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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

C

64/100

Mccormick Post Acute

Mccormick, SC · Mccormick County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
41%
Serious cites
0

Abuse icon on record

Mccormick Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.11 nurse hours per resident day, roughly 19 percent under the national average, with weekends about 11 percent thinner than weekdays. That thin coverage shows up in the inspection record, a one-star health inspection rating, 21 deficiencies including three at harm or jeopardy level and two tied to abuse, plus $77,101 in fines across two penalties. Staff turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, and the quality measure rating is strong at five stars, but those measures lean on resident assessments rather than day-to-day care capacity. The most recent inspection was May 2025, so the picture is current.

C

64/100

Grandview Post Acute

Cookeville, TN · Putnam County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
54%
Serious cites
0

Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing. The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.

C

64/100

White Blossom Care Center

San Jose, CA · Santa Clara County

CMS 2/5153 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
54%
Serious cites
0

White Blossom Care Center runs 153 beds in San Jose under for-profit LLC ownership, and its headline staffing number, 4.03 nurse hours per resident day, sits only about 4% above the national average. That thin margin doesn't hold up on weekends, when coverage drops roughly 11% below the home's own weekday level, and annual turnover of 54.3% runs well past the national 45.8%. The inspection record is where the real weight sits: 49 deficiencies, two at harm or jeopardy level, one tied to abuse, and $97,997 in fines, with the most recent inspection dated March 2026. Strong quality-measure scores don't offset a record that heavy.

C

64/100

Concord Post Acute

Concord, CA · Contra Costa County

CMS 2/5190 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
28%
Serious cites
0

Abuse icon on record

Concord Post Acute runs 190 beds under for-profit LLC ownership, and its staffing picture is genuinely mixed. Total nurse coverage sits at 3.87 hours per resident day, essentially dead even with the national average, while weekend staffing dips about 6% below its own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The real strength is retention: 28.4% turnover against a national 45.8% means far fewer unfamiliar faces than at most homes. The inspection record is the problem. Thirty-eight deficiencies, four tied to abuse and one serious enough to reach harm or jeopardy level, with the most recent survey in April 2025. A 2/5 inspection rating against 4/5 for staffing and quality measures tells you where the trouble lives.

C

64/100

North Pointe Care Center

Sacramento, CA · Sacramento County

CMS 2/5161 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
38%
Serious cites
0

Abuse icon on record

North Pointe Care Center is a 161-bed for-profit home in Sacramento, and its numbers pull in different directions. Nurse staffing sits at 3.69 hours per resident day, slightly under the national average, and weekends run about 6% thinner than weekdays, a gap families often feel on Saturday and Sunday. Turnover is 37.7%, actually better than the 45.8% national figure, so the crew is steadier than most. The concern is the inspection record: 68 deficiencies, including 13 tied to abuse and 3 at harm or jeopardy level, with a $24,115 fine and a January 2026 inspection.

C

64/100

San Diego Post-Acute Center

El Cajon, CA · San Diego County

CMS 1/5240 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
37%
Serious cites
0

Abuse icon on record

San Diego Post-Acute Center runs 240 beds in El Cajon under for-profit LLC ownership, and its staffing is the strongest thing it has going: 4.16 nurse hours per resident day, about 8 percent above the national average, with turnover at 36.5 percent, meaningfully better than the 45.8 percent norm. Weekend coverage dips roughly 6 percent below weekdays, which is worth asking about. The inspection record is where the picture darkens. Eighty-seven deficiencies sit on the current record, three of them at harm or jeopardy level and seven tied to abuse, plus two fines totaling $46,495. The most recent inspection was February 27, 2025. Strong daily care numbers do not cancel out that history.

C

64/100

Sherwood Oaks Post Acute

Thousand Oaks, CA · Ventura County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
30%
Serious cites
0

Abuse icon on record

Sherwood Oaks Post Acute sits in Thousand Oaks with 99 certified beds, run by a for-profit limited liability company. The nursing hours tell a decent story on paper, 4.27 per resident day, roughly 11 percent above the national average, but weekends dip about 11 percent below the home's own weekday levels, so coverage isn't evenly spread across the week. Staff turnover runs 30.4 percent, noticeably better than the 45.8 percent national figure, which matters for familiarity with residents. Inspectors gave a 4-out-of-5 health inspection rating at the most recent visit in February 2025, with 49 deficiencies on record, none at harm or jeopardy level, though two are abuse-related.

C

63/100

Valhalla Post Acute

Louisville, KY · Jefferson County

CMS 2/5162 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
70%
Serious cites
0

Valhalla Post Acute runs 162 beds in Louisville under for-profit LLC ownership, and the direct-care hours don't quite keep up: 3.73 per resident day against a national average of 3.86, with weekends roughly 12% thinner than weekdays. The bigger signal is churn, 69.8% annual staff turnover, well above the 45.8% national figure, which makes consistent care hard to sustain no matter how the schedule looks on paper. Inspectors have logged 17 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $17,963 and a survey as recent as March 2026. Resident outcome measures score well; the staffing and inspection records are what pull the overall picture down.

C

63/100

Buckeye Care And Rehabilitation

Lancaster, OH · Fairfield County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
59%
Serious cites
0

Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.

C

63/100

Hillsboro Post Acute

Hillsboro, OH · Highland County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
67%
Serious cites
0

Hillsboro Post Acute is a 99-bed for-profit home in Highland County, and its numbers tell two different stories. The care side looks strong on paper: top marks from CMS on health inspections and quality measures, last inspected in May 2025, with nine deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it frays. At 3.17 nurse hours per resident day, it runs about 18 percent under the national average, weekends drop roughly 13 percent below its own weekdays, and annual turnover hits 67.1 percent against a national 45.8. Inspectors can find a well-run building while residents still wait longer for hands-on help, and that gap is what pulls the overall picture down to a middling grade.

C

62/100

Great Plains Post Acute

Wichita, KS · Sedgwick County

CMS 1/5118 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
79%
Serious cites
0

Great Plains Post Acute runs about 3.63 nursing hours per resident per day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits on top of a 78.9% annual turnover rate, far above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The record shows 61 deficiencies, nine of them serious enough to put residents at risk of harm, five tied to abuse, plus $49,505 in fines from five separate penalties. A for-profit LLC owns the 118-bed building, and its last inspection was April 22, 2026.

C

62/100

St Peters Post Acute

Saint Peters, MO · St. Charles County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
72%
Serious cites
0

St. Peters Post Acute runs 130 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 72% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs that up: 63 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $69,999 fine. The last inspection was December 2024, so the picture is current, not stale.

C

62/100

Northstar Post Acute

Carson City, NV · Carson City County

CMS 1/573 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
63%
Serious cites
0

Northstar Post Acute runs on thin staffing, 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14 percent below its own weekday coverage. That's a real gap when aides are already stretched, and it shows in the numbers: 62.5 percent annual turnover means most of the people caring for residents weren't there a year ago. The inspection record is where things get serious. Seventy-eight deficiencies, one at the harm level and eleven tied to abuse, plus a $70,296 fine and a spot in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The last inspection was February 2026.

C

61/100

Highline Post Acute

Denver, CO · Denver County

CMS 1/5125 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
43%
Serious cites
0

Highline Post Acute runs 125 beds in Denver under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is 43.3%, slightly better than the 45.8% national figure. The inspection record is the harder read: 36 deficiencies, five at harm or jeopardy level, one abuse-related, and $92,284 in fines across four penalties. The last inspection was August 15, 2024. Quality measures score mid-range, but the health inspection side is where the problems concentrate.

C

61/100

River Falls Post Acute

Marietta, SC · Greenville County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
60%
Serious cites
0

River Falls Post Acute runs 44 beds in Marietta under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 3.12 nurse hours per resident day, it's roughly 19% under the national average, and weekends drop another 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.5% is nearly 14 points above the national rate, meaning the aides and nurses caring for residents are frequently new. Inspections look better: a 4/5 health inspection rating, last survey in April 2026, 9 deficiencies with one at harm level and none abuse-related, plus a single $8,824 fine. The quality measures also rate 4/5. The gap between how care is documented and how consistently it's staffed is what pulls the overall picture down.

C

60.5/100

Mountain View Post Acute

Ellensburg, WA · Kittitas County

CMS 2/574 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
62%
Serious cites
0

Abuse icon on record

Mountain View Post Acute runs 74 certified beds in Ellensburg under corporate ownership, and the numbers that matter most here are the inspection ones. Seventy-two deficiencies sit on its current record, including seven at the harm or jeopardy level and eleven tied to abuse. CMS fined this home five times for a total of $241,528, and its most recent inspection in February 2026 landed at one star. Staffing is thin, too: 3.78 nurse hours per resident day is slightly under the national average, weekend coverage drops about 19% below weekdays, and turnover runs 62.2% against a national 45.8%. The quality measure score doesn't offset any of that.

C

59/100

Carnegie Park Post Acute

Pittsburgh, PA · Allegheny County

CMS 1/5180 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
66%
Serious cites
0

Carnegie Park Post Acute runs 180 beds in Pittsburgh under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.31 nurse hours per resident day, roughly 14 percent under the national average, with weekends running about 10 percent thinner than weekdays. Annual turnover hits 65.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The inspection record shows 43 deficiencies, including one at the harm level and two abuse-related, and the last inspection was in March 2026. A single $10,419 fine and a 1-out-of-5 staffing rating round out the picture.

C

58/100

Sandpiper Post Acute

Mount Pleasant, SC · Charleston County

CMS 1/5176 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
54%
Serious cites
0

Abuse icon on record

Sandpiper Post Acute runs on 3.05 nurse hours per resident day, roughly a fifth less than the national average, and staffing thins out further on weekends. More than half its nurses left over the past year, well above the typical rate. The inspection record is heavier: 47 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and five fines totaling about $85,000. Federal inspectors gave it one star for both staffing and health inspections, though its quality measure score came in at three. A Charleston County family weighing this 176-bed for-profit home should ask hard questions about who's on the floor at 2 a.m. and how abuse concerns were resolved.

C

57.5/100

Arvin Post Acute

Arvin, CA · Kern County

CMS 1/581 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
n/a
Serious cites
0

Arvin Post Acute runs 81 beds under a for-profit LLC, and its current record carries 53 deficiencies, three at the harm or jeopardy level, three tied to abuse. Federal fines total $80,498 across two penalties. Nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. All three CMS star ratings land at the low end: two stars for health inspections, one for quality measures, one for staffing. The most recent inspection is dated March 26, 2026. For a family weighing this home against others in Kern County, the abuse-related findings and the weekend staffing dip are the two things worth asking about directly.

C

57/100

Twinsburg Post Acute

Twinsburg, OH · Summit County

CMS 1/5114 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
64%
Serious cites
0

Twinsburg Post Acute runs 114 certified beds under corporate for-profit ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.56 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 64.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. The inspection record is the heavier concern: 73 deficiencies, seven of them serious enough to involve harm or jeopardy, plus a $70,756 fine and a one-star health inspection rating. The most recent inspection was March 2024.

C

57/100

Artesia Palms Care Center

Artesia, CA · Los Angeles County

CMS 1/5296 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
46%
Serious cites
0

Abuse icon on record

Artesia Palms runs 296 beds under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average. That's the one number working in its favor. Everything else on the record pulls the other way: 70 deficiencies, 9 of them serious enough to risk harm or jeopardy, plus 12 tied to abuse. CMS has fined the home six times for a total of $267,056 and placed it in the Special Focus Facility program, the agency's watchlist for the country's most troubled homes. Weekend staffing also drops about 8% below weekday levels. Turnover, at 45.5%, is essentially the national norm, so it explains nothing here. The last inspection was May 29, 2026.

D

54/100

Palm Valley Post Acute

Goodyear, AZ · Maricopa County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
41%
Serious cites
0

Special Focus Facility

Palm Valley Post Acute runs 180 certified beds in Goodyear under corporate ownership, and the staffing numbers are more mixed than they first look. Total nurse hours sit slightly above the national average, and turnover at 41.1% is actually below the norm, but weekend coverage drops about 6% from weekday levels. The inspection record is where the picture darkens. Forty-eight deficiencies are on file, including 19 tied to abuse and six serious enough to put residents in harm or jeopardy, which is why CMS has placed this home in its Special Focus Facility program. That designation isn't routine, it flags homes with a persistent pattern of poor care. One fine totaling $82,607 is also on record.

D

54/100

Mirage Post Acute

Lancaster, CA · Los Angeles County

CMS 1/5299 bedsFor-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
50%
Serious cites
0

Special Focus Facility

Mirage Post Acute runs 299 beds in Lancaster under for-profit partnership ownership, and its staffing numbers look decent on paper, 4.56 nurse hours per resident day, about 18% above the national average. But the inspection record tells a different story: 262 deficiencies, including 6 at the harm or jeopardy level and 21 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and there are three fines totaling $153,991. Staff turnover sits at 50.4%, above the 45.8% national average, and weekend staffing drops roughly 11% below weekday levels. With a 1-out-of-5 inspection rating and a 2026 inspection date already on record, the high staffing figure isn't translating into safe care.

D

54/100

Westwood Post Acute

Denver, CO · Denver County

CMS 2/585 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
51%
Serious cites
0

Special Focus Facility

Westwood Post Acute carries 50 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy to residents. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which means the government is watching it more closely than most. Staffing sits at 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends run about 10 percent thinner than weekdays. Annual turnover is 50.7 percent, above the national 45.8 percent. The quality measure score looks strong, but it's built from reported data, not from how the place actually runs day to day. Inspectors were last in on April 25, 2025.

D

54/100

Karcher Post Acute

Nampa, ID · Canyon County

CMS 1/566 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Abuse icon on record

Karcher Post Acute runs 3.98 nurse hours per resident day, slightly above the national average, and its 43.9% turnover is a touch better than typical. Those numbers aren't the problem. The problem is 39 deficiencies on the current record, including four at the harm level and five tied to abuse, plus three fines totaling $31,057. CMS has placed this for-profit home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Staffing looks adequate on paper, but weekend coverage drops about 11% below weekday levels, and a recent inspection hasn't resolved the pattern.

D

54/100

Dublin Post Acute

Dublin, OH · Franklin County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
55%
Serious cites
0

Special Focus Facility

Dublin Post Acute is a for-profit, 120-bed home that federal regulators have placed in the Special Focus Facility program, which is reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 82 deficiencies, including six at the harm or jeopardy level and three tied to abuse, along with three fines totaling $197,547. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 54.7%, well above the 45.8% national figure, and the most recent inspection was January 26, 2026.

D

54/100

Cascade Terrace Post Acute

Portland, OR · Multnomah County

CMS 1/5105 bedsFor-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
47%
Serious cites
0

Special Focus Facility

Cascade Terrace is a for-profit LLC with 105 beds, and it's staffed better than most: 4.69 nurse hours per resident day against a national average of 3.86. Weekend coverage slips about 7% below its own weekday level, and turnover sits at 47.1%, roughly in line with the national 45.8%. The problem isn't the floor, it's the record. Forty-six deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $185,923 in fines across two cases. That's why CMS placed it in the Special Focus Facility program. The most recent inspection was April 28, 2025. Good staffing can't offset that inspection history on its own.

D

54/100

Heartland Health Care Center - Greenville East

Greenville, SC · Greenville County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
52%
Serious cites
0

Special Focus Facility

Heartland Health Care Center - Greenville East carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Ten deficiencies are on the current record, four of them at the harm or jeopardy level, and the home has paid one fine of $19,105. Staffing runs about 3.07 nurse hours per resident day, roughly 20 percent under the national average, and weekends are thinner still, about 20 percent below its own weekday levels, with turnover at 51.8 percent. The five-star quality measure score looks strong, but that number comes largely from resident assessments the home reports itself, so weigh it against the inspection findings.

D

54/100

Johns Island Post Acute

Johns Island, SC · Charleston County

CMS 1/5132 bedsFor-profitMedicaid
Nurse hours
2.85 /day
Staff turnover
52%
Serious cites
0

Abuse icon on record

Nurse staffing at Johns Island Post Acute works out to 2.85 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends. That matters because the home's record includes 22 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, plus two fines. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and its health inspection rating sits at one star. Annual turnover of 52.2% means more than half the nursing staff leaves within a year.

D

54/100

Eaton Creek Post Acute

Nashville, TN · Davidson County

124 bedsFor-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
53%
Serious cites
0

Special Focus Facility

Eaton Creek Post Acute has more direct-care nursing hours than most homes, 5.04 per resident day against a national average of 3.86, and it holds that level through the weekend, which many places don't. The problems sit elsewhere. Thirty-five deficiencies are on the current record, twelve of them serious enough to put residents in harm's way and five tied to abuse, with $122,242 in federal fines across three cases. Staff turnover runs 52.9% a year, above the 45.8% norm, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistent poor performers. The last inspection was August 30, 2023.