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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

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69/100

Santa Cruz Post Acute

Santa Cruz, CA · Santa Cruz County

CMS 2/5149 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
47%
Serious cites
0

Santa Cruz Post Acute runs 149 certified beds under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, though weekends drop about 7% below its own weekday coverage, so care thins out when families tend to visit. What stands out is the split between its quality scores and its inspection record: strong marks on clinical measures, but 84 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus three fines totaling $161,912. Staff turnover, at 46.7%, tracks close to the national rate of 45.8%. That combination, decent daily staffing, poor inspection history, is worth asking about directly before you decide.

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69/100

Orchard View Post Acute

Lewiston, ID · Nez Perce County

CMS 2/5127 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
46%
Serious cites
0

Orchard View Post Acute runs 127 beds in Lewiston under for-profit limited liability ownership, and its inspection record is the part that stands out: 33 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse. The health inspection and quality measure ratings both sit at 2 out of 5, and a single fine of $16,790 has been levied. Nurse staffing averages 3.39 hours per resident per day, about 12 percent under the national figure, and weekends drop roughly 11 percent below the home's own weekday coverage. Turnover is 46 percent, essentially matching the national rate rather than beating it.

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69/100

Overland Park Post Acute

Overland Park, KS · Johnson County

CMS 1/5140 bedsFor-profitMedicaid
Nurse hours
2.92 /day
Staff turnover
51%
Serious cites
0

Overland Park Post Acute runs 140 beds under for-profit LLC ownership, and its nurse staffing sits at 2.92 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below its own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover is 51.3%, higher than the 45.8% national figure, which means the people caring for residents are often new to the building. The inspection record is the harder read: 59 deficiencies, three at harm or jeopardy level, two tied to abuse, and $59,683 in fines. The most recent inspection was September 11, 2024.

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69/100

Pine Meadows Post Acute

Lexington, KY · Fayette County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
49%
Serious cites
0

Pine Meadows Post Acute runs 120 beds in Lexington under for-profit LLC ownership. Its staffing is the weak spot: 3.62 nurse hours per resident day sits about 6% under the national average, weekends drop roughly 12% below its own weekday levels, and turnover runs 48.8% against a 45.8% national figure. That combination earned a 1-star staffing rating from CMS, even though quality measures scored 4 stars and health inspections came in at 3. The current record shows 16 deficiencies, none involving harm or abuse, and the last inspection was recent, in September 2025. So you're looking at a home that can point to decent clinical measures but asks families to accept thin, unstable coverage, especially on weekends.

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69/100

Richwood Nursing & Rehab

La Grange, KY · Oldham County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
49%
Serious cites
0

Richwood Nursing & Rehab runs 4.40 nurse hours per resident day, roughly 14% above the national average of 3.86, and weekends dip only about 7% below its own weekday staffing. The clinical numbers look decent on paper, with 13 deficiencies on the current record, one at the harm or jeopardy level and none tied to abuse, plus a single fine of $8,788. Turnover tells a different story: 48.6% of staff leave each year, worse than the 45.8% national figure, and a 2/5 inspection rating from a March 2025 visit points to real gaps. For-profit limited liability ownership rounds out the picture.

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69/100

Marion Valley Post Acute

Marion, OH · Marion County

CMS 1/5135 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
38%
Serious cites
0

Marion Valley Post Acute runs lean on nursing staff, 3.15 hours per resident per day against a national average of 3.86, and weekends drop roughly 9% below its own weekday coverage. That thin schedule shows up in the federal stars: one out of five for staffing, and one for health inspections. Turnover sits at 37.8%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hands are on deck and how the state surveyors scored the place. The record carries 40 deficiencies, three tied to abuse, though none reached harm or jeopardy. A July 2025 inspection is recent, and quality measures land at three stars.

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69/100

Del Rosa Villa

San Bernardino, CA · San Bernardino County

CMS 4/5104 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
49%
Serious cites
0

Del Rosa Villa runs 104 certified beds in San Bernardino under for-profit LLC ownership, and the staffing numbers sit right at the national line, 3.84 nurse hours per resident day against a 3.86 average. That thin margin gets worse on weekends, which run about 8% below the home's own weekday level, and turnover at 49.1% sits above the 45.8% national figure. Inspections tell the heavier story: 33 deficiencies on record, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $43,930. The health inspection rating lands at 2 out of 5. A recent inspection date of February 2026 means the record is current, so those findings reflect present conditions rather than an old survey.

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69/100

North Houston Transitional Care

Houston, TX · Harris County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
71%
Serious cites
0

North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.

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68/100

Heights Care & Rehabilitation Llc

Denver, CO · Denver County

CMS 2/5110 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
76%
Serious cites
0

Heights Care & Rehabilitation runs 110 beds in Denver under for-profit LLC ownership, and its staffing numbers are the first thing to flag: 3.30 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels, so coverage thins exactly when families tend to visit. Annual turnover of 75.9% is well above the national 45.8%, meaning many of the people caring for residents are new to the building. The inspection record shows 56 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, with $68,159 in fines and the most recent inspection dated April 2026. Quality measure scores look strong; the staffing and inspection data tell a different story.

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68/100

Atlas Post Acute

Pueblo, CO · Pueblo County

CMS 4/5146 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
65%
Serious cites
0

Atlas Post Acute in Pueblo carries a for-profit corporate owner and 146 certified beds, with a 64.6% annual staff turnover rate that runs well above the 45.8% national average. That churn is reflected in its one-out-of-five staffing rating, even though its health inspection and quality measure ratings each sit at four. The gap between those numbers is the story here. Twenty-nine deficiencies sit on the current record, three serious enough to involve harm or jeopardy, three tied to abuse. One fine totaling $39,368 has been levied. The most recent inspection was October 22, 2024, so the picture is reasonably current. Strong inspection and quality marks don't cancel out a thin, constantly changing direct-care workforce.

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68/100

Hilltop Park Post Acute

Denver, CO · Denver County

CMS 2/5162 bedsFor-profitMedicaid
Nurse hours
2.93 /day
Staff turnover
40%
Serious cites
0

Hilltop Park Post Acute runs 162 beds in Denver under for-profit LLC ownership, and its last inspection in March 2024 left 35 deficiencies on the books, four serious enough to cause harm or jeopardy, one tied to abuse. Fines total $66,307 across two penalties. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and weekends dip about 7% under its own weekday levels. Turnover is 39.5%, actually better than the 45.8% national figure. The quality measure score looks strong on paper, but that's largely resident-assessment data, and it's hard to square a five there with a one-star inspection record and thin coverage on the floor.

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68/100

Eagle Ridge Post Acute

Grand Junction, CO · Mesa County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
63%
Serious cites
0

Eagle Ridge Post Acute runs 70 beds in Grand Junction under corporate ownership, and the numbers tell a split story. The clinical quality measures look strong, but that 1-out-of-5 inspection rating sits on 47 deficiencies, including four at harm or jeopardy level and four tied to abuse. Staffing runs about 10% under the national average at 3.46 nurse hours per resident day, weekends drop roughly 14% below weekdays, and 62.7% annual turnover means the aides and nurses your family sees keep changing. Four fines totaling $71,637 round out the record, last inspected in June 2024. Good quality scores don't offset a thin, churning workforce and a serious inspection history.

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68/100

Villages Of Jackson Creek

Independence, MO · Jackson County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
55%
Serious cites
0

Jackson Creek Post Acute runs about 13% below the national average on nurse staffing, at 3.36 hours per resident day against 3.86 nationally, and weekends drop roughly another 12% below its own weekday levels. That's the number that matters most here, because it's when families tend to visit and when problems surface. Staff turnover sits at 55.2% against a national average of 45.8%, so the aides and nurses working with your relative are likely to change often. The current inspection record shows 39 deficiencies, one at the harm or jeopardy level, with a $29,186 fine and a December 2025 inspection. The quality measure rating is genuinely strong at 4 out of 5, but the staffing and inspection ratings both sit at 2 out of 5, and that split tells you where the risk lives.

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68/100

Sycamore Trails Post Acute

Miamisburg, OH · Montgomery County

CMS 4/5102 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Sycamore Trails runs on thinner nurse coverage than most homes, about 3.43 hours per resident per day against a national average near 3.86, and weekends drop roughly 14% below its own weekday level, which matters when aides call off and families visit. Staff turnover sits at 56.2%, well above the 45.8% norm, so the people caring for your relative are often the newest hires. The 50 deficiencies on record, two at harm or jeopardy level and one tied to abuse, are the part I'd ask about directly. The five-star quality score reflects reported clinical measures, but those numbers depend on consistent staff charting them accurately.

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68/100

Fleetwood Post Acute

Easley, SC · Pickens County

CMS 2/5103 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
65%
Serious cites
0

Fleetwood Post Acute runs about 3.07 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekend coverage dips another 9% below its own weekday pace. That thin staffing shows up in the numbers that matter: 64.9% annual turnover against a national 45.8%, and a staffing rating of 2 out of 5. The inspection record carries 10 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $14,842 and a May 2025 inspection still recent. Ownership is for-profit, a limited liability company. The 4/5 quality measure score reflects resident care data, but staffing and inspections are where the risk sits.

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68/100

Simpsonville Post Acute

Simpsonville, SC · Greenville County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
55%
Serious cites
0

Simpsonville Post Acute runs lean on nursing hours, about 3.03 per resident day against a national average near 3.86, and weekends drop roughly another 11% below its own weekday coverage. With 55.1% annual turnover, staff are cycling out faster than the national rate, which matters most on Saturdays and Sundays when fewer hands are already scheduled. The inspection record isn't clean either: seven deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $9,710 fine. That said, its last inspection was recent (January 2026) and CMS scored the health inspection and quality measures at four stars each. The weak spot is staffing, and it's a real one.

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68/100

Powdersville Post-Acute

Easley, SC · Pickens County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
61%
Serious cites
0

Powdersville Post-Acute runs about 3.24 nursing hours per resident each day, roughly 16% under the national average of 3.86, and weekends dip another 12% below its own weekday staffing. That thin coverage lines up with a 61.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses caring for your relative are frequently new to the building. The health inspection record is mixed: 11 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $7,496, and the most recent inspection was in August 2025. Ownership is a for-profit limited liability company. Quality measures score well, but staffing is where the numbers get tight.

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68/100

Piedmont Post-Acute

Piedmont, SC · Greenville County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
56%
Serious cites
0

Piedmont Post-Acute runs about 3.45 nursing hours per resident day, roughly 11% under the national average, and weekends dip another 15% below its own weekday staffing. That thinner coverage matters more here because 55.6% of staff turned over in the last year, well above the national 45.8%. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm, and fined the home $8,018; the most recent inspection was April 2026. The quality star rating looks strong at 4/5, but it sits alongside 2/5 marks for both staffing and health inspections. For-profit LLC ownership rounds out the picture.

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68/100

Bridge Crest Post Acute

Vancouver, WA · Clark County

CMS 2/589 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
63%
Serious cites
0

Bridge Crest runs 4.10 nurse staffing hours per resident day, roughly 6% above the national average, and that earned it 4 out of 5 stars on the CMS staffing measure. But weekend coverage drops about 15% below its own weekday level, so the help you see on a Tuesday may not be there on a Sunday. Turnover tells the bigger story: 63.3% of staff leave each year against a national 45.8%, meaning most of the people caring for your relative will be gone within two years. The inspection record shows 53 deficiencies, eight involving harm or jeopardy and four tied to abuse, with five fines totaling $212,847. A for-profit LLC with a two-star inspection rating carries real risk.

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68/100

Houston Transitional Care

Houston, TX · Harris County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
60%
Serious cites
0

Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.

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67.5/100

Delhi Post-Acute

Cincinnati, OH · Hamilton County

CMS 1/5116 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
n/a
Serious cites
0

Delhi Post-Acute runs 116 certified beds in Cincinnati, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.50 hours per resident day, about 9% under the national average of 3.86, with weekends dipping roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record shows 40 deficiencies, four tied to abuse, none at the harm or jeopardy level, and the last full inspection was in May 2024. Quality measures score well, but that reflects resident outcomes, not the hands available day to day.

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67/100

Kennedy Care Center

Los Angeles, CA · Los Angeles County

CMS 1/597 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
50%
Serious cites
0

Kennedy Care Center runs 4.06 nurse hours per resident day, a bit above the national average, but that number shrinks on weekends and nearly half the nursing staff turns over each year. The bigger problem sits in its inspection record: 108 deficiencies, including one at the level of actual harm and six tied to abuse. A single fine of $38,272 is on file, and the most recent inspection was in August 2025. Ownership is a for-profit limited liability company, and the staffing star rating sits at 2 out of 5 despite the decent daily average.

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67/100

Three Meadows Post Acute

Perrysburg, OH · Wood County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
51%
Serious cites
0

Three Meadows runs on 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. That staffing pattern sits behind a 2-out-of-5 staffing rating, and turnover of 50.5 percent means roughly half the nursing staff leaves each year. The inspection record is the harder read: 65 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent inspection in May 2025. The 4-out-of-5 quality measure rating reflects reported clinical outcomes, but it does not offset a 1-out-of-5 inspection rating. Ask about weekend nurse coverage and how the abuse-related citations were resolved before deciding.

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67/100

Mentor Hills Post Acute

Mentor, OH · Lake County

CMS 3/5147 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
62%
Serious cites
0

Mentor Hills runs 147 beds under a for-profit LLC, and its staffing is the number to sit with. At 3.40 nurse hours per resident day, it's about 12% under the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 62.1% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The current record shows 35 deficiencies, including one at the harm level and four tied to abuse. Recent inspection, February 2025. Quality measures look solid, but staffing and that deficiency history are what pull the overall picture down.

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67/100

Stone River Post Acute

Murfreesboro, TN · Rutherford County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
57%
Serious cites
0

Stone River Post Acute runs 68 beds in Murfreesboro under corporate ownership, and the staffing picture is genuinely better than most: 5.15 nurse hours per resident day against a national average of 3.86, with weekends dipping only about 5% below weekdays. That's real coverage. The trouble shows up elsewhere. Staff turnover sits at 57.4%, well above the 45.8% national rate, so residents see a lot of new faces. The current inspection record carries 16 deficiencies, including one at the harm level and two tied to abuse, and the quality measure rating comes in at 2 out of 5. High hours help, but they don't offset a record like that on their own.

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67/100

Bakersfield Post Acute

Bakersfield, CA · Kern County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Bakersfield Post Acute runs a for-profit corporate operation with 99 certified beds, and its staffing numbers are the one bright spot: 4.01 nurse hours per resident day, roughly 4% above the national average, with turnover at 38.6%, noticeably better than the 45.8% national figure. Weekends thin out about 11% below weekday coverage, which is worth asking about. The inspection record is where the story turns. A 1-out-of-5 health inspection rating sits behind 113 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. Two fines totaling $25,940 are on file, and the most recent inspection was in May 2026. Good staffing alone doesn't offset that kind of citation history.

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67/100

Country Hills Post Acute

El Cajon, CA · San Diego County

CMS 1/5305 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
58%
Serious cites
0

Country Hills runs 305 beds in El Cajon under for-profit LLC ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86. That thin margin gets thinner on weekends, which run about 6% below the home's own weekday levels, and annual turnover hits 58.2% against a national 45.8%. The inspection record is where the real concern lives: 73 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $122,210 fine. The last inspection was March 2025, so the record is current. Quality measure scores look strong on paper, but that's a different measure than the ones families feel day to day.

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66/100

Norwood Towers Post-Acute

Cincinnati, OH · Hamilton County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
63%
Serious cites
0

Norwood Towers runs a 120-bed for-profit operation where the nurse staffing works out to 3.15 hours per resident per day, roughly 18 percent under the national average, and weekends drop another 14 percent below what the home manages on weekdays. Turnover sits at 62.7 percent against a national 45.8, so the aides and nurses cycling through are often new to the building. The current record carries 37 deficiencies, including one at the harm level and five tied to abuse, with the most recent inspection dated December 16, 2025. Its quality measure score looks strong, but that reflects charted care, not the hands available at 2 a.m.

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66/100

The Oaks Post Acute

Orangeburg, SC · Orangeburg County

CMS 1/5122 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
45%
Serious cites
0

The Oaks Post Acute runs on 3.08 nurse hours per resident day, about a fifth below the national average, and weekends drop roughly 11% below what the home already staffs during the week. Twenty-one deficiencies sit on its current record, including one at the harm level and one tied to abuse, with 14 fines totaling $111,710. Ownership is for-profit, through a limited liability company, and the last inspection was January 13, 2026. Turnover among nursing staff is 45.3%, almost exactly the national figure, so the problem here isn't retention, it's how few hours each resident actually gets and what inspectors keep finding.

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66/100

Iva Post-Acute

Iva, SC · Anderson County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
2.92 /day
Staff turnover
58%
Serious cites
0

Iva Post-Acute is a 60-bed for-profit home in Anderson County, and the numbers tell a split story. On paper, the care quality looks strong, a 5/5 quality measure rating and a 4/5 on health inspections, with the most recent inspection in September 2025 finding 11 deficiencies, none of them serious enough to cause harm or jeopardy and none tied to abuse. The catch is staffing. At 2.92 nurse hours per resident day, this home runs roughly 24% below the national average, and weekends dip another 11% below its own weekday levels. Annual turnover sits at 57.8% against a national rate of 45.8%. A limited liability company owns it. Good inspection results matter, but they can't fully offset thin, churning staffing.