurelhurst Post Acute & Rehabilitation

Portland, OR · Multnomah County

CMS 1/5159 bedsFor-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
47%
Serious cites
0

Laurelhurst runs 4.91 nurse hours per resident day, about 27% above the national average, and weekends dip only modestly below weekdays. That staffing is the home's real strength. The inspection record is the counterweight: 43 deficiencies on file, three serious enough to put residents in harm's way, four tied to abuse, and a $33,319 fine. Staff turnover of 47.1% sits slightly above the national figure, and the building changed owners within the past year. Last inspection was March 2025. If you're considering it, ask how the current operator is addressing those abuse-related findings and what weekend coverage actually looks like in practice.

B

80/100

The Broadview Center

Seattle, WA · King County

CMS 2/5211 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
41%
Serious cites
0

The Broadview Center runs 211 certified beds in Seattle under for-profit LLC ownership, and its inspection record is the part that would give me pause. Eighty-four deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single CMS fine of $17,252. A health inspection rating of 1 out of 5 backs that up, and the most recent inspection was in June 2025, so this isn't stale history. Staffing sits at 3.83 hours per resident day, just under the national average, and weekend coverage dips about 11% below its own weekday numbers. Turnover at 41.2% is actually better than the 45.8% national figure, and the quality measure rating is strong, but neither offsets that inspection pattern.

B

79/100

Lacey Post Acute & Rehabilitation

Lacey, WA · Thurston County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
55%
Serious cites
0

Lacey Post Acute & Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. Weekends dip about 10% below its own weekday coverage, and annual turnover hits 54.5% against a national 45.8%, so the same faces aren't always there. The inspection record shows 43 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $7,443. A recent June 2025 inspection and strong quality measure scores don't erase that deficiency history or the thin staffing margin.

B

77/100

Summit Health And Rehab Center

Lynchburg, VA · Lynchburg City County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
54%
Serious cites
0

Summit Health and Rehab Center is a 120-bed for-profit home in Lynchburg, and its numbers pull in opposite directions. The clinical quality measures earn top marks from CMS, but staffing sits below the national average at 3.59 nurse hours per resident day, and weekends run about 13 percent thinner than weekdays, a pattern that matters most when families visit and needs go up. Staff turnover of 54 percent tops the national average by a wide margin, and the inspection record shows 43 deficiencies, two tied to abuse, with the most recent inspection in May 2025. The quality scores look strong on paper; whether the floor is consistently covered is the fairer question.

B

75/100

George Washington Health & Rehabilitation

Alexandria, VA · Fairfax County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
36%
Serious cites
0

George Washington Health & Rehabilitation runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday staffing, so the quietest shifts are the leanest. The record shows 45 deficiencies, none flagged at harm or jeopardy level, but four tied to abuse, which deserves a direct question when you tour. What balances that: staff turnover of 35.9% sits well under the 45.8% national figure, meaning caregivers tend to stay, and CMS scored the home 5 out of 5 on quality measures. Its last full inspection was June 14, 2023, so ask what's happened since.

B

75/100

Fair Oaks Health & Rehabilitation

Fairfax, VA · Fairfax County

CMS 1/5155 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Fair Oaks runs on thin nurse coverage, 3.33 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekdays. That staffing number is worth watching since residents don't stop needing help on Saturdays. The stronger signal here is turnover: 22.6% versus 45.8% nationally, meaning the aides and nurses who are there tend to stay, which matters for consistency of care. But the inspection record is the weak spot, 65 deficiencies on file, a 1-out-of-5 health inspection rating, and the last survey was February 2025. None of those deficiencies rose to harm or jeopardy, and there's no abuse history. A for-profit LLC operates the 155-bed building.

B

74/100

Salmon Creek Post Acute & Rehabilitation

Vancouver, WA · Clark County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
57%
Serious cites
0

Salmon Creek runs on a 120-bed for-profit corporate model, and its nurse staffing sits at 3.98 hours per resident day, just above the 3.86 national figure, a margin thin enough that weekends, which drop about 13% below its own weekday coverage, can erase it. The bigger concern is who's providing that care: 57.2% annual turnover means more than half the nursing staff leaves each year, well past the 45.8% national rate, which matters for residents who need consistent caregivers. Inspections in January 2026 turned up 49 deficiencies, including one abuse-related citation, and the health inspection rating sits at 2 of 5 stars. Nothing on the record rises to harm or jeopardy level.

B

74/100

Tygart Valley Health & Rehabilitation

Belington, WV · Barbour County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
40%
Serious cites
0

Tygart Valley runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 39.6%, which is actually better than the 45.8% national figure, so the crew that's there tends to stay. The inspection record shows 55 deficiencies, two tied to abuse, though none rose to the level of actual harm or immediate jeopardy. Its last full inspection was in November 2025, so the picture is current. A 3-out-of-5 on health inspections, quality measures, and staffing across the board tells you this is a middle-of-the-road building, not alarming, not standout.

B

73/100

Mt. Tabor Health & Rehabilitation

Portland, OR · Multnomah County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
71%
Serious cites
0

Mt. Tabor runs a corporate-owned, 120-bed operation where the direct-care hours look good on paper, 4.85 per resident day, roughly a quarter above what nursing homes average nationally. But that same staff is turning over at 70.8% a year, well past the 45.8% national figure, and weekend coverage dips about 7% below its own weekday pace. The current inspection record carries 38 deficiencies, including four tied to abuse, though none rose to actual harm or jeopardy. Ownership changed hands within the past year, and the last survey was in June 2025. Strong hours, unstable workforce, and a long deficiency list, that combination is what holds the grade where it is.

B

72/100

Lakeside Health & Rehabilitation

Richmond, VA · Henrico County

CMS 2/5194 bedsFor-profitMedicaid
Nurse hours
3.01 /day
Staff turnover
48%
Serious cites
0

Lakeside runs 194 beds in Richmond under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.01 nurse hours per resident day, it sits roughly 22 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level. Turnover is 48.3 percent against a 45.8 percent national average. The inspection record is heavy: 72 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in February 2024. CMS rates staffing and health inspections 1 out of 5, while quality measures score 5. The gap between those ratings is the real story here.

B

72/100

Carlin Springs Health & Rehabilitation

Arlington, VA · Arlington County

CMS 1/5161 bedsNon-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
37%
Serious cites
0

Carlin Springs runs lean on the floor: 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends drop about another 10% below its own weekday pace. That thin coverage shows up in the inspection record, which carries 41 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was back in July 2022. Turnover at 37.3% is actually better than the 45.8% national figure, and the quality measures score well, so this isn't a home where care is falling apart. It's one where you'd want to visit on a Saturday and ask who's actually on the unit.

B

72/100

Skyview Springs Rehab And Nursing Center

Luray, VA · Page County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
2.78 /day
Staff turnover
36%
Serious cites
0

Skyview Springs runs lean on nursing staff, 2.78 hours per resident day against a national average of 3.86, and weekends drop further from its own weekday level. That thin coverage is the main thing behind the numbers here. Turnover at 35.6% is actually better than the national 45.8%, so leadership isn't the problem; staffing volume is. The inspection record shows 51 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent visit in November 2023. Quality measures score well, but they don't offset what happens when there aren't enough hands on a Saturday.

B

72/100

Winchester Health & Rehabilitation

Winchester, VA · Frederick County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
64%
Serious cites
0

Winchester Health & Rehabilitation runs 60 certified beds under corporate for-profit ownership, and the numbers show a split personality. Nurses provide 3.35 hours of care per resident per day, roughly 13% under the national average of 3.86, and weekend staffing drops another 13% below its own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover sits at 64% against a national average of 45.8%, which means the people caring for your relative are likely to change often. The health inspection rating is 1 out of 5, with 71 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy level. The last full inspection was April 2023. Quality measures score well at 4 out of 5, but that reflects charted clinical outcomes, not the staffing and oversight problems underneath.

B

71/100

Evergreen Health And Rehabilitation Center

Winchester, VA · Winchester City County

CMS 2/5176 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
50%
Serious cites
0

Evergreen Health and Rehabilitation Center runs 176 certified beds in Winchester under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, and annual turnover hits 49.7% against a national 45.8%, so consistent hands-on care is the real concern here. The inspection record shows 61 deficiencies, including two tied to abuse, though none at the harm or jeopardy level, with the last inspection dated January 10, 2024. CMS rates staffing and health inspections at 2 out of 5 stars each, while quality measures score 4 out of 5.

B

71/100

Birch Creek Post Acute & Rehabilitation

Tacoma, WA · Pierce County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
52%
Serious cites
0

Birch Creek runs 124 certified beds in Tacoma under for-profit LLC ownership, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends roughly 11% leaner than weekdays. Turnover is the sharper problem: 51.7% of staff leave annually, against 45.8% nationally. The inspection record is what should give you pause. Seventy-five deficiencies are on file, three of them at harm or jeopardy level and ten tied to abuse. One fine totaling $30,240 has been levied, and the last inspection was March 13, 2026. A 1-out-of-5 health inspection rating captures that pattern better than any single number.

B

71/100

Huntington Health And Rehabilitation Center

Huntington, WV · Cabell County

CMS 2/5186 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
55%
Serious cites
0

Huntington Health And Rehabilitation Center runs 186 certified beds under for-profit LLC ownership, and the numbers show a building that's stretched. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends drop roughly 9% below its own weekday levels, so the coverage families count on Saturday and Sunday is thinner than what the home provides midweek. Staff turnover lands at 54.6% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection history carries 54 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. Two of five stars on both health inspections and staffing tell you where the pressure sits.

B

70/100

Tate Springs Health & Rehab

Lynchburg, VA · Lynchburg City County

CMS 4/5118 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
36%
Serious cites
0

Tate Springs runs a split personality on paper. The health inspection record is genuinely strong, a 4 out of 5, 21 deficiencies on file with none at the harm level and nothing abuse-related, last surveyed in April 2023. Quality measures score well too. Where it slips is staffing: 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends run about 10% thinner than weekdays. That's a 2 out of 5 on CMS staffing, which is the number I'd weigh heaviest if your family member needs help with daily tasks or supervision. Turnover at 36% is better than the 45.8% national figure, so the crew that's there tends to stay. Ask about weekend coverage specifically.

C

69.5/100

Blue Ridge Therapy Connection

Stuart, VA · Patrick County

CMS 4/5190 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
44%
Serious cites
0

Blue Ridge Therapy Connection runs 190 beds in Stuart under for-profit LLC ownership, and its staffing is the weak spot: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 15% thinner than weekdays. That pattern matters because needs don't take weekends off. Turnover sits at 43.9%, slightly better than the 45.8% national figure, and the inspection record is genuinely strong, 12 deficiencies, none at harm or jeopardy level, no abuse citations, and a survey as recent as September 2025. So the picture is a home that passes its inspections cleanly but runs lean on the floor day to day. If you're considering it, ask how they staff weekend shifts and what happens when a resident needs urgent attention on a Saturday.

C

69/100

Lawrenceville Health & Rehabilitation

Lawrenceville, VA · Brunswick County

CMS 1/577 bedsFor-profitMedicaid
Nurse hours
2.40 /day
Staff turnover
51%
Serious cites
0

Lawrenceville Health & Rehabilitation runs on 2.40 nurse hours per resident per day, roughly 38 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That's the same thread running through a 1-out-of-5 CMS staffing rating and 50.9 percent annual turnover, which sits above the 45.8 percent national figure. Its 31 deficiencies are all lower-level, with nothing tied to harm or abuse, and the most recent inspection came in March 2025. The 4-out-of-5 quality measure rating stands out against all of this, but quality scores lean on charted outcomes, and thin weekend coverage doesn't show up there. Ask about the actual aide-to-resident ratio on a Saturday.

C

68.5/100

Highland Ridge Rehab Center

Dublin, VA · Pulaski County

CMS 1/5132 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
64%
Serious cites
0

Highland Ridge runs 132 beds in Dublin under corporate for-profit ownership, and its staffing numbers are the first thing to look at. Nurse coverage sits at 3.69 hours per resident day, about 4% under the national average, with weekends running roughly 17% thinner than weekdays, so the hours your family member gets help can shift depending on the day of the week. Annual turnover of 64.2% is well above the 45.8% national figure, meaning aides and nurses cycle through quickly. The 46 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection was February 2026. Its quality measure score of 4 out of 5 stands out against a 1 out of 5 on staffing.

C

68/100

Oakwood Health And Rehab Center

Bedford, VA · Bedford County

CMS 2/5111 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
58%
Serious cites
0

Oakwood Health And Rehab Center runs 111 certified beds in Bedford under corporate for-profit ownership, and the staffing numbers are where the trouble starts. Nurses give residents 3.28 hours of care per day, roughly 15% under the national average, weekends drop about 7% below the home's own weekday hours, and more than half the staff turned over last year against a national rate nearer 46%. Its current inspection record carries 41 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse; two fines total $15,593, and the most recent inspection dates to July 2023. Resident outcome measures score well, but consistent staffing and a clean inspection history are what keep people safe day to day.

C

67/100

Fairmont Crossing Health And Rehab Center

Amherst, VA · Amherst County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
50%
Serious cites
0

Fairmont Crossing runs about 3.29 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops another 12 percent below what it manages on weekdays. That thin staffing shows up in the numbers: turnover near 50 percent, higher than the national figure, and 25 deficiencies on the current record, two of them serious enough to cite harm or jeopardy. One fine of $12,740 has been levied. The quality measure score is strong, but those ratings rely on reported data rather than direct observation, and the last full inspection was in June 2022, over two years ago. For-profit, limited liability ownership. Low staffing plus a long inspection gap is the pattern worth weighing.

C

65.5/100

Oakwood Snf Llc

Middle River, MD · Baltimore County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
n/a
Serious cites
0

Oakwood SNF in Middle River runs 130 certified beds under for-profit LLC ownership, and its federal record shows where the trouble sits: 88 deficiencies on file, including two at harm or jeopardy level and seven tied to abuse. The staffing star rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects, while the quality measure score of 4 shows resident outcomes look better than the staffing numbers would suggest. Inspections are current, with the last visit in March 2026 and $13,270 in fines recorded. The inspection history and thin staffing are the real story here, ask pointed questions about direct care hours and how abuse allegations get handled.

C

65/100

Holly Manor Rehab And Nursing

Farmville, VA · Prince Edward County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
57%
Serious cites
0

Holly Manor Rehab And Nursing runs 120 certified beds in Farmville under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. CMS gives it one star for health inspections and one for staffing. There are 95 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekends drop about 12% below its own weekday level. Annual turnover is 56.9%, well above the 45.8% national figure. The quality measure star of four looks better on paper, but it's built from resident assessment data, not from how the place is actually run day to day. The last inspection was August 30, 2024.

C

64/100

Staunton Post Acute & Rehabilitation

Staunton, VA · Staunton City County

CMS 2/5170 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
54%
Serious cites
0

Abuse icon on record

Staunton Post Acute & Rehabilitation runs 170 beds under corporate ownership, and the numbers that matter most here are the inspection ones. The current record shows 48 deficiencies, including five at the harm or jeopardy level and eight tied to abuse, a serious pattern that lines up with the one-star health inspection rating. It's also been more than two years since the last inspection in June 2023, so that record may not reflect what's happening now. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 10% below its own weekday level. Staff turnover is 54.2%, well above the 45.8% national figure.

C

64/100

Lynn Care Center

Front Royal, VA · Warren County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
57%
Serious cites
0

Abuse icon on record

Nurse staffing at Lynn Care Center runs 4.11 hours per resident day, a bit above the national average, but the coverage thins out on weekends, dropping about 16% below its own weekday level. Staff turnover sits at 56.6%, meaning more than half the nursing team leaves each year, well above the national 45.8%. The inspection record is where the real concern sits: 59 deficiencies, 4 of them at harm or jeopardy level, 3 related to abuse, and a $38,110 fine. That's a lot of problems for a 120-bed for-profit home, and the 1-out-of-5 inspection rating reflects it. High quality measure scores don't cancel out a record like that.

C

64/100

Alderwood Post Acute & Rehabilitation

Lynnwood, WA · Snohomish County

CMS 2/5113 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
57%
Serious cites
0

Abuse icon on record

Alderwood runs a for-profit corporate home with 113 beds in Lynnwood, and the numbers pull in different directions. Nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, and weekends dip about 9% below its own weekday levels. The trouble shows up elsewhere: CMS gives it 1 out of 5 stars on health inspections, with 123 deficiencies on the current record, including 4 at the harm or jeopardy level and 13 tied to abuse. Four fines total $190,519. Staff turnover is 56.7%, well above the 45.8% national figure, which matters when a place relies on consistent caregivers. The last inspection was August 2025, so the record is recent, and it's a rough one.

C

64/100

Gig Harbor Health And Rehabilitation

Gig Harbor, WA · Pierce County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
68%
Serious cites
0

Abuse icon on record

Gig Harbor Health And Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, just above the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops roughly 12% below the home's own weekday levels. The bigger concern is the inspection record: 119 deficiencies, four at harm or jeopardy level, 14 tied to abuse, and two fines totaling $127,781. Annual turnover of 67.9% against a national 45.8% means caregivers are cycling through fast. A five-star quality measure score doesn't offset a one-star health inspection rating and that many serious findings. If you're considering this home, ask directly how they're addressing turnover and what's changed since the December 2025 inspection.

C

61/100

Brookside Rehab & Nursing Center

Warrenton, VA · Fauquier County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
64%
Serious cites
0

Abuse icon on record

Brookside runs on thinner staffing than most homes in the country, about 3.09 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 13 percent below its own weekday level. More than six in ten staff members left over the past year, well above the 45.8 percent national rate, which makes it hard to keep consistent caregivers at the bedside. The inspection record is the bigger concern: 80 deficiencies, including two at the harm level and four tied to abuse, with $146,073 in fines and a one-star health inspection rating. The last inspection was in August 2024.

C

60/100

Williamsburg Post Acute & Rehabilitation

Williamsburg, VA · James City County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
2.82 /day
Staff turnover
63%
Serious cites
0

Williamsburg Post Acute has 130 beds and a staffing problem that shows up in the numbers: 2.82 nurse hours per resident day against a national average of 3.86, and weekend coverage that dips about 13% below its own weekday level. Annual turnover sits at 63.1%, well above the 45.8% national figure, which means the people around your family member change often. The inspection record adds 31 deficiencies, five tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was in October 2024, so it's reasonably current. The for-profit LLC ownership is worth knowing, but staffing is the thing to ask about directly.