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

72/100

North Royalton Post Acute

Parma, OH · Cuyahoga County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
2.94 /day
Staff turnover
31%
Serious cites
0

North Royalton Post Acute runs lean on nursing hours, 2.94 per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage barely dips past its weekday level, so the shortfall is steady rather than a weekend problem. Turnover at 31.2% is better than the 45.8% national figure, which means the staff who are there tend to stay. The trouble sits elsewhere: 25 deficiencies on the current record, three of them serious enough to involve harm or jeopardy, and a $24,007 fine. Inspectors last visited in January 2024. Corporate-owned, 130 beds, and a staffing rating that matches what the hours show.

B

72/100

Edgefield Post-Acute

Edgefield, SC · Edgefield County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
2.93 /day
Staff turnover
30%
Serious cites
0

Edgefield Post-Acute runs lean on nursing hours: 2.93 per resident day against a national average of 3.86, and weekends drop roughly another 14% below its own weekday staffing. That matters most on Saturdays and Sundays, when a lot of hands-on care actually happens. Turnover is the brighter spot at 30.3%, well under the national 45.8%, so the aides and nurses who are there tend to stay. On record, 16 deficiencies with none at harm or jeopardy level, though two are abuse-related, worth asking about directly. A 2/5 on inspections and 2/5 on staffing pull against stronger quality marks, so ask how the low hours play out on a weekend shift.

B

72/100

Sunnyside Healthcare Center

Sunnyside, WA · Yakima County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
21%
Serious cites
0

Sunnyside Healthcare Center runs 80 certified beds under corporate for-profit ownership, and the numbers cut in a few directions at once. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage tightens exactly when families tend to visit. The inspection record is where the real weight sits: 37 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus three fines totaling $92,827. What keeps it from looking worse is staff turnover at 21.3%, less than half the national rate, which suggests people stay. The last inspection was in December 2025.

B

72/100

Hemet Hills Post Acute

Hemet, CA · Riverside County

CMS 1/5178 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
37%
Serious cites
0

Hemet Hills Post Acute runs 178 beds in Hemet, and its staffing sits modestly above the national average, about 3.96 nurse hours per resident day. Turnover at 37.4% beats the national 45.8%, which matters for continuity, though weekends run roughly 6% leaner than weekdays. The real problem is the inspection record: 95 deficiencies, five at harm or jeopardy level, three tied to abuse, and a $30,459 fine, with the most recent inspection in January 2025. A one-star health inspection rating against a three-star quality measure score tells you the day-to-day care metrics look better than the survey history does. For-profit, limited liability ownership. Ask about those abuse-related citations directly before touring.

B

72/100

All Saint's Maubert

San Leandro, CA · Alameda County

CMS 1/514 bedsFor-profitMedicaid
Nurse hours
8.06 /day
Staff turnover
46%
Serious cites
0

All Saint's Maubert runs on 8.06 nurse hours per resident day, more than double the national figure of 3.86, a real plus at a 14-bed home where staff know residents by name. But that strength is offset by a rough inspection record: 27 deficiencies, including one at the harm level and one tied to abuse, plus a $131,856 fine. Staff turnover sits at 46.4%, right around the national average, and weekend coverage dips about 8% below weekday levels. The most recent inspection was August 2025, so the record is current. For-profit, limited liability ownership. Weigh the heavy staffing against the inspection history before deciding.

B

72/100

Shadelands Post Acute

Walnut Creek, CA · Contra Costa County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
45%
Serious cites
0

Shadelands Post Acute runs 59 beds in Walnut Creek under for-profit LLC ownership, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average. That average hides a pattern worth knowing: weekends run about 12% leaner than weekdays, so the weekday coverage you might observe isn't what your family member gets on a Saturday. Staff turnover of 45.2% is essentially the national rate, meaning nearly half the workforce turns over in a year. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.

B

71/100

Huntington Valley Healthcare Center

Huntington Beach, CA · Orange County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
59%
Serious cites
0

Huntington Valley Healthcare Center has 144 certified beds and runs on a for-profit, limited-liability model. The staffing numbers look decent at first glance, 4.28 nurse hours per resident day, roughly 11% above the national average, but that average hides a weekend drop of about 8%, and turnover sits at 58.8% against a national 45.8%. The inspection record is where things get harder to explain: 114 deficiencies on file, including 9 tied to abuse and 2 at the harm or jeopardy level, plus a 1-out-of-5 health inspection rating. The most recent inspection was May 2026, and two fines total $16,556. Quality measures score well, but the survey history is the story here.

B

71/100

Amberwood Post Acute

Denver, CO · Denver County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
2.93 /day
Staff turnover
44%
Serious cites
0

Amberwood Post Acute runs 2.93 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip slightly below its own weekday level. Staff turnover sits at 44.1%, about even with the national figure, so the issue here isn't retention, it's how many hands are on deck during a shift. The record shows 39 deficiencies, including one at the harm level and two tied to abuse, with a $9,636 fine and the most recent inspection in October 2024. Its quality measure rating is strong at 4 out of 5, but the staffing and inspection ratings both come in at 2, which is the tension worth weighing if you're considering this one.

B

71/100

Skye Canyon Post Acute

Las Vegas, NV · Clark County

CMS 5/545 bedsFor-profit
Nurse hours
5.11 /day
Staff turnover
68%
Serious cites
0

Skye Canyon Post Acute runs a high staffing number, 5.11 nurse hours per resident day, roughly a third more than the national average, and its last inspection came back clean at the harm level, with 14 deficiencies on record and none involving actual injury. Two things pull against that. Weekend coverage drops about 14% below its own weekday level, so the strong average doesn't hold every day of the week. And turnover sits at 68.4% against a national 45.8%, meaning most of the aides and nurses you'd meet are relatively new. The state inspection history looks solid; the question is whether the staff caring for your family member sticks around long enough to know them.

B

71/100

Riverview Post Acute

South Point, OH · Lawrence County

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

Riverview Post Acute runs 100 certified beds in South Point, and the staffing numbers are the first thing worth knowing. At 2.92 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop about 14% below the home's own weekday level, so the thinnest coverage lands on the days families tend to visit. Turnover is 48.1%, a bit above the national 45.8%. Inspections look better: a 4-out-of-5 health inspection rating, 34 deficiencies on record with two at the harm level and none abuse-related, and a recent survey from September 2025. The gap between decent inspection results and thin daily staffing is the real story here.

B

71/100

Chehalem Post Acute

Newberg, OR · Yamhill County

CMS 1/584 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
71%
Serious cites
0

Chehalem Post Acute runs 4.63 nurse hours per resident day, about 20% above the national average, which sounds like a good story until you look at who's actually delivering those hours. Annual turnover hits 70.9% against a national norm of 45.8%, so more than two-thirds of the staff cycle out each year, and weekends already run 9% leaner than weekdays. The inspection record is the harder problem: 58 deficiencies on the current record, including 3 at the harm or jeopardy level and 5 tied to abuse, plus $54,581 in fines. The most recent inspection closed in March 2025. Solid quality scores don't offset that pattern.

B

71/100

Whitehall Borough Post Acute

Pittsburgh, PA · Allegheny County

CMS 4/5166 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
50%
Serious cites
0

The numbers split sharply at Whitehall Borough Post Acute. The quality measures that Medicare tracks, things like pressure sores and functional decline, score at the top of the range, but the record that matters most for day-to-day safety doesn't match: a 1-star health inspection rating, 33 deficiencies on file, including one that caused actual harm and four tied to abuse. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends running thinner still and turnover at 50.3%, above the norm. At 166 beds under limited-liability ownership, that combination of thin coverage and a flagged inspection history is what a C really reflects here.

B

71/100

West Village Post Acute

Greenville, SC · Greenville County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
53%
Serious cites
0

West Village Post Acute runs on thinner nurse coverage than most homes in the country, 3.28 hours per resident day against a national average of 3.86. Weekends are leaner still, about 13 percent below what the building staffs on weekdays, and more than half the nursing staff turned over in the past year, a rate above the national figure. Inspectors have logged 24 deficiencies, including one at the harm level and three tied to abuse, though the most recent visit was in January 2026, so the record is current. The company is a for-profit LLC with 132 certified beds.

B

71/100

Haywood Post Acute

Brownsville, TN · Haywood County

CMS 3/5115 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
30%
Serious cites
0

Haywood Post Acute runs 115 beds in Brownsville under corporate for-profit ownership, and its staffing sits around 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 11% below its own weekday coverage. That thin margin is worth asking about directly, since aide coverage is what most affects daily care. Turnover at 30.3% is actually better than the national 45.8%, so the staff who are there tend to stay. Inspections in May 2025 turned up 16 deficiencies, including one at the harm level and two tied to abuse, plus a $10,033 fine. Ask the administrator how those abuse citations were resolved and who covers weekends.

B

71/100

Willow Creek Healthcare Center

Clovis, CA · Fresno County

CMS 3/5159 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
60%
Serious cites
0

Willow Creek Healthcare Center runs 159 certified beds in Clovis under for-profit LLC ownership, and its staffing tells two stories. Nurses give residents 4.18 hours a day, roughly 8% above the national average, but weekends drop about 7% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover is the bigger concern: 59.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. The inspection record shows 62 deficiencies, seven at harm or jeopardy level and three abuse-related, with $25,045 in fines. The most recent inspection was April 2025.

B

70.5/100

Willow Knoll Post-Acute And Senior Living

Middletown, OH · Butler County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
41%
Serious cites
0

Willow Knoll runs lean on the floor: 3.41 nurse hours per resident day sits about 12 percent under the national average, and weekends dip roughly 15 percent below its own weekday coverage. That thinness is why CMS gives it a single staffing star even though inspection results look strong, eight deficiencies on record, none reaching harm or jeopardy, none tied to abuse, with a survey as recent as December 2025. Turnover is the bright spot. At 40.8 percent, it's below the 45.8 percent national average, which matters in a building where consistent caregivers are doing more with fewer hands. For-profit, limited liability ownership, 58 beds. The pattern here is a home that passes scrutiny but may feel stretched on a Saturday afternoon, worth asking about direct-care hours on weekends specifically.

B

70/100

Centennial Post Acute

Anchorage, AK · Anchorage County

CMS 1/5102 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
50%
Serious cites
0

Centennial Post Acute has some of the better nurse staffing numbers you'll see, 4.47 hours per resident day, about 16% above the national average. That's real, though weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the part to pay attention to. Eighty-three deficiencies on the current record, eight serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $232,502. That's a lot of regulatory history for a 102-bed for-profit home, and it's what's driving its overall grade down despite the staffing.

B

70/100

Vasona Creek Healthcare Center

Los Gatos, CA · Santa Clara County

CMS 2/5148 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
54%
Serious cites
0

Vasona Creek runs 148 beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.71 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 3% below its own weekday level. Annual turnover of 54% is well above the 45.8% national figure, which means caregivers are cycling through faster than average. The current record shows 80 deficiencies, three tied to abuse, though none at the harm or jeopardy level, and the last inspection was in October 2024. Quality measures score well, but the staffing picture and that deficiency count are what pull the overall picture down.

B

70/100

City View Post Acute

San Francisco, CA · San Francisco County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
38%
Serious cites
0

City View Post Acute runs 180 beds in San Francisco under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, so the care you see on a Tuesday may not match a Sunday. Staff turnover is 38.2%, better than the national 45.8%, which suggests some stability. What pulls the record down is the inspection side: 47 deficiencies on file, including 7 tied to abuse, plus a $42,528 fine and a two-star health inspection rating, though nothing reached harm or jeopardy level. The most recent inspection was May 2026, so the picture is current.

B

70/100

Beachwood Post-Acute & Rehab

Santa Monica, CA · Los Angeles County

CMS 1/5227 bedsFor-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
31%
Serious cites
0

Beachwood Post-Acute & Rehab has real staffing going for it: 4.68 nurse hours per resident per day, roughly a fifth above the national average, and turnover at 30.5% is well below the 45.8% norm, a sign people stay. Weekends dip about 9% from weekday coverage, but that's the least of it. The inspection record is the problem: 118 deficiencies, five at harm or jeopardy level, 11 abuse-related, and two fines totaling $177,718. The most recent inspection was June 27, 2025, so this isn't stale history. For-profit LLC ownership, 227 beds. Staffing can't offset that deficiency count, ask pointed questions about the abuse citations before considering this one.

B

70/100

Arlington Gardens Care Center

Riverside, CA · Riverside County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Arlington Gardens runs 4.14 nurse hours per resident per day, roughly 7% above the national average, but weekends drop about 9% below its own weekday staffing. That gap matters because 61 deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $8,281. The 47.2% annual turnover lands just above the national 45.8%. CMS gives the home 5 stars for quality measures and 2 stars each for staffing and health inspections, and the last inspection was January 8, 2026. It's a for-profit limited liability company with 99 certified beds.

B

70/100

Gallatin Nursing And Rehab

Warsaw, KY · Gallatin County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
33%
Serious cites
0

Gallatin Nursing and Rehab runs 120 certified beds in Warsaw under for-profit limited liability ownership. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below the home's own weekday levels, a pattern families often notice as thinner coverage when they visit. Staff turnover is 32.8%, well below the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows 12 deficiencies, none at the harm or jeopardy level, but five tied to abuse. Two fines total $13,800. Inspections are recent, dated January 2026.

B

70/100

Willoughby Post Acute

Willoughby, OH · Lake County

CMS 4/5157 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
44%
Serious cites
0

Willoughby Post Acute runs 157 certified beds under corporate ownership, and its nurse staffing sits at 2.99 hours per resident day, roughly 22% under the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The 43.9% turnover rate is slightly better than the national 45.8%, which is a small point in its favor. But 21 deficiencies on the current record, 2 of them at harm or jeopardy level, along with $54,520 in fines, tell you inspections have found real problems. Quality measures score well; staffing and inspection results are where the concerns live.

B

70/100

Beavercreek Post Acute

Dayton, OH · Montgomery County

CMS 2/5110 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
39%
Serious cites
0

Beavercreek Post Acute runs 3.05 nursing hours per resident day, about 21% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level. That shortfall is the clearest thing in the numbers, and it's why the staffing rating sits at 1 out of 5. The inspection record is mixed: 27 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, and a single fine of $43,173, with the most recent inspection in March 2025. Staff turnover of 38.8% actually beats the national 45.8%, which cuts the other way, and the quality measures score 5 out of 5 even as health inspections land at 2. A for-profit corporation owns the 110-bed home.

B

70/100

Westerville Post Acute

Westerville, OH · Franklin County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
28%
Serious cites
0

Westerville Post Acute runs on leaner nurse staffing than most homes, about 3.27 hours per resident day against a national average near 3.86, and weekends get thinner still, dropping roughly 12% below its own weekday coverage. What stands out on paper, though, is the inspection record: 64 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and two fines totaling more than $315,000 as recently as mid-2025. Staff turnover sits at 28.4%, actually well under the national 45.8%, so the same caregivers tend to stay, but stable staff haven't translated into a clean survey history at this for-profit, limited-liability operation.

B

70/100

Aviara Healthcare Center

Encinitas, CA · San Diego County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
62%
Serious cites
0

Aviara Healthcare Center runs 120 certified beds in Encinitas under for-profit LLC ownership, and its nurse staffing comes in at 4.15 hours per resident day, about 7% above the national average of 3.86. The catch is retention: annual turnover sits at 62.4% against a national 45.8%, and weekend coverage dips roughly 7% below the home's own weekday level, so the extra hours can be uneven in practice. The record shows 60 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in September 2025. Quality measures score well; inspections land mid-range; staffing scores low.

B

70/100

Sunnyvale Gardens Post Acute

Sunnyvale, CA · Santa Clara County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
48%
Serious cites
0

Sunnyvale Gardens runs 140 beds under for-profit LLC ownership, and its staffing sits basically at the national average, 3.88 nurse hours per resident day against 3.86 nationally, but weekends drop about 7% below its own weekday coverage, so the care you'd see on a Saturday looks thinner than the weekday picture. Turnover is 47.7%, a bit above the 45.8% national mark, which means a lot of new faces cycling through. What stands out more is the inspection record: 54 deficiencies, including two at the harm level and two tied to abuse, with a $43,176 fine and a 2-star health inspection rating, though quality measures score 5 stars.

C

69/100

Ahwatukee Post Acute

Phoenix, AZ · Maricopa County

CMS 3/5192 bedsFor-profitMedicaid
Nurse hours
2.92 /day
Staff turnover
63%
Serious cites
0

Ahwatukee Post Acute runs 192 certified beds as a for-profit corporation, and its staffing is the number that stands out. At 2.92 nurse hours per resident day, it sits about a quarter below the national average of 3.86, with weekend coverage dipping even further. That thin staffing shows up in a 63.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are, more often than not, new to the building. Its inspection record carries 38 deficiencies on file, including six tied to abuse, though none reached harm or jeopardy. Last inspected in August 2025. The quality measure score looks strong, but that's self-reported data, and it's worth weighing against what the inspection and staffing numbers actually show.

C

69/100

Garden City Healthcare Center

Modesto, CA · Stanislaus County

CMS 2/5104 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
63%
Serious cites
0

Garden City Healthcare Center has 104 beds and runs on a for-profit limited liability structure. Its nurse staffing comes in at 3.98 hours per resident day, a bit above the national figure of 3.86, but weekends drop roughly 8% below its own weekday levels, and annual turnover sits at 62.8% against a national 45.8%, that churn matters more than the small staffing edge. The inspection record is where things get serious: 60 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus $35,153 in fines across 3 penalties. The last inspection was February 12, 2026, and the health inspection rating is 2 out of 5.

C

69/100

Villa Las Palmas Healthcare Center

El Cajon, CA · San Diego County

CMS 3/5151 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
33%
Serious cites
0

Villa Las Palmas runs 151 beds in El Cajon under corporate ownership, and its staffing sits a bit under the national average, 3.73 nurse hours per resident day against 3.86, with weekends dipping about 5% below weekdays. The tradeoff is retention: 33.1% turnover beats the 45.8% national figure, so the faces here tend to stick around longer than at a typical home. What pulls the record down is the inspection side: 47 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus four abuse-related citations and $33,732 in fines. The last inspection was May 2025, so this is current.