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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

78/100

Paradise Valley Health Care

National City, CA · San Diego County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
21%
Serious cites
0

Paradise Valley runs 4.93 nursing hours per resident day, roughly 28 percent above the national average, and weekend staffing dips only about 10 percent below its own weekday level. That steadiness matters, and so does a turnover rate of 21.3 percent in a field where the typical home loses closer to 46 percent of its staff each year. The tradeoffs show up elsewhere: 21 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, plus one fine of $10,036. Inspectors last visited in November 2024, and the federal ratings split sharply, full marks on quality measures, four stars on inspections, middle of the pack on staffing.

B

78/100

Evan Terrace Post Acute

Mcminnville, OR · Yamhill County

CMS 1/596 bedsFor-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
51%
Serious cites
0

Evan Terrace runs a solid 4.69 nurse hours per resident day, about 21% above the national average, and its quality measures come in around the middle of the pack. That's the good news. The rest is harder: a 1-out-of-5 health inspection rating, 58 deficiencies on the current record, including two at the harm level and seven tied to abuse, plus a $25,116 fine. Staff turnover sits at 51.1%, above the 45.8% national average, and weekend coverage drops roughly 9% below weekday levels. A state inspection in June 2025 is recent, so this isn't stale paperwork. For-profit, limited liability ownership. The staffing numbers say one thing; the inspection history says another.

B

78/100

Palomar Heights Post Acute

Escondido, CA · San Diego County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Palomar Heights runs a for-profit operation with 98 certified beds, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 12% below its own weekday level. Staff turnover lands at 42.3%, slightly better than the national rate. What pulls this home down is its inspection record: 55 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,176 fine on file. The health inspection rating reflects that, even as the quality measure score reads strong. It was last inspected May 30, 2025, so the record is reasonably current. Worth asking about those abuse-related findings directly.

B

78/100

Sunnyvale Post-Acute Center

Sunnyvale, CA · Santa Clara County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
31%
Serious cites
0

Sunnyvale Post-Acute Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers cut both ways. Total nurse coverage sits at 4.20 hours per resident day, roughly 9% above the national average, and turnover at 30.9% is well below the 45.8% norm, but weekends dip about 10% below weekday levels, and CMS gives staffing just 2 of 5 stars. The bigger concern is the inspection record: 67 deficiencies, six tied to abuse, and a 1-star health inspection rating, with the most recent survey in October 2024. No deficiencies rose to harm or jeopardy level, and quality measures scored 4 of 5, which keeps this from being a clear avoid, but ask pointed questions about that abuse history and weekend coverage before deciding.

B

78/100

Trellis Chino

Chino, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
25%
Serious cites
0

Trellis Chino runs on a for-profit LLC structure with 59 beds, and the numbers tell two different stories at once. Nurse staffing sits at 4.53 hours per resident day, about 17% above the national average, and annual turnover of 25.4% is strikingly low against the 45.8% norm, which suggests people actually stay. Inspections came back clean at the harm level: 15 deficiencies on record, none causing injury or jeopardy, with one abuse-related citation filed. The catch is staffing consistency. Weekend coverage drops roughly 8% below the home's own weekday level, and CMS pegs staffing at just 2 of 5 stars despite the healthy daily average, worth asking how thin weekends actually get.

B

77.5/100

Bishop Care Center

Bishop, CA · Inyo County

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

Bishop Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 16% below the home's own weekday level. Staff turnover is 45.7%, essentially matching the national rate. The current inspection record carries 43 deficiencies, none at the harm or jeopardy level, though seven are abuse-related, which is worth asking about directly. State inspectors last visited in May 2026, so the record is recent. Quality measures score well; the health inspection side is middling.

B

77/100

Sandridge Post Acute

Mesa, AZ · Maricopa County

CMS 3/5191 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
53%
Serious cites
0

Sandridge Post Acute runs 191 beds in Mesa under corporate ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop another 6% below its own weekday levels, and annual turnover is 52.6% against a national 45.8%, so the aides and nurses you meet may not be there in six months. The current inspection record carries 29 deficiencies, 11 of them abuse-related, though none reached harm or jeopardy. Its quality measures look strong on paper, but staffing and inspections are the weaker numbers, and those are what shape daily life for a resident.

B

77/100

Mid-Town Oaks Post-Acute

Sacramento, CA · Sacramento County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
54%
Serious cites
0

Mid-Town Oaks runs 4.07 nurse hours per resident day, a bit above the national average, but that staffing thins out on weekends and more than half the nurses turned over last year, 54.1% against a national 45.8%. The inspection record carries 58 deficiencies, including one at the harm level and four tied to abuse, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, which is a real signal, but it's worth asking how a building with this many cited problems and this much turnover holds that score. The most recent inspection was December 4, 2025, so the record is current. One fine on file, $15,593.

B

77/100

Waterman Canyon Post Acute

San Bernardino, CA · San Bernardino County

CMS 4/5166 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
41%
Serious cites
0

Waterman Canyon Post Acute runs 166 beds in San Bernardino under for-profit limited liability ownership, and the numbers here tell a mixed story. Nurse staffing sits at 4.01 hours per resident day, about 4% above the national average, though weekends dip roughly 5% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover of 40.6% is better than the national 45.8%, meaning caregivers stick around slightly longer than average. The current inspection record shows 41 deficiencies, none at the harm or jeopardy level, though three are abuse-related; the most recent inspection was March 2025.

B

77/100

Salinas Valley Post Acute

Salinas, CA · Monterey County

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

Salinas Valley Post Acute runs 99 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the floor is thinner on Saturdays and Sundays. Annual turnover is 45.5%, essentially identical to the national 45.8%. What stands out is the deficiency record: 50 total on the current file, none rising to harm or jeopardy, but one tied to abuse. The last inspection was February 13, 2026, so the picture is recent.

B

77/100

Ojai Health & Rehabilitation

Ojai, CA · Ventura County

CMS 2/574 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
53%
Serious cites
0

Ojai Health & Rehabilitation runs 74 beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.14 hours per resident day, roughly 7% above the national average, but weekends drop about 8% below what the home staffs on weekdays. Annual turnover is 53.4%, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 42 deficiencies, none at the harm or jeopardy level, though three are abuse-related. A February 2025 inspection is recent, and the three-star health inspection rating reflects a middle-of-the-road survey history. The staffing star rating of 2/5 stands out against that above-average raw hours number, turnover and weekend gaps likely explain the gap.

B

77/100

Crystal Cove Care Center

Newport Beach, CA · Orange County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
50%
Serious cites
0

Crystal Cove Care Center runs 96 beds in Newport Beach under for-profit LLC ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86. That thin margin matters less than what happens on weekends, when coverage drops about 8% below the home's own weekday levels. Staff turnover is 50.4%, higher than the 45.8% national figure, and CMS gives the home just 2 of 5 stars for staffing. Inspections tell a mixed story: 78 deficiencies on record, none at harm or jeopardy level, but two tied to abuse, with the last inspection in February 2025. Quality measures score 5 of 5, a real strength worth asking about directly.

B

77/100

Balboa Nursing & Rehabilitation Center

San Diego, CA · San Diego County

CMS 4/5194 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
37%
Serious cites
0

Balboa runs 194 beds in San Diego under for-profit LLC ownership, and its nursing hours land at 3.79 per resident day, just under the national average, with weekends dropping roughly 9% below its own weekday staffing. Turnover is 37.2%, better than the 45.8% national figure, so the same faces stick around more than at a typical home. The inspection record is the hard part: 44 deficiencies, one at harm or jeopardy level, two tied to abuse, and a 2/5 health inspection rating, though the 5/5 quality measures and a May 2025 inspection suggest clinical outcomes and recent oversight look steadier than that history implies.

B

77/100

Western Slope Health Center

Placerville, CA · El Dorado County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
54%
Serious cites
0

Western Slope Health Center sits in Placerville with 99 certified beds, run by a for-profit limited liability company. The raw staffing number looks fine, 3.95 nurse hours per resident day, just above the national average, but that average hides two problems: weekends run about 10% thinner than weekdays, and annual turnover is 53.8%, well above the national 45.8%. High turnover means the people caring for your family member are often new and still learning the building. Inspections tell a mixed story: a recent 4-out-of-5 health inspection rating, yet 31 deficiencies on the current record, including one at the harm level and two tied to abuse. One fine totaling $8,412 rounds out the picture.

B

77/100

Cypress Ridge Care Center

Monterey, CA · Monterey County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
45%
Serious cites
0

Cypress Ridge runs about 4.42 nurse hours per resident day, roughly 14% above the national average, and weekend coverage dips only slightly below weekdays, which matters because short-staffed weekends are where problems tend to surface. Staff turnover sits at 45.4%, essentially in line with the national figure, so retention isn't the issue here. What stands out is the inspection record: 44 deficiencies, including one at the harm level and one abuse-related, despite a recent May 2025 survey. The staffing star lands at 2 out of 5 even with those hours, and a 5/5 on quality measures doesn't offset the survey history under corporate ownership.

B

77/100

Woodside Post Acute

Molalla, OR · Clackamas County

CMS 2/592 bedsFor-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
58%
Serious cites
0

Woodside Post Acute runs a 92-bed for-profit operation in Molalla, and the numbers pull in two directions. Nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average, and its quality measure rating is perfect, but weekend coverage dips about 8% below weekday levels, and annual turnover of 57.6% means the people delivering that care keep changing, well above the 45.8% national rate. The inspection record is where it gets harder to explain. Twenty-six deficiencies, three at harm or jeopardy level, two tied to abuse, and $145,831 in fines across five penalties, with a May 2025 inspection. High staffing alongside a one-star inspection history usually means the problems aren't about hours on paper.

B

77/100

Rivercrest Post Acute

Oregon City, OR · Clackamas County

CMS 2/553 bedsFor-profitMedicaid
Nurse hours
4.95 /day
Staff turnover
63%
Serious cites
0

Rivercrest Post Acute runs about 4.95 nurse hours per resident per day, roughly 28% above the national average, so the raw staffing number looks solid for a 53-bed home. The catch is turnover at 63%, well above the 45.8% national average, and weekend staffing that drops about 9% below its own weekday level, which matters in a building where consistency of caregivers is half the story. The inspection record shows 34 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and a single fine of $18,075. Its last inspection was February 2026, so the record is fairly current. For-profit, limited liability ownership rounds out the picture.

B

77/100

Promedica Skilled Nursing And Reh- Greenville West

Greenville, SC · Greenville County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
48%
Serious cites
0

Promedica Skilled Nursing and Reh- Greenville West is a for-profit LLC home with 88 certified beds in Greenville, and its inspection record is genuinely strong, a 4 out of 5 health inspection rating with a recent December 2025 survey and no abuse-related deficiencies. The catch is staffing. At 3.12 nurse hours per resident day, it runs roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday levels. Annual turnover sits at 48%, slightly above the national 45.8%. Quality measures score 5 out of 5, which speaks well of clinical outcomes, but those numbers depend on who's actually on the floor. Seven deficiencies total, one serious enough to cause harm. Worth asking about weekend coverage directly.

B

77/100

Ridgeway Post Acute

Petaluma, CA · Sonoma County

CMS 2/579 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
36%
Serious cites
0

Ridgeway Post Acute sits in Petaluma with 79 certified beds and a for-profit LLC owner. The numbers split in two directions. Nurse staffing runs 4.10 hours per resident day, about 6% above the national average, and turnover at 36.4% is better than the 45.8% norm, though weekend coverage drops roughly 12% below weekday levels, which matters when families visit. The inspection record is where the trouble shows: 56 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus three fines totaling $32,280. Its last inspection was September 2024. That combination of decent daily staffing and a heavy enforcement history is what pulls the grade down to a C.

B

77/100

Pine Creek Care Center

Roseville, CA · Placer County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
53%
Serious cites
0

Pine Creek Care Center sits in Roseville with 99 certified beds and corporate for-profit ownership. The raw staffing number looks good, 4.44 nurse hours per resident day, roughly 15% above the national average, but weekends run about 12% leaner than weekdays, and staff turnover hits 53.3% against a national 45.8%. That churn matters more than the headline hours, and it's likely why CMS gives staffing only 2 of 5 stars despite the strong average. The good news: 25 deficiencies on record with zero at harm or jeopardy level and none abuse-related, a 4/5 inspection rating, a recent April 2025 inspection, and 5/5 on quality measures. Solid care when someone's there; keeping people there is the question.

B

76.5/100

Chandler Creek Post Acute

Greer, SC · Greenville County

CMS 1/5133 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
30%
Serious cites
0

Chandler Creek runs about 16% below the national average on nurse staffing hours, and weekends drop roughly 17% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover is the bright spot: 30.4% against a national 45.8% suggests a more stable crew than most. What pulls the record down is the inspection history: 23 deficiencies, two at harm or jeopardy level and one tied to abuse, with the most recent survey in May 2025. A for-profit LLC operates the 133-bed home. Strong quality scores and steady staff don't erase that inspection record, ask specifically what changed since May.

B

76/100

Apache Junction Health Center

Apache Junction, AZ · Pinal County

CMS 4/5190 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
43%
Serious cites
0

Apache Junction Health Center runs 190 certified beds under corporate ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage dips only about 1% below weekdays, so the shortfall isn't a weekend problem; it's the baseline. Annual turnover of 42.6% actually comes in slightly better than the national 45.8%, which matters given how much churn affects daily care. What stands out more is the inspection record: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The most recent inspection was February 2025, so that record is current, not stale. Federal quality measures score well here, but the staffing and health inspection ratings tell a more mixed story.

B

76/100

Primrose Post-Acute

Inglewood, CA · Los Angeles County

CMS 4/569 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
36%
Serious cites
0

Primrose Post-Acute runs a two-star staffing rating despite reporting 4.34 nurse hours per resident day, about 12% above the national average. The catch is weekends, when coverage drops roughly 11% below its own weekday level. Turnover sits at 35.9%, better than the 45.8% national figure, so staff tend to stay. The trouble is the inspection record: 71 deficiencies, including one at the harm level and five tied to abuse, plus a $16,801 fine. A recent May 2025 inspection is a point in its favor, and the five-star quality measure rating shows clinical metrics can look strong even when the survey history tells a harder story.

B

76/100

Reo Vista Healthcare Center

San Diego, CA · San Diego County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
43%
Serious cites
0

Reo Vista Healthcare Center runs 162 certified beds in San Diego under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. But that average hides a dropoff: weekends run about 9% thinner than weekdays. Staff turnover is 42.6%, a bit better than the 45.8% national figure. The bigger concern is the inspection record, 51 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $25,406 in fines across two penalties. Quality measures score well, but that reflects resident outcomes rather than the day-to-day oversight that inspections measure.

B

76/100

Sage Creek Post-Acute

Las Vegas, NV · Clark County

CMS 5/560 bedsFor-profit
Nurse hours
4.39 /day
Staff turnover
52%
Serious cites
0

Sage Creek Post-Acute runs 60 beds in Las Vegas under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. Total nurse coverage sits at 4.39 hours per resident day, about 14% above the national average of 3.86, yet the federal staffing star comes in at just 2 out of 5, a gap that usually points to how thin weekend coverage gets, and here weekends run roughly 8% below the home's own weekday level. Annual turnover is 51.7%, higher than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 30, 2026.

B

76/100

Valley Pointe Nursing & Rehabilitation Center

Castro Valley, CA · Alameda County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
35%
Serious cites
0

Valley Pointe runs 50 beds in Castro Valley under for-profit LLC ownership, and its staffing numbers land above the national average, 4.17 nurse hours per resident day against 3.86 nationally. Weekend coverage dips about 9% below its own weekday level, which is a pattern worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.2%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than average. The current record shows 29 deficiencies, one at harm or jeopardy level and none abuse-related, plus a single fine of $10,033. Its last inspection was May 1, 2026.

B

75.5/100

Greenville Post Acute

Greenville, SC · Greenville County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
n/a
Serious cites
0

Greenville Post Acute runs 3.06 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in CMS's staffing rating of 1 out of 5, even as the home's quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores reflect reported care outcomes while staffing reflects who's actually on the floor. The health inspection rating is 2 out of 5, with 21 deficiencies on record, including 2 tied to abuse; none reached harm or jeopardy level, and fines total $5,831. It's a for-profit limited liability company, last inspected April 24, 2025.

B

75/100

San Joaquin Nursing Center And Rehabilitation Cent

Bakersfield, CA · Kern County

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

San Joaquin Nursing Center sits on the east side of Bakersfield with 99 certified beds and a for-profit limited liability owner. The staffing numbers are the strong part: 4.28 nurse hours per resident day, roughly 11 percent above the national average, and turnover at 35.2 percent is meaningfully better than the 45.8 percent norm. Weekends run about 6 percent thinner than weekdays, which is common but worth asking about. The trouble is the inspection record: 62 deficiencies, including two at the harm level and two tied to abuse, plus a $47,242 fine. A March 2026 inspection is recent, so the record is current, not stale. Quality measures look excellent; the survey history does not.

B

75/100

Ocean Ridge Post Acute

Long Beach, CA · Los Angeles County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Ocean Ridge Post Acute runs about 4.01 nurse hours per resident per day, slightly above the national average, and its 38.8% turnover is better than the 45.8% typical elsewhere. That's the good news. The inspection record is the problem: 95 deficiencies, including two at the harm level and eight tied to abuse, plus a single $58,032 fine. A 1-out-of-5 inspection rating against a 5-out-of-5 quality measure rating is a strange split, and it usually means the charted clinical measures look fine while the surveyors keep finding serious problems on the floor. Weekend staffing drops about 7% below weekday levels, so coverage thins exactly when families visit. A for-profit LLC with that citation history is worth asking hard questions about.

B

75/100

Skylake Post Acute

Thornton, CO · Adams County

CMS 1/5242 bedsFor-profitMedicaid
Nurse hours
2.91 /day
Staff turnover
35%
Serious cites
0

Skylake Post Acute runs 242 certified beds in Thornton under for-profit LLC ownership, and its staffing numbers are the first thing to notice. At 2.91 total nurse hours per resident day, it sits roughly 25 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level, so coverage gets thinnest exactly when families tend to visit. Turnover at 35 percent is actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is inspection history: 42 deficiencies on file, including 3 at harm or jeopardy level and 6 abuse-related, with a single fine of $25,572. The most recent inspection was December 2025, so the picture is current.