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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

B

81/100

Ashland Post Acute

Ashland, OR · Jackson County

CMS 1/587 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
41%
Serious cites
0

Ashland Post Acute is a for-profit LLC with 87 beds, and its staffing is the strongest part of the picture: 4.48 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping only about 5% below weekdays. Turnover sits at 40.8%, better than the 45.8% national figure. The trouble is the inspection record, 54 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $31,369 fine. That history, not the staffing, is what holds the grade down to a C. The last inspection was May 2025, so the record is recent. If you're considering this home, ask directly what changed since those harm-level findings.

B

81/100

St Francis Healthcare Center

Hayward, CA · Alameda County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
53%
Serious cites
0

St Francis Healthcare Center runs 62 certified beds in Hayward under for-profit limited liability ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That headline number deserves a caveat: weekend coverage drops about 13% below the home's own weekday levels, so care on Saturdays and Sundays looks thinner than the weekly average suggests. Staff turnover is 52.9%, well above the 45.8% national figure, which matters because new faces mean less continuity for residents. The current record shows 21 deficiencies, none at the harm or jeopardy level, though three are abuse-related. The most recent inspection was April 2026.

B

81/100

Rancho Bellagio Post Acute

Moreno Valley, CA · Riverside County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
33%
Serious cites
0

Rancho Bellagio sits in Moreno Valley with 99 certified beds, run by a for-profit limited liability company. Its nurses put in 4.32 hours per resident day, roughly 12% above the national average of 3.86, which matters because staffing is the thing families feel most. Weekend coverage dips about 9% below the home's own weekday level, so Saturdays and Sundays run leaner than the rest of the week. Turnover sits at 33.3%, better than the 45.8% national figure, meaning the crew here is comparatively stable. Against that, the current record shows 44 deficiencies, including one at the harm level and three tied to abuse, plus a single $8,827 fine. The last inspection was January 29, 2026.

B

80.5/100

Crystal Ridge Care Center

Grass Valley, CA · Nevada County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
47%
Serious cites
0

Crystal Ridge runs 99 certified beds in Grass Valley under for-profit LLC ownership, and its staffing is the weak spot in an otherwise decent record. Nurses provide 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 18% below what the home staffs on weekdays. Turnover sits at 46.5%, essentially matching the national rate. The survey history is the real concern: 45 deficiencies on the current record, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Quality measures score well, but the staffing and inspection numbers tell you to ask hard questions about who's actually on the floor on a Sunday.

B

80/100

University Care Center

San Diego, CA · San Diego County

CMS 5/587 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
36%
Serious cites
0

University Care Center runs on 4.04 nurse hours per resident day, about 5% above the national average, and weekend staffing dips roughly 8% below its own weekday level, a small gap, but one to ask about if your family visits Saturdays. The 42 deficiencies on record sound like a lot until you see none reached harm or jeopardy and none involved abuse, and the most recent inspection was in May 2025. Turnover sits at 36.4%, meaningfully better than the 45.8% national figure. Corporate for-profit ownership, 87 beds, with quality measures scoring well above its staffing marks.

B

80/100

Redwood Cove Healthcare Center

Ukiah, CA · Mendocino County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Redwood Cove runs on thinner staffing than most homes, 3.52 nurse hours per resident day against a national average of 3.86, with weekends dipping about 13% below its own weekday levels. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Turnover sits at 42.9%, slightly better than the 45.8% national figure, so the crew is comparatively stable even if it's small. The inspection record shows 36 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent survey was in December 2025. Quality measures score well; the staffing and inspection side of things is where the weaker numbers live.

B

80/100

Sacramento Post-Acute

Sacramento, CA · Sacramento County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
42%
Serious cites
0

Sacramento Post-Acute runs 4.65 nurse hours per resident day, roughly 20% above the national average, and its staff turnover of 42.3% is slightly better than the typical 45.8%. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family member needs care on Saturdays and Sundays. The current record shows 33 deficiencies, none at the harm or jeopardy level, though three are abuse-related. A February 2026 inspection is recent, and the 5/5 quality measure rating stands out against a 2/5 staffing rating and 3/5 inspections. Corporate-owned, 99 beds.

B

80/100

San Francisco Post Acute

San Francisco, CA · San Francisco County

CMS 5/553 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
36%
Serious cites
0

San Francisco Post Acute runs about 4.35 nursing hours per resident per day, roughly 13% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, people tend to stay here longer than at the typical home. The catch is how thin weekends get: staffing drops about 9% below the home's own weekday level, which matters if your family visits or calls on a Saturday. Twenty-four deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the last inspection was December 2024. Ownership is a for-profit limited liability company.

B

80/100

Boulder Post Acute

Boulder, CO · Boulder County

CMS 4/5162 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
60%
Serious cites
0

Boulder Post Acute runs 162 beds under limited-liability, for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, and annual turnover hits 59.5% against a 45.8% national figure, which means the people at the bedside keep changing. The current inspection record carries 30 deficiencies, including three at the harm or jeopardy level and five tied to abuse; one fine totaling $9,113 has been assessed, with the last inspection dated February 19, 2026. Resident outcome measures look strong, but inspection findings and retention are the parts worth pressing on when you visit.

B

80/100

Winding Trails Post Acute

Boulder, CO · Boulder County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
31%
Serious cites
0

Winding Trails Post Acute runs 150 beds in Boulder under for-profit, limited-liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 6% thinner than weekdays, so coverage is lightest when families tend to visit. Turnover is the bright spot at 31% against a national 45.8%, and the quality measure rating is strong. But the inspection record is the counterweight: 69 deficiencies, 12 at harm or jeopardy level, six abuse-related, plus a $90,659 fine, with the most recent inspection in November 2024.

B

80/100

Chillicothe Post Acute

Chillicothe, OH · Ross County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
35%
Serious cites
0

Chillicothe Post Acute runs about 3.23 nurse hours per resident day, roughly 16% under the national average, and weekend staffing drops another 14% below its own weekday pace, so the thinnest coverage lands when families tend to visit. Turnover sits at 34.7%, which is actually better than the 45.8% national figure, and the quality measure rating is a perfect 5/5. The tension is in the inspection record: a 2/5 health inspection rating, 39 deficiencies, two of them abuse-related, with the most recent inspection dated March 10, 2026. None of the deficiencies rise to harm or jeopardy level. Under a for-profit LLC, the clinical quality numbers look strong while the staffing and inspection numbers tell a more cautious story.

B

80/100

Manna Post Acute

Pickens, SC · Pickens County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
22%
Serious cites
0

Manna Post Acute runs 130 beds in Pickens under corporate for-profit ownership, and its nurse staffing sits at 3.45 hours per resident day, about 11% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the genuine bright spot: 22% against a national average of 45.8%, meaning aides and nurses here tend to stay. The current record shows 16 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was May 2026, so the picture is recent. Quality measures score well; staffing and inspection results are more middle-of-the-road.

B

80/100

Riverwalk Post Acute

Riverside, CA · Riverside County

CMS 2/5146 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
28%
Serious cites
0

Riverwalk Post Acute runs 4.28 nurse hours per resident per day, roughly 11% above the national average, and its staff turnover of 28% sits well under the 45.8% national figure, a sign people tend to stay. Weekend staffing does dip about 8% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The 52 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, December 2025. With 146 beds under for-profit LLC ownership, the quality measures score better than the inspection results.

B

80/100

Mcclure Post Acute

Oakland, CA · Alameda County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
35%
Serious cites
0

McClure Post Acute sits at 60 beds in Oakland, run by a for-profit limited liability company. The nursing hours here run about 4.51 per resident day, roughly 17 percent above the national average, and weekend coverage dips only slightly below weekday levels. Staff turnover is 35.2 percent, which is lower than the national 45.8 percent, a meaningful difference when you're thinking about who's actually at the bedside month to month. The current record shows 20 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Inspections are recent, and the quality measure score is strong even as the staffing star sits at three. Ask about that abuse deficiency and what changed after it.

B

80/100

Vineyard Post Acute

Petaluma, CA · Sonoma County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
37%
Serious cites
0

Vineyard Post Acute sits in Petaluma with 99 certified beds under for-profit LLC ownership, and its staffing runs slightly ahead of the national average, about 3.99 nurse hours per resident day, roughly 3% above the norm. Staff turnover is 37.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below the home's own weekday level. The harder numbers are on the inspection side: 47 deficiencies on the current record, three at harm or jeopardy level and two tied to abuse, plus three fines totaling $63,135. The last inspection was December 2025. Quality measure scores look strong, but a two-star health inspection rating with that deficiency history is what pulls the overall picture down.

B

80/100

San Bruno Skilled Nursing

San Bruno, CA · San Mateo County

CMS 4/545 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
37%
Serious cites
0

San Bruno Skilled Nursing runs 4.42 nurse hours per resident per day, well above the national average of 3.86, and its 37% turnover beats the typical 45.8%. Those are the numbers behind a B. But look closer: weekends drop about 8% below the home's own weekday staffing, and CMS gives it only 2 of 5 stars on staffing despite the high raw hours. The record shows 36 deficiencies, three tied to abuse, though none rose to harm or jeopardy. It was inspected in December 2025, so the picture is current. The 5/5 quality measure score reflects charted care, not hands on the floor. For-profit, limited liability ownership.

B

80/100

Sundance Creek Post Acute

Banning, CA · Riverside County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Sundance Creek Post Acute runs 132 certified beds in Banning under for-profit LLC ownership, and its staffing story is mixed. At 3.95 nurse hours per resident day it sits just above the national average of 3.86, but weekends drop roughly 8% below its own weekday coverage, worth asking about if your family visits then. Turnover at 33.9% is meaningfully better than the 45.8% national figure, which suggests less churn among the people actually providing care. The concerning number is 71 deficiencies on the current record, including six tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on November 24, 2025.

B

80/100

Fountain Valley Post Acute

Fountain Valley, CA · Orange County

CMS 3/5151 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

Fountain Valley Post Acute runs 151 beds under corporate for-profit ownership, and the staffing picture is genuinely better than average: 4.14 nurse hours per resident day against a national 3.86, with turnover at 37.7% versus 45.8% nationally. Weekends dip about 8% below weekdays, so ask how that plays out on a Sunday. The inspection record is the harder part, 77 deficiencies on file, including 6 tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection came in January 2026. Quality measures score well; inspections don't. That split is worth weighing against what your family actually needs.

B

79.5/100

Trellis Paradise

Las Vegas, NV · Clark County

CMS 5/583 bedsFor-profit
Nurse hours
4.49 /day
Staff turnover
46%
Serious cites
0

Trellis Paradise runs 4.49 nurse hours per resident day, roughly 16 percent above the national figure, though weekends drop about 20 percent below its own weekday staffing. Turnover sits at 46.3 percent, essentially level with the national rate, and the staffing star comes in at 3 of 5 despite the raw hours. The health inspection record is the stronger side: 28 deficiencies on file, none at harm or jeopardy level and none abuse-related, with a recent July 2025 inspection. It's a for-profit LLC with 83 beds. The care numbers look solid; the question a family should ask is who's actually on the floor on a Sunday.

B

79/100

The Pines At Placerville Healthcare Center

Placerville, CA · El Dorado County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
46%
Serious cites
0

The Pines At Placerville runs a 99-bed for-profit operation in El Dorado County, and its nurse staffing sits modestly above the national average at 4.09 hours per resident day. That edge narrows on weekends, though, when coverage drops roughly 11% below its own weekday pace, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover lands at 46.2%, essentially matching the national rate, so continuity of caregivers is neither a strength nor a red flag here. The inspection record shows 54 deficiencies, none at the harm or jeopardy level, two tied to abuse. A March 2026 inspection is recent enough that the findings reflect current conditions rather than old ones.

B

79/100

Visalia Post Acute

Visalia, CA · Tulare County

CMS 1/5176 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
42%
Serious cites
0

Visalia Post Acute runs 176 beds under for-profit LLC ownership, and its inspection record is the hard part: 69 deficiencies on file, including one at the harm level and three tied to abuse. That's a lot of documented problems for a single home, and CMS's one-star health inspection rating reflects it. Staffing sits at 3.76 nurse hours per resident day, just under the national average, with weekends running about 4% lighter than weekdays. Turnover at 41.8% is actually a bit better than the 45.8% national figure. The quality measure score looks strong on paper, but that's built from resident assessment data, not from what inspectors found when they walked in.

B

79/100

Canyon Vista Post Acute

Las Vegas, NV · Clark County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.97 /day
Staff turnover
45%
Serious cites
0

Canyon Vista Post Acute runs a for-profit limited liability operation with 120 certified beds in Las Vegas. The nurse staffing number is the strongest part of the picture: 4.97 hours per resident day against a national average of 3.86, which is real coverage, though weekends run about 13% thinner than weekdays. Turnover sits at 44.9%, essentially at the national average. The health inspection side is where it gets concerning, 26 deficiencies currently on record, including one at the harm or jeopardy level and one that's abuse-related, plus a $35,016 fine in the CMS file. The last inspection was April 10, 2026. Strong daily staffing and strong quality scores don't erase a deficiency record like that, and families should ask directly about both incidents.

B

79/100

Colonial Vista Post-Acute & Rehab Center

Wenatchee, WA · Chelan County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
41%
Serious cites
0

Colonial Vista runs 3.89 nurse hours per resident day, just above the national average of 3.86, so it isn't short-staffed on paper, though weekends dip roughly 7% below its own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, and the last inspection was recent, August 2025. What stands out is the deficiency record: 25 findings on the current record, including one abuse-related citation, but none at the harm or jeopardy level. That combination of a 4/5 inspection rating and a 4/5 quality measure rating against that many deficiencies is the tension worth asking about on a tour.

B

79/100

Peninsula Post-Acute

Burlingame, CA · San Mateo County

CMS 4/562 bedsFor-profit
Nurse hours
4.71 /day
Staff turnover
37%
Serious cites
0

Peninsula Post-Acute runs nurse staffing at 4.71 hours per resident day, about 22% above the national average, and its 36.9% turnover is better than the 45.8% norm. Those numbers look strong on paper. The catch is what shows up on the record: 42 deficiencies, including one at the harm level and three tied to abuse, plus a 2/5 CMS staffing star despite the high hours, and weekend coverage that drops roughly 13% below weekdays. The most recent inspection was March 2026. A for-profit LLC operation with that deficiency history is worth asking about directly before you commit.

B

78.5/100

Sonoma Post Acute

Sonoma, CA · Sonoma County

CMS 4/583 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Sonoma Post Acute runs 83 certified beds as a for-profit LLC, and its staffing sits at 3.58 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 19% below what the home staffs on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. The current inspection record carries 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Turnover runs 42.7%, slightly better than the 45.8% national figure, and the last inspection was April 16, 2026. What pulls the numbers in opposite directions is quality measures scoring at the top of CMS's scale while the health inspection record sits mid-range. Ask about weekend coverage and how the home handled those harm-level findings before you decide.

B

78/100

Ridgecrest Post Acute

Phoenix, AZ · Maricopa County

CMS 5/5200 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
59%
Serious cites
0

Ridgecrest Post Acute runs 200 beds in Phoenix under for-profit LLC ownership, and the numbers tell a split story. Nurse staffing sits at 4.03 hours per resident day, a bit above the national average, but weekends drop roughly 7% below its own weekday levels and annual turnover hits 58.8% against a national 45.8%, that's a lot of churn. The health inspection side looks steadier: a 4-out-of-5 star rating, last survey in late February 2026, and 15 deficiencies on record with none at the harm or jeopardy level. Two abuse-related citations are worth asking about directly. Quality measures score 5 out of 5, yet staffing earns only 2.

B

78/100

Cottonwood Canyon Healthcare Center

El Cajon, CA · San Diego County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
40%
Serious cites
0

Cottonwood Canyon runs 96 beds in El Cajon under corporate ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 7% below its own weekday coverage. Turnover lands at 40.4%, better than the 45.8% national figure, so the same faces are more likely to stick around. The trouble shows up in inspections: 61 deficiencies on the current record, two at harm or jeopardy level and three tied to abuse, plus $20,518 in fines across two penalties. With a 2-star inspection rating against a 5-star quality measure score, the day-to-day care numbers look stronger than what surveyors have actually found.

B

78/100

Moraga Post Acute

Moraga, CA · Contra Costa County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
39%
Serious cites
0

Moraga Post Acute runs 4.10 nurse hours per resident day, about 6% above the national average, and its staff turnover of 39.3% sits below the national 45.8%, meaning people tend to stay. But weekend staffing drops roughly 9% below its own weekday levels, so the coverage your family sees Monday may not be what shows up Saturday. The current record carries 28 deficiencies, including one at the harm level and one abuse-related, and the staffing star rating is only 2 of 5 despite the decent hours on paper. Inspections were last done in November 2024, so the picture is fairly current.

B

78/100

Wolf Creek Care Center

Grass Valley, CA · Nevada County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
54%
Serious cites
0

Wolf Creek Care Center in Grass Valley runs 59 certified beds under for-profit limited liability ownership. Its nurse staffing sits at 3.82 hours per resident day, a hair under the national average of 3.86, and weekends dip about 3% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was May 22, 2025. Federal quality measures rate 5 out of 5, but staffing rates 2 out of 5.

B

78/100

Sequoia Transitional Care

Porterville, CA · Tulare County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Sequoia Transitional Care runs 99 certified beds in Porterville under for-profit LLC ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average of 3.86. That edge thins on weekends, when coverage drops roughly 9% below the home's own weekday level. Staff turnover is 38%, better than the 45.8% national figure, which matters because fewer departing nurses usually means more consistent care. The current record shows 39 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $41,759; no abuse deficiencies appear. The last inspection was January 15, 2026. A 5/5 quality measure rating sits alongside 3/5 marks for health inspections and staffing.