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OPCO SKILLED MANAGEMENT

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

68

States

4

Beds

8,166

Avg score

65.3

Avg turnover

55%

Federal fines

$3,502,768

Flags across this group

15 of the group's homes carry a CMS abuse icon. 2 homes are in or a candidate for the Special Focus Facility programme.

All 68 homes

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65/100

Mcgregor Wellness & Rehabilitation

Mc Gregor, TX · Mc Lennan County

CMS 2/5186 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
100%
Serious cites
0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

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65/100

Brentwood Place One

Dallas, TX · Dallas County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
2.31 /day
Staff turnover
73%
Serious cites
0

Brentwood Place One runs 120 beds in Dallas under corporate ownership, and its inspection record actually looks decent, 4 out of 5 stars, with the most recent survey in April 2026. The trouble sits in staffing: 2.31 nurse hours per resident per day, roughly 40% under the national average, with weekends about 11% thinner than weekdays. Turnover is 73.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. Sixteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Strong quality scores and a five-star quality measure rating don't erase any of that.

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64.5/100

Monarch Springs Wellness & Rehabilitation

University City, MO · St. Louis County

CMS 2/5119 bedsFor-profitMedicaid
Nurse hours
2.87 /day
Staff turnover
n/a
Serious cites
0

Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.

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64/100

Prescott Village Nursing & Rehabilitation

Prescott, AZ · Yavapai County

CMS 2/558 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
52%
Serious cites
0

Abuse icon on record

Prescott Village runs 3.27 nurse hours per resident per day, about 15% under the national average, and weekend staffing drops roughly 12% below its own weekday levels. That thinner weekend coverage matters because this for-profit LLC carries 33 deficiencies on its current record, including one at the harm level and one tied to abuse, with $8,278 in fines. Staff turnover sits at 52.2% against a national 45.8%, so the people caring for residents keep changing. The 5/5 quality measure score reflects reported clinical data, but the 1/5 inspection rating and 2/5 staffing rating come from what regulators found on site. The most recent inspection was March 6, 2026, so the record is current.

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64/100

Quiburi Mission Nursing & Rehabilitation

Benson, AZ · Cochise County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
30%
Serious cites
0

Abuse icon on record

Quiburi Mission runs 60 beds in Benson under for-profit LLC ownership, and its staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends about 11% thinner than its own weekdays. That said, turnover is 29.8% against a national 45.8%, so the people who are there tend to stay. The current record shows 13 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. Inspectors were last on site May 1, 2026. CMS gives it 2 of 5 stars on health inspections, 4 on staffing, and 5 on quality measures, a home whose day-to-day care metrics look better than its inspection history.

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64/100

Carmel Hills Wellness & Rehabilitation

Independence, MO · Jackson County

CMS 1/5194 bedsFor-profitMedicaid
Nurse hours
2.75 /day
Staff turnover
55%
Serious cites
0

Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.

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64/100

Los Alamos Wellness & Rehabilitation

Los Alamos, NM · Los Alamos County

CMS 2/564 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
54%
Serious cites
0

Abuse icon on record

Los Alamos Wellness & Rehabilitation runs on 3.09 nurse staffing hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 6% under its own weekday numbers. That thin margin shows up in the workforce itself: 54.2% annual turnover against a 45.8% national rate. The inspection record is the harder read, 75 deficiencies, one at harm or jeopardy level, seven tied to abuse, and six fines totaling $130,691, with the most recent survey in December 2024. Quality measures score well, but that rating sits on top of staffing and inspection results that tell a different story. For-profit corporate ownership, 66 beds.

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64/100

Sunset Villa Healthcare

Roswell, NM · Chaves County

CMS 3/552 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
53%
Serious cites
0

Abuse icon on record

Sunset Villa runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 5% below its own weekday level. That thin margin matters more when turnover sits at 53.4% against a national 45.8%, more than half the nursing staff leaving in a year makes consistent care hard to hold onto. On the record are 55 deficiencies, including 5 at the harm or jeopardy level and 6 tied to abuse, plus two fines totaling $80,968. Its last inspection was April 23, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. Strong quality measure scores don't offset staffing and inspection problems.

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64/100

Fiesta Park Wellness & Rehabilitation

Albuquerque, NM · Bernalillo County

CMS 2/5105 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
31%
Serious cites
0

Abuse icon on record

Fiesta Park runs 3.64 nurse hours per resident day, about 6% under the national figure of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 30.7%, which is actually well under the 45.8% national average, staff tend to stay. What stands out more is the inspection record: 44 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, plus two fines totaling $35,534. The most recent inspection was January 2025, so the picture is current. Quality measures score well; the health inspection side is where the problems concentrate.

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64/100

Spanish Trails Wellness & Rehabilitation

Albuquerque, NM · Bernalillo County

CMS 3/5134 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
64%
Serious cites
0

Abuse icon on record

Spanish Trails runs a for-profit limited liability operation with 134 certified beds, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 64.4% against a national 45.8%, so the people around your relative may change often. The current inspection record shows 45 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $57,519. The most recent inspection was April 25, 2025. Quality measures score well, but staffing and inspection history are where the concerns live.

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64/100

Skyline Nursing Center

Dallas, TX · Dallas County

CMS 2/5204 bedsGovernmentMedicaid
Nurse hours
3.05 /day
Staff turnover
50%
Serious cites
0

Abuse icon on record

Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.

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64/100

Arbor Lake Nursing & Rehabilitation, Llc

Fort Worth, TX · Tarrant County

CMS 2/5123 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
53%
Serious cites
0

Abuse icon on record

Arbor Lake runs on 3.11 nurse hours per resident per day, roughly 19 percent under the national average, and weekends drop another 11 percent below what the home itself staffs on weekdays. That thin coverage shows up in a 52.7 percent annual turnover rate, with more than half the nursing staff leaving each year. Inspectors cited 33 deficiencies on the current record, three of them serious enough to put residents in harm's way and two tied to abuse. The owner is a for-profit individual, and two fines totaling $14,676 are on file. One bright spot: the quality measures score well above average, and the most recent inspection was July 2025.

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64/100

Cypress Springs Wellness & Rehabilitation

Mount Vernon, TX · Franklin County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
81%
Serious cites
0

Cypress Springs runs 95 certified beds in Mount Vernon as a for-profit LLC, and the numbers a family should sit with are the workforce ones. Total nurse staffing sits at 3.57 hours per resident day, about 8% under the national figure, and weekends drop roughly another 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 81.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Inspections in June 2025 turned up 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $29,438 fine on record. Quality measures score well; consistent hands-on care is the open question.

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63/100

Glenview Wellness & Rehabilitation

North Richland Hills, TX · Tarrant County

CMS 1/5163 bedsGovernmentMedicaid
Nurse hours
2.40 /day
Staff turnover
57%
Serious cites
0

Glenview Wellness & Rehabilitation runs on a leaner nurse staffing budget than most homes in the country, 2.40 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday coverage. That gap shows up in the federal staffing rating, which sits at the lowest tier, while annual turnover of 57.3% means the aides and nurses who are there keep changing. The inspection record is where things get more concerning: 26 deficiencies on file, four of them at the level where a resident was actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $23,970 have been levied. The quality measure rating is strong at 4 out of 5, but that's a paper score next to the hands-on reality of who's available to answer a call light.

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63/100

Quitman Wellness & Rehabilitation

Quitman, TX · Wood County

CMS 3/5156 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
81%
Serious cites
0

Quitman Wellness & Rehabilitation runs 156 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.40 nurse hours per resident day, it sits about 12% under the national average, with weekends running roughly 9% thinner than weekdays, a pattern that matters most on Saturdays and Sundays when families tend to visit. Annual turnover of 81.1% is nearly double the national rate, meaning the aide or nurse you meet in month one may not be there by month six. Its inspection history shows 28 deficiencies, two serious enough to reach harm or jeopardy level, and $39,049 in fines. Quality measures score well; staffing and consistency do not.

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63/100

Brentwood Place Four

Dallas, TX · Dallas County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
65%
Serious cites
0

Brentwood Place Four runs on 3.19 nurse hours per resident per day, about 17% under the national average of 3.86, and weekend coverage dips roughly another 10% below its own weekday numbers. That thin staffing shows up in the turnover figure: 65.2% annually against a national 45.8%, meaning most of the people caring for residents were not there a year ago. The health inspection record carries 30 deficiencies, none at harm or jeopardy level, but 3 tied to abuse. Its quality measure score is perfect, which tends to reflect charted care rather than the hands available to deliver it. A June 2025 inspection is recent, so the picture is current, not stale.

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62.5/100

Prescott Valley Nursing & Rehabilitation

Prescott Valley, AZ · Yavapai County

CMS 2/558 bedsFor-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
59%
Serious cites
0

Prescott Valley Nursing & Rehabilitation runs on 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 15% below what it provides on weekdays. That thin schedule shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 59.3% of staff left over the past year, well above the 45.8% national figure. The inspection record carries 31 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $8,278. The last full inspection was November 2023, so that record is getting old. Strong quality measure scores don't offset a floor staffed this lightly.

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62/100

White Sands Healthcare

Hobbs, NM · Lea County

CMS 2/5118 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
47%
Serious cites
0

Abuse icon on record

Nurse staffing at White Sands runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends drop another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. On inspections, the record shows 35 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $21,528; the most recent inspection was March 2026. Staff turnover sits at 46.6%, essentially in line with the national average rather than worse, so the problems here look more like persistent short staffing and a serious inspection history at this corporate-owned, 118-bed building than a retention crisis.

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61/100

Fort Worth Wellness & Rehabilitation

Fort Worth, TX · Tarrant County

CMS 1/5104 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
47%
Serious cites
0

Fort Worth Wellness & Rehabilitation runs on 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage is the main thing behind its one-star staffing rating, and it shows up alongside 19 deficiencies on the current record, including one at the harm level, plus a single fine of $122,336. The inspection history sits at two stars, most recently surveyed July 17, 2025, so nothing here is stale. Turnover of 46.7% is close to the national 45.8%, but with this staffing level, even average churn means less continuity for residents.

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60.5/100

Rehab Of Kansas City South

Kansas City, MO · Jackson County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
60%
Serious cites
0

Abuse icon on record

Rehab Of Kansas City South runs about 3.10 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekends are about 17% thinner than its own weekdays. That staffing shortfall shows up in other numbers: 59.5% of staff left over the past year against a 45.8% national rate, and CMS gives staffing a single star out of five. The inspection record carries 45 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and the last survey was in February 2025. This is a for-profit LLC with 100 certified beds, a two-star inspection rating, and a three-star quality measure score.

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60.5/100

Pine Grove Manor

Saint Louis, MO · St. Louis City County

CMS 1/577 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
n/a
Serious cites
0

Pine Grove Manor runs 3.14 nurse hours per resident day, about 19 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. That thin staffing sits alongside a one-star inspection record carrying 34 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus $31,665 in fines across two penalties. Quality measures score well, but that's family-reported and assessment-based data; the inspection and staffing numbers are what regulators actually observed. The last inspection was March 2026, so the record is current. For-profit corporate ownership, 77 beds, and a staffing picture that leaves little margin when a resident needs more attention than the schedule allows.

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59/100

Broadway Nursing & Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5237 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
51%
Serious cites
0

Broadway Nursing & Rehabilitation runs 237 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.65 nurse hours per resident day, under the national average, with weekends about 13% leaner than weekdays. Annual turnover sits at 51.4%, so more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including 3 at harm or jeopardy level and 8 abuse-related, with two fines totaling $84,129. CMS rated staffing 1 out of 5 stars and health inspections 2 out of 5, though quality measures scored 4. Ask about weekend coverage and how they screen and supervise staff.

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58.5/100

Highland Pines Nursing Home

Longview, TX · Gregg County

CMS 2/5171 bedsGovernmentMedicaid
Nurse hours
3.70 /day
Staff turnover
46%
Serious cites
0

Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.

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57.5/100

Willow Ridge Wellness & Rehabilitation

Fort Worth, TX · Tarrant County

CMS 1/5265 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
n/a
Serious cites
0

Willow Ridge runs 265 beds in Fort Worth under a for-profit LLC, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident day, roughly a fifth below the national average, with weekends dipping about 13% below its own weekday coverage. The inspection record backs that up, 39 deficiencies in total, 14 at harm or jeopardy level and 5 abuse-related, plus seven fines adding to $321,244. Quality measures score well, but the health inspection and staffing ratings both sit at the bottom of the federal scale, and the most recent survey was July 2025.

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57/100

Blue Springs Wellness & Rehabilitation

Blue Springs, MO · Jackson County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
2.69 /day
Staff turnover
69%
Serious cites
0

Abuse icon on record

Blue Springs Wellness & Rehabilitation runs on 2.69 nurse hours per resident day, roughly 30% under the national average, with weekends about 12% thinner than weekdays. That staffing shortfall sits alongside a 68.9% annual turnover rate, well above the national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record shows 66 deficiencies, including three at harm or jeopardy level and one tied to abuse, with $116,230 in fines and a March 2025 inspection. The five-star quality measure rating reflects resident assessment data, not the hands available to deliver care.

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57/100

Casa Arena Healthcare Llc

Alamogordo, NM · Otero County

CMS 1/5117 bedsFor-profitMedicaid
Nurse hours
2.92 /day
Staff turnover
61%
Serious cites
0

Casa Arena runs on thin staffing: 2.92 nurse hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday levels. With 60.8% annual turnover, aides and nurses are cycling out faster than most homes in the country, which makes consistent care hard to deliver. The inspection record is where the real trouble sits, 92 deficiencies, including three at harm or jeopardy level and eight tied to abuse, plus $124,375 in fines. A 4/5 on quality measures doesn't offset a 1/5 on inspections and staffing; those measures largely reflect what the home reports about its own residents. The last survey was recent, June 2025, so the picture is current.

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57/100

Ivy Creek Wellness & Rehabilitation

Waco, TX · Mc Lennan County

CMS 1/5162 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
65%
Serious cites
0

Ivy Creek runs 162 certified beds in Waco under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.21 nurse hours per resident day, it sits about 17% under the national average, weekend coverage drops another 11% below its own weekday level, and 64.7% annual turnover means the aides and nurses in the building keep changing, a rate well above the 45.8% norm. The inspection record shows 15 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $149,039 in fines and a survey as recent as July 2025. Quality and health inspection scores land mid-range, so the real story is thin, unstable staffing layered over a record that has already flagged harm.

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56/100

Rehabilitation Center Of Independence, The

Independence, MO · Jackson County

CMS 2/5130 bedsFor-profitMedicaid
Nurse hours
2.68 /day
Staff turnover
74%
Serious cites
0

Abuse icon on record

The Rehabilitation Center of Independence runs on 2.68 nurse hours per resident per day, roughly 31% under the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. Staff turnover sits at 73.7% against a national 45.8%, so the people around your relative change often. Its current record carries 56 deficiencies, including five at the harm or jeopardy level and two tied to abuse, plus a $71,208 fine. The 5/5 quality measure score looks good, but that's self-reported data, and the 1/5 staffing rating and 2/5 inspection rating come from what surveyors actually found. Ask about weekday-to-weekend coverage before you decide.

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56/100

Aztec Healthcare

Aztec, NM · San Juan County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
2.75 /day
Staff turnover
72%
Serious cites
0

Abuse icon on record

Aztec Healthcare runs on 2.75 nurse staffing hours per resident day, roughly 29% under the national average of 3.86, and weekends dip about 5% below its own weekday level. That thin coverage shows in the numbers: 72.1% annual turnover against a national 45.8%, 37 deficiencies on the current record including six at the harm level and two abuse-related, and four fines totaling $105,228, with the last inspection on June 7, 2024. The corporation that owns it is for-profit. The five-star quality measure rating stands out against a one-star staffing rating and a two-star inspection rating, but quality measures alone don't cover gaps in daily care.

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56/100

Mineola Gardens Wellness & Rehabilitation

Mineola, TX · Wood County

CMS 1/582 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
89%
Serious cites
0

Abuse icon on record

Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year. The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.