ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

PACS GROUP

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

275

States

16

Beds

31,274

Avg score

73.3

Avg turnover

46%

Federal fines

$8,869,359

Flags across this group

29 of the group's homes carry a CMS abuse icon. 11 homes are in or a candidate for the Special Focus Facility programme.

All 275 homes

A

85/100

Linwood Meadows Care Center

Visalia, CA · Tulare County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

Linwood Meadows runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below its own weekday staffing. Turnover sits at 36.4%, better than the 45.8% national figure, which matters for continuity of care. The catch is the inspection record: 54 deficiencies on file, including one abuse-related citation, with no harm-level findings, and the last state visit was May 2025. Quality measures score well, but the 2/5 inspection rating is where the real story lives. This is a for-profit LLC with 98 beds, and the numbers suggest decent daily care alongside a documented compliance history worth asking about directly.

A

85/100

Oak River Rehab

Anderson, CA · Shasta County

CMS 5/5143 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Oak River Rehab runs 143 certified beds in Anderson under for-profit LLC ownership, and the numbers behind its grade hold up under a closer look. Nurse staffing sits at 3.94 hours per resident per day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 40.3% is better than the national 45.8%, which matters for whether the same aides keep showing up. The 19 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was December 2024.

A

85/100

Copper Ridge Care Center

Redding, CA · Shasta County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
41%
Serious cites
0

Copper Ridge Care Center in Redding runs a for-profit corporate operation with 125 certified beds, and the numbers tell a mixed story worth understanding. Nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average, though weekends drop about 12% below the home's own weekday levels, a gap families often notice when visiting Saturday or Sunday. Turnover runs 40.6%, better than the 45.8% national figure, which matters for continuity of care. On inspections, the home earned 5 out of 5 stars with its most recent survey in December 2025, but the record shows 16 deficiencies, including one at the harm or jeopardy level. No abuse citations appear.

A

85/100

Lindsay Gardens Nursing & Rehabilitation

Lindsay, CA · Tulare County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
40%
Serious cites
0

Lindsay Gardens runs about 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.78 hours per resident day, a bit under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Turnover is where it stands out: 39.8% annually against a national 45.8%, meaning staff tend to stick around longer than at the typical home. The 31 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 8, 2026, so the picture is current. Its quality measure rating is strong; the inspection and staffing ratings are middling.

B

84/100

Canyon Springs Post-Acute

San Jose, CA · Santa Clara County

CMS 4/5199 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
32%
Serious cites
0

Canyon Springs Post-Acute runs 199 certified beds in San Jose under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, about 5% under the national average of 3.86. Weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover is the bright spot: 31.6% against a national 45.8% means the aides and nurses here stick around longer than most, which matters for residents who need consistent hands. The inspection record is where caution creeps in, 53 total deficiencies, one at harm or jeopardy level and one abuse-related, though the most recent survey was May 2025, so that picture is fairly current.

B

84/100

Coal Creek Post Acute & Assisted Living

Lafayette, CO · Boulder County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
5.64 /day
Staff turnover
62%
Serious cites
0

Coal Creek runs a genuinely strong staffing operation, 5.64 nurse hours per resident day, roughly 46% above the national average, and its inspection and quality measure ratings both hold up well, with a recent inspection in August 2025. The catch is who stays. Annual turnover of 62.2% is well above the national 45.8%, which means a lot of the hands providing that above-average care are still learning the building, and weekend coverage dips about 9% below weekday levels. Twenty-two deficiencies sit on the record, one of them serious enough to involve harm or jeopardy, though none are abuse-related. It's a for-profit corporate home that's doing the hard part right on paper.

B

84/100

Porthaven Post Acute

Portland, OR · Multnomah County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
44%
Serious cites
0

Porthaven Post Acute runs 99 beds under for-profit LLC ownership, and its staffing is the strongest card it holds: 4.73 nurse hours per resident day, roughly 23% above the national average, with turnover at 43.6%, slightly better than the 45.8% national figure. Weekends run about 9% thinner than weekdays, which is worth asking about if your family visits then. The harder reading comes from inspections: a 2/5 health inspection rating, 52 deficiencies on the current record including 3 at harm or jeopardy level and 6 tied to abuse, plus three fines totaling $43,788. The last inspection was December 8, 2025. Strong quality measures and staffing numbers sit alongside a serious inspection history, ask directly what changed since that survey.

B

84/100

Hood River Post Acute

Hood River, OR · Hood River County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.94 /day
Staff turnover
48%
Serious cites
0

Hood River Post Acute runs a for-profit shop under an LLC, and the numbers split in two directions. Nurse staffing sits at 4.94 hours per resident day, well above the national average, and the quality measure score is perfect, which tells you residents' clinical outcomes look good on paper. But weekends drop roughly 13% below weekday coverage, and turnover at 48.2% edges past the national rate. The inspection record is the real concern: 29 deficiencies, including one at harm level and two tied to abuse, plus a $38,636 fine and a recent March 2026 inspection. Strong daily care, shakier oversight.

B

83.5/100

Patewood Post Acute

Greenville, SC · Greenville County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Patewood Post Acute runs 120 beds in Greenville under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the 3.86 national average. That thin margin matters more on weekends, when coverage drops roughly 17% below the home's own weekday levels. Staff turnover lands at 43.9%, which is actually a bit better than the 45.8% national figure, so retention isn't the problem here. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; the health inspection side is more middling.

B

83.5/100

Cedar River Healthcare Center

Renton, WA · King County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
39%
Serious cites
0

Cedar River Healthcare Center sits in Renton with 60 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 5.18 nurse hours per resident day, well above the national average of 3.86, with turnover at 39.3%, better than the 45.8% national figure. That's real coverage, though weekends run about 17% thinner than weekdays. The inspection record tells a different story. Thirty deficiencies on file, including two at the harm level and two tied to abuse, plus a $74,815 fine. The most recent inspection was April 2025, so the record is current. Strong daily staffing and a troubled compliance history are both true here, the question is whether the care at the bedside reflects the hours or the citations.

B

83/100

San Jacinto Valley Post Acute

Hemet, CA · Riverside County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
27%
Serious cites
0

San Jacinto Valley Post Acute runs a tight ship on the things that matter most. Nurse staffing sits at 3.94 hours per resident day, a hair above the national average, and the home holds onto its workers far better than most, 26.6% turnover against a national rate of 45.8% means familiar faces, which tends to matter more to families than a staffing star rating suggests. The 4/5 inspection and 5/5 quality scores back that up, though 32 deficiencies on record and one abuse-related finding are worth asking about directly. Weekend coverage dips about 7% below weekdays, so if you're visiting on a Saturday, pay attention to how quickly call lights get answered.

B

83/100

La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/594 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
34%
Serious cites
0

La Mesa Healthcare Center runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its 33.7% turnover is well below the 45.8% norm, a sign people tend to stay. Weekends dip about 8% below weekday staffing, so coverage is thinner then. The tradeoff shows in its record: 38 deficiencies, none at harm or jeopardy level, but one abuse-related finding, and a 2/5 staffing star despite the decent hours. Inspectors last visited in March 2025, and the 4/5 inspection and 5/5 quality ratings suggest care outcomes hold up. For a for-profit LLC with that many citations, the question is whether the abuse finding was a one-off or a pattern.

B

83/100

Costa Del Sol Healthcare

Los Angeles, CA · Los Angeles County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
33%
Serious cites
0

Costa Del Sol Healthcare runs 99 beds in Los Angeles under for-profit LLC ownership, and its numbers pull in opposite directions. The quality measure score is excellent, but staffing sits at the bottom, one star out of five, and that's the piece families feel daily, since it reflects how many aides and nurses are actually on the floor. The inspection record is heavy: 72 deficiencies, including one at the harm level and three tied to abuse, with a $38,181 fine and a May 2025 inspection. Staff turnover at 33.3% beats the national 45.8%, which helps continuity. Ask about direct-care hours per resident and what changed since that inspection.

B

83/100

Mckinley Park Care Center

Sacramento, CA · Sacramento County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
31%
Serious cites
0

Mckinley Park Care Center runs 86 certified beds in Sacramento under for-profit LLC ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.81 hours per resident day, basically even with the national average of 3.86, but weekends drop about 12% below the home's own weekday levels, so coverage thins out when families tend to visit. Turnover is the bright spot: 30.9% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is the concern, 60 deficiencies, one abuse-related, and a 2/5 health inspection rating, though none rose to harm or jeopardy. The most recent inspection was January 2026.

B

83/100

Rossmoor Post Acute

Walnut Creek, CA · Contra Costa County

CMS 4/5155 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
37%
Serious cites
0

Rossmoor Post Acute runs about 4.12 nursing hours per resident per day, roughly 7% above the national average, and its staff turnover of 37.1% is meaningfully better than the 45.8% national figure, a real signal that caregivers tend to stay. Weekends are thinner, though, running about 10% below weekday coverage, so ask how that plays out on a Saturday. The 32 deficiencies on record include one abuse-related citation, but none at the harm or jeopardy level, and the last inspection was recent (February 2025). Quality measures score well; staffing lands mid-range. As a for-profit LLC with 155 beds, it looks solid on paper, with the abuse citation worth a direct question.

B

83/100

Oak Glen Post Acute

Cherry Valley, CA · Riverside County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
30%
Serious cites
0

Oak Glen Post Acute runs 4.38 nurse hours per resident day, about 13% above the national average, and its 30.2% turnover is notably better than the 45.8% typical elsewhere, a sign this for-profit LLC can hold onto staff. But weekend coverage drops roughly 14% below weekdays, which matters when families visit and needs don't pause. On the inspection side, 37 deficiencies sit on the current record, including one at the harm level and one abuse-related, and the last state visit was May 2025. Quality measures score well, staffing sits mid-range, and inspections come in at three stars, solid numbers with real gaps worth asking about directly.

B

83/100

Beverly Hills Rehabilitation Centre

Los Angeles, CA · Los Angeles County

CMS 3/5150 bedsFor-profit
Nurse hours
4.68 /day
Staff turnover
31%
Serious cites
0

Beverly Hills Rehabilitation Centre runs 150 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.68 hours per resident day, roughly 21% above the national average of 3.86. Weekend coverage drops about 8% below its own weekday levels, so the weekday numbers don't tell the whole story. Annual turnover is 31%, well under the national 45.8%. What pulls the picture down is the inspection record: 83 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 2/5 health inspection star rating. The quality measure rating is 5/5 and staffing is 3/5, but those don't offset the survey history. The last inspection was August 7, 2025. Ask about that harm-level deficiency specifically before you decide.

B

82/100

Oakwood Gardens Care Center

Fresno, CA · Fresno County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
52%
Serious cites
0

Oakwood Gardens runs 4.01 nurse hours per resident day, which puts it a bit above the national average of 3.86, but look at weekends, when staffing drops roughly 7% below its own weekday level. That's when families tend to visit and when problems surface. The turnover number is the one I'd ask about directly: 51.7% of staff leaving in a year, against a national average of 45.8%. Inspections look solid, a 4-star health inspection rating, no deficiencies at the harm level, and the most recent visit was January 2025. The one abuse-related citation on the record is worth asking about specifically.

B

82/100

East Bay Post-Acute

Castro Valley, CA · Alameda County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

East Bay Post-Acute runs 3.88 nurse hours per resident day, essentially matching the national average of 3.86, and weekend staffing dips about 8% below its own weekday levels. Turnover sits at 44%, a touch under the national figure. Where the picture darkens is inspections: 58 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with a one-out-of-five health inspection rating against a five-out-of-five quality measure score. The most recent inspection was November 17, 2025, so the record is recent, not stale. For-profit individual ownership, 91 beds. The staffing numbers are ordinary; the inspection history is what a family should weigh.

B

82/100

Rock Creek Care Center

Auburn, CA · Placer County

CMS 5/584 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
47%
Serious cites
0

Rock Creek Care Center runs about 4.08 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday coverage. Staff turnover sits at 46.7%, basically in line with the national 45.8%. The 33 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in January 2026, so the picture is current. Ownership is a for-profit limited liability company. What the numbers describe is a home with solid clinical quality marks and enough nursing presence, held back mainly by volume of minor findings and a weekend staffing pattern families may want to ask about directly.

B

82/100

Orchard Post Acute

Fresno, CA · Fresno County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

Orchard Post Acute runs about 99 beds in Fresno under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, roughly 3.98 hours per resident day. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday level, and annual turnover at 48.8% runs a few points above the national figure. The inspection record is the heavier part of the story: 44 deficiencies on file, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors last visited in May 2025. Quality measure scores look strong; the inspection side is where the numbers get harder to explain.

B

82/100

Hanford Post Acute

Hanford, CA · Kings County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
56%
Serious cites
0

Hanford Post Acute runs 124 beds under limited-liability, for-profit ownership, and its numbers pull in two directions. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, but it dips roughly 6% on weekends, and annual turnover of 55.7% runs well past the 45.8% national figure, so the people at the bedside change often. The bigger concern is the inspection record: 41 deficiencies, one serious enough to involve harm or jeopardy, with the most recent survey in January 2025. On the plus side, residents' quality measures score at the top of the federal scale, which suggests the day-to-day care itself is landing well even as the operational and compliance side lags.

B

82/100

Linden Post Acute

Toppenish, WA · Yakima County

CMS 4/575 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Linden Post Acute runs 75 beds in Toppenish under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so families should ask how that gap gets covered. What stands out is retention: 28.3% turnover against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in November 2025 produced 31 deficiencies, none at harm or jeopardy level, though three were abuse-related. Recent inspections and steady staff count for a lot; the thin weekend coverage and those abuse citations are what to press on.

B

82/100

South Creek Post Acute

Centralia, WA · Lewis County

CMS 4/5128 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
55%
Serious cites
0

South Creek Post Acute runs 4.23 nurse hours per resident day, roughly 10 percent above the national average, and its quality measure scores come in at the top of CMS's range. Those are real strengths. The concerns sit elsewhere: weekend staffing drops about 14 percent below the weekday level, and annual turnover of 55 percent runs well above the 45.8 percent national figure, which matters for whether the same caregivers know your mother from one week to the next. The current record carries 42 deficiencies, including one at the harm level and seven tied to abuse. An $8,278 fine is modest, and the last inspection was recent, in February 2026.

B

82/100

Auburn Oaks Care Center

Auburn, CA · Placer County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Auburn Oaks runs 99 certified beds under a for-profit LLC, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekends drop about 9% below its own weekday level. Turnover is 46.9%, slightly worse than the 45.8% national figure, so the extra hours don't necessarily mean familiar faces. The inspection record is the harder read: 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse. Quality measures score well, but the last inspection was January 2026 and the health inspection rating sits at 2 out of 5. Ask about the abuse-related findings and weekend coverage before deciding.

B

82/100

Lincoln Meadows Care Center

Lincoln, CA · Placer County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
36%
Serious cites
0

Lincoln Meadows runs about 97 certified beds under for-profit LLC ownership, and the staffing picture here is genuinely above average, 4.10 nurse hours per resident day against a national figure of 3.86. Turnover sits at 35.8%, well under the 45.8% national rate, which matters because steady staff usually means steadier care. The tradeoff shows up in the inspection record: 46 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy level. That combination, solid staffing and quality marks (4 and 5 stars) against a long deficiency list, is why the overall picture lands where it does. If you're weighing this one, ask the administrator directly about that abuse citation and how weekend coverage holds up.

B

81.5/100

Columbia Post Acute

Columbia, MO · Boone County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
53%
Serious cites
0

Columbia Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staffing, inspection, and quality measure ratings all land at 4 out of 5. The catch is consistency: weekend staffing drops about 20% below weekday levels, and annual turnover sits at 52.9% against a national 45.8%. Its current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, with the last inspection in November 2024. For-profit ownership under an LLC is worth keeping in mind when you ask about retention and who's actually on the floor on Saturdays and Sundays.

B

81/100

Victorian Post Acute

San Francisco, CA · San Francisco County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
44%
Serious cites
0

Victorian Post Acute sits in San Francisco with 90 certified beds, run by a for-profit corporation. Staffing runs 3.82 hours per resident day, just under the national average, and weekends dip about 3% below the home's own weekday level, small gaps, but ones families often feel on Saturdays and Sundays. Turnover lands at 44.1%, slightly better than the national rate. Inspections are current, from February 2025, and the health inspection rating is strong, though the record carries 36 deficiencies, including two at harm or jeopardy level and one abuse-related. Quality measures score well; staffing sits in the middle.

B

81/100

Gateway Post Acute

Porterville, CA · Tulare County

CMS 2/562 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
55%
Serious cites
0

Gateway Post Acute runs 62 beds in Porterville under for-profit LLC ownership, and its staffing numbers are worth a close look. Total nurse coverage sits at 3.95 hours per resident day, just above the national average, but weekends fall about 5% below the home's own weekday level, and the CMS staffing rating lands at 1 out of 5. Annual turnover is 54.7%, nearly nine points above the national rate of 45.8%, which means the people showing up on any given shift change often. The health inspection side is thinner: a 2/5 rating, 51 deficiencies on record including one at the harm level, and an $8,018 fine. No abuse citations, though. Last inspected October 2024.

B

81/100

Cottage Grove Post Acute

Cottage Grove, OR · Lane County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
47%
Serious cites
0

Cottage Grove Post Acute runs on 4.64 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and that shows up in a four-star staffing rating. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Saturday night. Turnover sits at 47%, just above the national figure, which means a good share of the people caring for your family member are still new. The inspection record is mixed: 26 deficiencies, including two at the harm level and two tied to abuse, one fine of $20,670, and a three-star health inspection rating.