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

B

75/100

Louisville East Post Acute

Louisville, KY · Jefferson County

CMS 3/5178 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
44%
Serious cites
0

Louisville East Post Acute runs 178 certified beds under corporate ownership, and its staffing sits at 3.84 nurse hours per resident day, just under the national average of 3.86, with weekends running about 11% lighter than weekdays. The health inspection record shows 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $12,740, and the most recent inspection was September 2025. Staff turnover is 43.6%, a bit better than the 45.8% national figure, though the staffing star rating still comes in at 2 out of 5. What stands out is the gap: strong quality measure scores alongside weaker marks for inspections and staffing.

B

75/100

Circleville Post-Acute

Circleville, OH · Pickaway County

CMS 1/597 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
35%
Serious cites
0

Circleville Post-Acute runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thin coverage is what drives its one-star staffing rating, even though turnover at 34.8% is meaningfully better than the 45.8% national figure, so the people who stay tend to stick around. The inspection record shows 29 deficiencies, none at harm or jeopardy level, but five tied to abuse, which is worth asking about directly. Quality measures score well, and the most recent inspection was March 2026, so the picture is fairly current. For-profit, limited liability ownership.

B

75/100

Union Post Acute

Union, SC · Union County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Union Post Acute runs lean. At 3.09 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekends dip roughly another 10 percent below its own weekday numbers, that's the kind of gap families notice when a call button goes unanswered on a Sunday. The record isn't clean, either: 13 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. What keeps it in decent territory is turnover at 38.2 percent, better than the 45.8 percent national figure, plus strong marks on inspections and quality measures. A February 2026 inspection means the picture is current. Go in asking who's on the floor on weekends.

B

75/100

Westgate Gardens Care Center

Visalia, CA · Tulare County

CMS 4/5140 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
45%
Serious cites
0

Westgate Gardens runs 140 beds in Visalia, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 6% below its own weekday levels. Turnover lands at 45.3%, essentially matching the national figure of 45.8%, so retention here isn't unusually bad or unusually good. What stands out is the inspection record: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $10,317 fine attached. The last inspection was February 2025, so the record is current. Strong quality-measure scores sit alongside that history, worth asking about directly when you visit.

B

75/100

Sunrise Post Acute

Banning, CA · Riverside County

CMS 2/564 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
21%
Serious cites
0

Sunrise Post Acute has a staffing edge worth noting: 3.94 nurse hours per resident day, slightly above the national average, and turnover at 21.3%, less than half the national rate of 45.8%, which suggests a stable crew. Weekends dip about 8% below weekday coverage, so care can thin out when families visit most. The problem is everything that happened inside those hours. Fifty deficiencies on the current record, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $76,434. The last inspection was September 2025. Strong quality scores and good retention don't offset that inspection history, the people are there, but the system around them keeps failing.

B

75/100

Sunset Villa Post Acute

Long Beach, CA · Los Angeles County

CMS 2/5199 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
45%
Serious cites
0

Sunset Villa Post Acute sits in Long Beach with 199 certified beds and a for-profit LLC owner. Nurse staffing runs 4.00 hours per resident day, slightly above the national average, but weekends drop about 7% below its own weekday level, and turnover sits at 44.8%, roughly in line with the national rate. The staffing star rating is 3/5. The bigger concern is the inspection record: 89 deficiencies, 6 at harm or jeopardy level, 10 abuse-related, and three fines totaling $207,206. The last inspection was April 9, 2026. Its quality measure rating is 5/5, but that's derived from resident assessments, not from how safely the home is actually run day to day.

B

74.5/100

Napa Post Acute

Napa, CA · Napa County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Napa Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with turnover at 38.6% versus 45.8% nationally. That's real, and it shows up in the four-out-of-five staffing star. The problem is what inspections keep finding. Forty-nine deficiencies on the current record, four of them at harm or jeopardy level and one tied to abuse, plus two fines totaling $173,323. Weekends run about 16% lighter than weekdays, so the coverage that looks solid on paper thins out when families visit. Good aides, recurring serious findings, that combination is worth asking about directly before you sign anything.

B

74/100

Loma Linda Post Acute

Loma Linda, CA · San Bernardino County

CMS 4/583 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Loma Linda Post Acute runs 83 beds as a for-profit LLC, and its staffing numbers are a mixed picture. Total nurse coverage sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86, but weekends drop about 10% below what the home itself staffs on weekdays, and turnover of 46.4% is essentially the national rate of 45.8%. CMS gives it 4 stars for health inspections and 4 for quality measures, with a recent inspection dated July 2025. The 28 deficiencies on record include none tied to harm, jeopardy, or abuse, which matters more than the raw count suggests. The weak spot is the 2-star staffing rating, undercutting otherwise solid marks.

B

74/100

Homestead Post Acute

Lexington, KY · Fayette County

CMS 3/5136 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

Homestead Post Acute runs 136 beds under for-profit LLC ownership, and its staffing is the number worth pausing on. At 3.53 nurse hours per resident day, it sits roughly 9% under the national average of 3.86, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover runs 48.5%, above the 45.8% national figure, which means the people providing that care are often new. Inspections are current as of July 2025, and the record shows nine deficiencies with none at harm or jeopardy level and nothing abuse-related. Quality measures score well; staffing is where this home gives ground.

B

74/100

New Castle Nursing & Rehab

New Castle, KY · Henry County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
50%
Serious cites
0

New Castle Nursing & Rehab runs 60 certified beds in Henry County under for-profit LLC ownership, and the split in its federal scores is the whole story here. Inspections came back clean at five stars, five deficiencies on record, none causing harm or involving abuse, and the most recent survey was in July 2025. Quality measures also hit five stars. Where it slips is staffing: 3.81 nurse hours per resident day, just under the national 3.86, with weekends running about 12% thinner than weekdays and turnover at 50% against a 45.8% national figure. That combination, strong oversight, thin coverage, is what pulls the overall picture down to a solid but unremarkable place.

B

74/100

Trellis Centennial

Las Vegas, NV · Clark County

CMS 5/572 bedsFor-profit
Nurse hours
4.34 /day
Staff turnover
52%
Serious cites
0

Trellis Centennial runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, real coverage on paper. But weekends dip about 14% below its own weekday staffing, and turnover sits at 52.2% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 20 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278. The most recent inspection was May 2026, so the picture is current. Strong quality measures and a four-star inspection rating sit alongside those findings and the churn, worth asking about weekend coverage and how they've addressed the abuse-related deficiency specifically.

B

74/100

Kettering Heights Post Acute

Kettering, OH · Montgomery County

CMS 2/5115 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
49%
Serious cites
0

Kettering Heights Post Acute runs on thinner staffing than most homes its size, 3.11 nurse hours per resident day against a national average of 3.86. Weekends drop about 11% below its own weekday level, so the coverage gap widens exactly when families tend to visit. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves within a year, which is higher than the national rate. The inspection record shows 40 deficiencies, two of them serious enough to put residents at risk of harm, though none involve abuse. The last full inspection was June 2024. The quality measure score is strong, but that reflects charted outcomes, not the hands available to deliver care.

B

74/100

Unger Park Post Acute

Bucyrus, OH · Crawford County

CMS 2/586 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
29%
Serious cites
0

Unger Park Post Acute runs 45 deficiencies on its current record, five of them abuse-related, and its last inspection was April 30, 2026. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, and weekends run about 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The one number working in its favor is turnover: 29.4% against a national 45.8%, which suggests a steadier crew than most. For-profit corporate ownership, 86 beds, and a two-star inspection history are the context. Ask about the abuse citations and what weekend coverage actually looks like on the floor.

B

74/100

Stanley Post Acute

Milwaukie, OR · Clackamas County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
58%
Serious cites
0

Stanley Post Acute runs a for-profit LLC with 96 certified beds in Milwaukie, and it puts more nursing hours on the floor than most homes, 4.65 per resident day against a national average of 3.86. That advantage thins on weekends, which run about 7% below the home's own weekday staffing. The bigger concern is stability: annual turnover of 58.1% sits well above the national 45.8%, and 32 deficiencies on the current record, one at harm or jeopardy level, with a single $12,735 fine, point to real compliance problems behind three-out-of-five stars across inspections, quality, and staffing. The most recent inspection was September 2025, so the record is current. Ask about weekend coverage and how long direct-care staff typically stay.

B

74/100

Richland Post Acute

Richland, WA · Benton County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
44%
Serious cites
0

Richland Post Acute is a for-profit, limited-liability operation with 71 beds, and its staffing numbers tell a mixed story. Total nurse coverage runs 4.23 hours per resident day, roughly 10% above the national average, but weekends dip about 12% below the home's own weekday level, and the low staffing star reflects that unevenness. Turnover sits at 43.8%, slightly better than the national 45.8%. The bigger concern is the inspection record: 39 deficiencies, including one at the harm level and four tied to abuse, plus a $59,762 fine. A June 2025 inspection is recent, so the record is current. Strong quality measures and a 4-star inspection rating sit alongside real staffing and deficiency problems.

B

74/100

Pacific Coast Post Acute

Salinas, CA · Monterey County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
36%
Serious cites
0

Pacific Coast Post Acute runs 149 certified beds in Salinas under corporate ownership, and the staffing numbers are the first thing to notice: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running slightly leaner than weekdays. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, that matters, because consistent caregivers know residents. The inspection record is heavier: 39 deficiencies, including one at the harm level and two tied to abuse, plus $19,786 in fines across two penalties. The most recent inspection was February 2025, so the picture is current. Strong quality measures and a solid survey history don't erase what those deficiency numbers mean for daily life.

B

74/100

Poway Healthcare Center

Poway, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
43%
Serious cites
0

Poway Healthcare Center sits in San Diego County with 99 certified beds under for-profit LLC ownership. Nurse staffing averages 3.97 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 8% lighter than weekdays. Annual turnover at 42.5% is slightly better than the 45.8% national figure, and its last inspection was recent, in May 2025. What complicates the picture is the deficiency record: 35 total, including one abuse-related citation, though none reached the harm or jeopardy level. The two four-star ratings for health inspections and quality measures look stronger than the two-star staffing rating, which is where the tension sits.

B

74/100

Bel Vista Healthcare Center

Long Beach, CA · Los Angeles County

CMS 4/541 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
52%
Serious cites
0

Bel Vista runs 4.65 nurse hours per resident day, roughly 20% above the national average of 3.86, and weekends dip about 13% below its own weekday coverage. The clinical numbers look strong, but staffing churns at 51.9% a year against a 45.8% national rate, and the inspection record carries 64 deficiencies, including one at the harm level and three tied to abuse. State inspectors were last in on May 18, 2025, and one fine totaling $29,543 sits on the books. It's a for-profit corporate home with 41 beds. Solid day-to-day care measures, a rougher paper trail.

B

73.5/100

Selmer Post Acute

Selmer, TN · Mc Nairy County

CMS 4/5126 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
30%
Serious cites
0

Selmer Post Acute runs lean on nursing hours, 3.34 per resident day, roughly 14 percent under the national average, and weekends drop about 15 percent below its own weekday staffing. That's the weak spot behind its low staffing rating, and it's worth asking how coverage looks on a Saturday. The rest of the picture is steadier: turnover sits at 30.4 percent, well below the 45.8 percent national figure, which suggests people tend to stay. Eleven deficiencies on record, none involving harm or abuse, and the last inspection was in July 2025. For-profit, LLC-owned, 126 beds.

B

73/100

Sun City Post Acute

Sun City, AZ · Maricopa County

CMS 4/5118 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
58%
Serious cites
0

Sun City Post Acute runs on thinner staffing than most homes its size, 3.43 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below what it manages during the week. Turnover sits at 58.1%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. The current inspection record carries 33 deficiencies, including one at the harm level and two tied to abuse. CMS rates its quality measures 5 out of 5, but that score reflects resident health outcomes, not the eyes-on-care problems a March 2024 inspection found.

B

73/100

Valley View Post Acute

El Monte, CA · Los Angeles County

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

Valley View Post Acute runs about 3.97 nurse hours per resident per day, a hair above the national average of 3.86, but weekends dip roughly 7% below its own weekday coverage. The bigger issue is the inspection record: 60 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $24,668 fine. Staff turnover sits at 50% against a national 45.8%, and the health inspection and staffing ratings both land at 2 out of 5. That combination, thin weekend coverage, high turnover, and a serious deficiency history, is what pulls the overall picture down despite strong marks on quality measures.

B

73/100

Highland Palms Healthcare Center

Highland, CA · San Bernardino County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Highland Palms runs a for-profit operation with 99 certified beds, and its inspection and quality scores both come in at 4 out of 5, that's a solid record on paper, with 29 deficiencies logged but none rising to harm or jeopardy, and the most recent inspection done in April 2026. Staffing tells a different story: 2 out of 5 stars, with total nurse hours sitting just under the national average and weekends running roughly 4% thinner than weekdays. Turnover at 39.3% is better than the 45.8% national figure, which suggests people tend to stay. Three abuse-related deficiencies are on the record, so ask about those directly before you decide.

B

73/100

Evergreen Post Acute

Portland, OR · Multnomah County

CMS 2/555 bedsFor-profitMedicaid
Nurse hours
4.94 /day
Staff turnover
63%
Serious cites
0

Evergreen Post Acute runs 4.94 nurse hours per resident day, about 28% above the national average, which sounds like real coverage until you see weekends drop roughly 10% below the home's own weekday levels. Staff turnover sits at 63.3% against a national 45.8%, most of the people providing that care are new or on their way out. The inspection record shows 41 deficiencies, including one at harm or jeopardy level and three involving abuse, with the most recent inspection in February 2025. For a 55-bed for-profit LLC, the pattern reads as adequate daily staffing undermined by instability and a documented history of serious findings.

B

73/100

Bedford Post Acute

Bedford, PA · Bedford County

CMS 3/572 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
36%
Serious cites
0

Bedford Post Acute runs 72 beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is 36.1%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. The tradeoff shows up in inspections: 54 deficiencies on record, two tied to abuse, and a 2-out-of-5 health inspection rating, though nothing currently rises to harm or jeopardy. The last survey was July 2025, so that record is recent.

B

73/100

Fountain Inn Post Acute

Fountain Inn, SC · Greenville County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
63%
Serious cites
0

Fountain Inn Post Acute runs 60 beds under limited-liability, for-profit ownership, and its nursing hours land at 3.37 per resident day, roughly 13% under the national average of 3.86. Weekends dip about 12% below the home's own weekday staffing, and annual turnover sits at 62.5% against a national 45.8%, so the same faces aren't guaranteed shift to shift. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025. Quality measure scores are strong at 5 out of 5, which reflects resident outcomes on paper. The tension here is real: good clinical metrics, thin staffing, and heavy turnover.

B

73/100

All Saint's Subacute & Transitional Care

San Leandro, CA · Alameda County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
6.54 /day
Staff turnover
53%
Serious cites
0

All Saint's runs one of the heavier staffing operations you'll see in Alameda County, 6.54 nurse hours per resident per day, well above the national figure, and weekends dip only slightly from that level. What pulls the record down sits elsewhere: 19 deficiencies, including one at the harm level, plus two fines totaling $163,127, with the last inspection in July 2024. Staff turnover runs at 52.8%, more than the national average, which matters for residents who rely on consistent caregivers. A for-profit limited liability company owns the building. Strong daily coverage, but the compliance history and churn are the parts worth asking about directly.

B

72/100

Redlands Healthcare Center

Redlands, CA · San Bernardino County

CMS 4/578 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
42%
Serious cites
0

Redlands Healthcare Center runs 78 certified beds under a for-profit limited liability company, and the staffing numbers tell a mixed story. Total nurse coverage sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86, but weekend staffing drops about 8% below its own weekday level, so the weekday numbers flatter the place. Turnover is 42%, a bit better than the 45.8% national figure, though still high enough to mean new faces often. Fourteen deficiencies appear on the current record with none at the harm or jeopardy level and none tied to abuse, and the most recent inspection dates to April 2026.

B

72/100

Jurupa Hills Post Acute

Riverside, CA · Riverside County

CMS 2/5143 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
48%
Serious cites
0

Jurupa Hills Post Acute runs 143 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 4.08 hours per resident day, about 6% above the national average, though weekends dip roughly 6% below its own weekday numbers and turnover runs 47.5%, slightly worse than the 45.8% national figure. The bigger issue is what inspectors have found: 57 deficiencies on the current record, including 4 at the harm or jeopardy level and 6 tied to abuse, plus three fines totaling $60,945. The most recent inspection was March 2025, so the record is current. Staffing looks decent on paper, but that inspection history is why this home lands where it does.

B

72/100

Las Colinas Post Acute

Ontario, CA · San Bernardino County

CMS 2/5216 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
23%
Serious cites
0

Las Colinas Post Acute runs 216 beds in Ontario, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. Weekends drop about 8% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. What stands out is the turnover: 22.9% against a national average of 45.8%, meaning the people caring for residents here tend to stay. That stability hasn't translated into a clean inspection record, though. Forty-six deficiencies are on file, including one at the harm level and two tied to abuse, with a $70,925 fine and a 2-out-of-5 inspection rating. The most recent survey was August 29, 2025.

B

72/100

Barberton Post Acute

Barberton, OH · Summit County

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

Barberton Post Acute runs 3.44 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 CMS staffing rating and 49.3% annual turnover, which runs above the 45.8% national figure. The quality measure score is a bright spot at 5 out of 5, so residents' clinical outcomes look better than the floor-level staffing would suggest. But 19 deficiencies sit on the current record, one at the harm or jeopardy level, and the most recent inspection was in January 2025. A for-profit corporation owns the 104-bed home.