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
56
States
2
Beds
5,545
Avg score
65.7
Avg turnover
57%
Federal fines
$1,768,656
Flags across this group
8 of the group's homes carry a CMS abuse icon.
1 home is in or a candidate for the Special Focus Facility programme.
Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.
Pin Oaks Living Center runs 124 certified beds in Mexico, Missouri, under corporate for-profit ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national mark, with weekends running about 6% lighter than its own weekdays. Turnover lands at 44.7%, essentially tracking the national rate. The real trouble is the inspection record: 59 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, plus a $26,650 fine and a one-star health inspection rating, though its last survey came in November 2024. A four-star staffing score can't offset that paper trail.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
St James Living Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Turnover compounds that: 58% of staff leave annually against a national 45.8%.
The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and three tied to abuse. One fine totaling $14,069 is on file, and the most recent inspection was November 2025. Federal quality measures rate 1 out of 5 stars, and the surrounding ratings only reach the middle.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
Point Lookout runs on thin staffing. At 2.59 nurse hours per resident per day, it sits about a third below the national average of 3.86, and weekends drop roughly another 15% below what the home manages on weekdays. That shows up in the federal staffing rating, which lands at the lowest tier. The inspection record carries 33 deficiencies, one of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in October 2024. Ownership is a for-profit corporation, and turnover at 47.9% edges past the national 45.8%. Quality measures rate below average at 2 out of 5.
Troy Manor runs on 2.57 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends dip another 11 percent below its own weekday levels. That thin coverage sits behind a one-star health inspection rating and a record of 71 deficiencies, including six at the harm or jeopardy level and ten tied to abuse. Two fines add up to $104,685. Staff turnover, at 38.3 percent, is actually better than the national 45.8 percent, and the quality measure rating is a middling three stars. But the last inspection was April 2024, and the staffing and inspection numbers are what families should weigh most.
Crestview Home runs on thin nursing coverage. At 2.89 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends are slightly leaner than weekdays. Staff turnover is 57.5% a year, well above the national 45.8%, so familiar faces cycle out fast. The inspection record is heavy, 58 deficiencies, though none at harm or jeopardy level and none abuse-related. One fine of $14,498 is on file, and the most recent inspection was in March 2025. The quality measure rating of 3/5 suggests clinical outcomes aren't the problem; the staffing numbers and inspection volume are. For-profit, limited liability ownership. Ask about consistent weekday-to-weekend coverage before deciding.
Fulton Nursing & Rehab runs on 2.76 nurse hours per resident day, roughly 28% under the national figure of 3.86, and weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 63.6% against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its inspection record, last reviewed in June 2025, carries 50 deficiencies, including one at the harm level and two tied to abuse, plus an $8,018 fine. All three CMS star ratings land at 2 out of 5. For a 100-bed for-profit home, those numbers describe thin, unstable staffing layered over a troubled survey history.
Grandview Healthcare Center runs on thin staffing: 3.11 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 9% below what the home already provides on weekdays. That's the number worth weighing, because turnover sits at 68.6% against a national 45.8%, most of the people caring for your relative are likely new to the building. The record shows 24 deficiencies, including one at the harm level and one tied to abuse, and the quality measure score came in low. A recent inspection doesn't erase a pattern like that. If you're considering this one, ask how they hold staffing on weekends and what's changed since January.
Joplin Gardens runs on 92 certified beds and a for-profit LLC structure, and the staffing numbers are the first thing worth knowing: 3.08 nurse hours per resident per day against a national average of 3.86, with weekend coverage dipping about 7% below its own weekdays. That thin schedule sits alongside 61.9% annual staff turnover, well above the 45.8% national figure, so the people providing care change often. Inspectors last visited in August 2024 and found 25 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none abuse-related. Federal ratings put quality measures and staffing at the bottom of the scale, with health inspections somewhat higher at two stars.
River City Living Community has 50 deficiencies on its current record, including three at the harm or jeopardy level and nine tied to abuse. That's the part that matters most. Staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, but weekends run about 6% below the home's own weekday level, and annual turnover is 73.1%, well above the 45.8% national figure. The last inspection was October 2024, and there's one fine on record totaling $237,995. For-profit corporate ownership rounds out the picture. The staffing number looks fine on paper, but a 73% turnover rate suggests the people providing care keep changing.
Springfield Villa runs on 2.96 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 20% below what the home itself staffs on weekdays. That thin coverage is hard to separate from the rest of the record: 64% annual turnover, a one-star CMS staffing rating, and 36 deficiencies logged, including three at the harm or jeopardy level and one tied to abuse. The last inspection was November 2023, and there's a $69,595 fine on file. Quality measures score mid-range at three stars, but with staffing this far under the norm and a for-profit LLC structure, the numbers point to a home where care depends heavily on who happens to be on shift.
Current River Nursing Center runs on about 3.27 nursing hours per resident per day, roughly 15 percent below the national average, and weekend coverage drops further still, about a tenth thinner than its own weekdays. Staff turnover sits at 73.5 percent against a national figure near 46 percent, so the people caring for residents are, more often than not, new to the building. The inspection record shows 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, and the last state visit was in August 2025. All three CMS star categories land at two out of five. For-profit corporate ownership, thin staffing, and heavy turnover are the pattern here, not a single bad month.
Potosi Manor runs on thinner staffing than most homes, 3.28 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters most on Saturdays and Sundays, when residents still need the same care with fewer hands on deck.
The bigger issue is turnover: 74.6% of nursing staff leaving annually, against a national rate near 46%. Combine that with 21 deficiencies on record, including one at the harm level and one tied to abuse, and a $13,627 fine, and you get a home with real compliance problems behind its October 2024 inspection. The corporate owner operates it for profit, so ask who's actually on the floor on a Sunday afternoon before you decide.
Camdenton Windsor Estates runs on thin staffing: 2.78 nurse hours per resident day against a national average of 3.86, and weekends dip about 16 percent below its own weekday levels, so coverage is scarcest exactly when families tend to visit. Three out of four employees left over the past year, the national figure is closer to 46 percent, and CMS rates the home 1 out of 5 on quality measures and 2 out of 5 on both staffing and health inspections. Its record shows 45 deficiencies, including one at the harm level and two tied to abuse. The last inspection was April 10, 2025.
Willard Care Center is a 66-bed for-profit home in Greene County with a strong inspection record, 4 out of 5 stars, 21 deficiencies on file and none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing runs 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 23% below the home's own weekday levels. Annual turnover hits 70.9% against a national 45.8%, meaning most of the aides and nurses your family member sees will likely be gone within a year. The quality measure score of 1 out of 5 fits that picture. Recent inspections look clean, but consistent hands on deck is the harder problem to solve.
Lebanon North runs 180 beds under individual for-profit ownership, and the staffing numbers are the first thing I'd want you to see: 3.12 nurse hours per resident day, roughly 19% under the national average, with weekends dipping about 13% below its own weekday level. That thin coverage shows up in the inspection record too, 62 deficiencies, nine of them serious enough to put residents in harm's way, nine tied to abuse, and a $24,801 fine. Staff turnover of 62.5% is well above the 45.8% national figure, so the people caring for residents are often new. The last inspection was May 2024. Before you consider this one, ask the administrator what's changed since then.
Pacific Care Center runs lean on nursing staff, 2.40 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday level. Annual turnover sits at 66.7% versus 45.8% nationally, so the staff you meet on a Tuesday may not be there in six months. Its inspection record is current as of February 2026 and shows 35 deficiencies, none at the harm level but one tied to abuse. The federally reported quality measures rate 1 out of 5 stars, which is worth asking about directly. For-profit LLC ownership out of Franklin County.
Grand River Health Care is a 60-bed for-profit home in Chillicothe, and the numbers are hard to dress up. Nurse staffing sits at 2.84 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time than the typical facility, and weekends run slightly thinner than weekdays on top of that. Staff turnover is 81.3%, nearly double the national rate, which means the people caring for residents are, more often than not, new.
The inspection record reflects that instability: 60 deficiencies on file, including 11 tied to abuse and four serious enough to put residents in harm's way, with $68,226 in fines. The last state visit was February 2025. One star each for health inspections and staffing tells you where the problems concentrate.
Eldon Nursing & Rehab runs on 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip about 16% below what the home staffs on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, and it's hard to keep anyone long-term: annual turnover is 77.6% against a national 45.8%, meaning most of the people caring for residents are new to the building. The record shows 32 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $79,671. Inspectors were last in on February 26, 2026. Individual for-profit ownership.
South Hampton Place runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 8% below its own weekday level, so the thinnest coverage lands when families are most likely to visit. Turnover tells its own story: 66.7% of nursing staff leaving annually, against a national average of 45.8%. The inspection record is worse. Forty deficiencies, including three tied to abuse and one at the harm or jeopardy level, with a $12,735 fine and the most recent inspection in April 2025. Boone County families comparing options should weigh that record carefully.
Lincoln County Nursing & Rehab runs on 2.45 nurse hours per resident day, roughly a third below the national average, and weekends get about 10 percent less attention than weekdays. Staff turnover sits at 74.2 percent against a national 45.8 percent, so the people caring for your relative are likely to be new and soon to be gone. The record shows 115 deficiencies, nine of them serious enough to put residents in harm's way, five tied to abuse, and $235,414 in federal fines. CMS has placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. The most recent inspection was May 2024.
Maryville Living Center runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the hours your family member gets on a Saturday are thinner than the weekday number suggests. Staff turnover is 68.9% against a national 45.8%, meaning roughly two of every three caregivers left within a year. The current record carries 42 deficiencies, including five at the harm or jeopardy level and five tied to abuse. Fines total $22,337, and the last inspection was June 19, 2025.
Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.