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THE ENSIGN 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

344

States

17

Beds

37,581

Avg score

74.3

Avg turnover

45%

Federal fines

$6,840,075

Flags across this group

32 of the group's homes carry a CMS abuse icon. 6 homes are in or a candidate for the Special Focus Facility programme.

All 344 homes

A

94/100

Glenwood Care Center

Oxnard, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
30%
Serious cites
0

Glenwood Care Center in Oxnard runs on 4.48 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 12% below its own weekday staffing, so ask how that plays out on a Sunday afternoon. Turnover sits at 30.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The 15 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was May 30, 2025. It's a for-profit LLC with 99 certified beds.

A

92/100

Broadway Villa Post Acute

Sonoma, CA · Sonoma County

CMS 5/5144 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
32%
Serious cites
0

Broadway Villa runs 144 certified beds in Sonoma under corporate for-profit ownership, and the nurse staffing works out to 3.99 hours per resident day, a bit above the national average of 3.86. That margin is thin, and weekends dip about 11% below the home's own weekday numbers, so coverage isn't uniform across the week. Turnover sits at 31.5% against a national 45.8%, which is genuinely low for this industry and suggests people stay. The current record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. Last inspection was April 2026, so the picture is recent.

A

92/100

Pacifica Nursing And Rehabilitation Center

Pacifica, CA · San Mateo County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
29%
Serious cites
0

Pacifica Nursing and Rehabilitation Center runs 68 certified beds under for-profit LLC ownership, and the numbers that stand out most are its staffing and its inspection record. Nurse staffing sits at 5.25 hours per resident day, roughly a third more than the national average, and annual turnover of 28.7% is well below the 45.8% typical elsewhere, both signs of a stable, well-manned floor. Weekend coverage does dip about 11% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. On inspections, six deficiencies sit on the current record, none rising to harm or jeopardy, and none abuse-related. The last survey was recent, in May 2026. Five stars across health inspections, quality measures, and staffing round out a record with no obvious soft spot.

A

92/100

Sloan's Lake Rehabilitation Center

Denver, CO · Denver County

CMS 5/542 bedsFor-profit
Nurse hours
4.59 /day
Staff turnover
31%
Serious cites
0

Sloan's Lake Rehabilitation Center runs 42 certified beds in Denver under for-profit limited liability ownership. Its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 15% below its own weekday level, worth asking about if your family tends to visit Saturdays and Sundays. Annual turnover is 31%, well under the national 45.8%, so the people caring for residents tend to stay. The home carries 12 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its most recent inspection was March 5, 2026.

A

92/100

Victoria Care Center

Ventura, CA · Ventura County

CMS 5/5188 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
30%
Serious cites
0

Victoria Care Center in Ventura runs 4.53 nurse staffing hours per resident day, roughly 17% above the national average of 3.86, and weekend coverage dips only about 10% below its own weekday level. Staff turnover sits at 30.1%, well under the 45.8% national figure, which matters for residents who depend on consistent caregivers. The tradeoff shows up in its record: 24 deficiencies, including 2 abuse-related, though none at the harm or jeopardy level, and the most recent inspection was February 27, 2025. Under for-profit LLC ownership, you're looking at a home that's well-staffed on paper but has accumulated some compliance issues worth asking about directly.

A

92/100

Parkside Health And Wellness Center

El Cajon, CA · San Diego County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
23%
Serious cites
0

Parkside runs 4.20 nurse hours per resident day, roughly 9% above the national average of 3.86, and its staff turnover sits at 22.6%, about half the national rate of 45.8%. That combination matters more than any single number, since consistent caregivers tend to know residents' routines and catch changes early. Weekend staffing drops about 13% below the home's own weekday level, worth asking about if you're planning visits or worrying about Saturday coverage. The inspection record shows 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related. With a 5/5 health inspection rating and a May 2025 survey, this is a for-profit corporate home that has stayed clean on the measures that usually predict trouble.

A

90.5/100

Summerfield Health Care Center

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
35%
Serious cites
0

Summerfield runs leaner than most places on turnover, and that matters more than any single inspection score. About a third of its staff leaves each year, well under the national rate, which usually means residents see the same faces instead of a rotating cast. Nurse staffing sits about 15% above the national average, though weekends run roughly 16% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is clean where it counts: 19 deficiencies on file, none at the harm level, nothing abuse-related, and a single fine just over $3,100. The last inspection was September 2025, so the picture is current. It's a for-profit LLC with 70 beds.

A

90/100

Sun West Choice Healthcare & Rehab

Sun City West, AZ · Maricopa County

CMS 5/5140 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
34%
Serious cites
0

Sun West Choice runs leaner on nursing hours than the typical U.S. home, 3.61 per resident day against a national average of 3.86, and weekends dip roughly 12% below what the building staffs Monday through Friday. The trade-off shows up in its turnover number: 34.4% annually, well under the 45.8% national figure, which is real stability you don't always see in a 140-bed for-profit. Inspections tell a mixed story. The last visit was September 2024, and the record carries 15 deficiencies, including one at the harm level and two tied to abuse. One fine, $4,838, has been levied. Strong quality and staffing stars sit alongside those findings, so read the inspection detail rather than the summary ratings.

A

90/100

Danville Post-Acute Rehab

Danville, CA · Contra Costa County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Danville Post-Acute Rehab runs 54 beds under corporate ownership, and its nurse staffing sits at 4.53 hours per resident day, roughly 17% above the national average. Weekend coverage dips about 12% below its own weekday numbers, so the hours aren't evenly spread across the week, but the overall staffing picture holds up. Turnover runs 30.6%, well below the national 45.8%, which suggests a steadier workforce than most. The record shows 17 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was October 2024, and the 5/5 quality measure score stands out against a 3/5 inspection rating, strong day-to-day care numbers, a more mixed regulatory history.

A

89/100

Fairfield Post Acute Rehabilitation

Fairfield, CA · Solano County

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

Fairfield Post Acute runs 99 beds under for-profit LLC ownership, and the numbers suggest a home that's better staffed than most. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, and turnover at 38.7% beats the 45.8% national figure, meaning fewer caregivers are walking out the door here than elsewhere. Weekend coverage dips roughly 11% below weekday levels, so ask how that plays out on Saturdays. The health inspection side is where it gets uneven: 26 deficiencies on record, one tied to abuse, though none reached harm or jeopardy, and the last inspection closed in January 2026.

A

89/100

Belmont Terrace

Bremerton, WA · Kitsap County

CMS 3/5102 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
43%
Serious cites
0

Belmont Terrace runs 102 beds in Bremerton under corporate for-profit ownership, and its numbers tell a mixed story worth sorting through. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Staff turnover lands at 42.5%, a touch better than the 45.8% national figure, though still meaning nearly half the workforce turning over in a year. The 78 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026. Strong quality measures and solid staffing stars sit alongside a 2-star inspection record; read the inspection reports themselves before deciding.

A

89/100

The Cove At La Jolla

La Jolla, CA · San Diego County

CMS 5/559 bedsFor-profit
Nurse hours
4.95 /day
Staff turnover
45%
Serious cites
0

The Cove at La Jolla runs on a fairly rich staffing budget, 4.95 nurse hours per resident day, roughly 28% above the national average, and that shows up in its four-out-of-five staffing star. Weekend coverage dips about 15% below its own weekday level, so care may thin out on Saturdays and Sundays. Staff turnover sits at 44.6%, essentially in line with the national 45.8%, so there's no unusual churn problem here. The home carries 21 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was in May 2025, and it's a for-profit corporation with 59 certified beds.

A

88.5/100

The Oaks At Timberline

Vancouver, WA · Clark County

CMS 5/585 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
28%
Serious cites
0

The Oaks At Timberline runs a tight ship on the clinical side, 4.07 nursing hours per resident day, about 6 percent above the national average, with a 5/5 on health inspections and another 5/5 on quality measures. There's a catch worth knowing: weekend staffing drops roughly 16 percent below its weekday level, so coverage isn't perfectly even across the week, even though the overall number looks strong. Staff turnover sits at 27.6 percent, well below the 45.8 percent national figure, which suggests people stick around. The 14 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related. A corporate for-profit operator, inspected most recently in March 2026.

A

88/100

Grand Terrace Health Care Center

Grand Terrace, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
32%
Serious cites
0

Grand Terrace Health Care Center runs about 4.69 nurse hours per resident per day, roughly 21% above the national average, and its weekend staffing only dips about 11% below weekdays, a smaller drop than many homes show. Turnover sits at 32.4%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The 27 deficiencies on record include none tied to harm or abuse, and the most recent inspection was March 2026. It's a for-profit corporate home with 59 beds, but the staffing consistency and clean harm record are what stand out.

A

88/100

Upland Rehabilitation And Care Center

Upland, CA · San Bernardino County

CMS 5/5206 bedsFor-profitMedicaid
Nurse hours
5.32 /day
Staff turnover
35%
Serious cites
0

Upland Rehabilitation and Care Center runs on 5.32 nurse hours per resident day, roughly 38 percent above the national average, and its staff turnover of 35 percent sits well under the 45.8 percent national figure. Weekend coverage dips about 9 percent below weekday levels, which is common but worth knowing if you'll be visiting then. The 32 deficiencies on record include one abuse-related citation; none rose to the harm or jeopardy level, and the last inspection was in May 2025. Inspections, quality measures, and staffing all land at 4 or 5 stars, which is genuinely strong for a 206-bed for-profit corporate home. The abuse citation is the one item I'd ask about directly.

A

88/100

Atlantic Memorial Healthcare Center

Long Beach, CA · Los Angeles County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
19%
Serious cites
0

Atlantic Memorial runs on more nursing hours than most homes in the country, 4.41 per resident day against a national average of 3.86, and its weekend coverage dips only about 10% below its own weekday level, which is a smaller gap than many families end up discovering the hard way. Staff turnover sits at 19%, well under the 45.8% national figure, so the people caring for residents tend to stay. The 24 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent. It's a for-profit corporate home, but the numbers behind it are steady.

A

88/100

Villa Maria Post Acute

Santa Maria, CA · Santa Barbara County

CMS 5/581 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
24%
Serious cites
0

Villa Maria Post Acute runs on more nursing hours than most homes in the country, 4.37 per resident day against a national average of 3.86, and its staff actually tend to stick around, with turnover at 24.2% versus roughly 46% nationally. Weekend coverage dips about 11% below its own weekday level, which is the kind of gap families notice on a Sunday. The 24 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in July 2025. It's a for-profit LLC with 81 beds, and the inspection and quality ratings are both top marks.

A

88/100

Coventry Court Health Center

Anaheim, CA · Orange County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
19%
Serious cites
0

Coventry Court runs 4.31 nurse hours per resident day, roughly 12 percent above the national average, and its staff turnover of 18.9 percent sits well under the 45.8 percent national figure, that kind of retention matters for consistency of care. Weekend staffing, though, drops about 11 percent below weekday levels, so coverage thins out when families tend to visit. The 72 deficiencies on record include three tied to abuse, none flagged at the harm or jeopardy level, and the most recent inspection was July 2025. Quality measures score 5 out of 5, while inspection and staffing each land at 3.

A

88/100

The Oaks At Lakewood

Tacoma, WA · Pierce County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
29%
Serious cites
0

The Oaks At Lakewood sits at 80 certified beds under for-profit LLC ownership, and the numbers tell a fairly steady story. Nurse staffing runs 4.08 hours per resident day, about 6% above the national average, though weekends dip roughly 14% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 28.6%, well under the national 45.8%, which suggests people stay. The 28 deficiencies on record include two abuse-related citations, but none rose to harm or jeopardy level, and the most recent inspection was in January 2026.

A

87.5/100

Arrowhead Springs Healthcare

San Bernardino, CA · San Bernardino County

CMS 4/5119 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arrowhead Springs runs 119 certified beds in San Bernardino, and the staffing numbers are where it separates itself: 4.61 nurse hours per resident day against a national average of 3.86. Turnover sits at 25.2 percent, well under the 45.8 percent national figure, though weekend coverage drops about 16 percent from weekday levels, so ask how that plays out on Saturdays. The 32 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection closed in April 2025. Corporate for-profit ownership, four out of five stars across health inspections, quality measures, and staffing.

A

87/100

Parke View Rehabilitation & Care Center

Burley, ID · Cassia County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Parke View runs 3.90 nurse hours per resident day, just above the national average of 3.86, and weekends dip about 11% below its own weekday coverage. Staff turnover sits at 41.8%, better than the 45.8% national figure. Inspectors were last in on August 21, 2025, and the home carries 20 deficiencies on its current record, none at the harm or jeopardy level, none abuse-related. Health inspection rating is 4 out of 5, quality measures 5 out of 5, staffing 4 out of 5. Corporate-owned and larger than average at 86 beds, so ask about weekend coverage and how they hold onto staff, but the record itself is fairly clean.

A

87/100

Redmond Care And Rehabilitation Center

Redmond, WA · King County

CMS 5/5139 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
26%
Serious cites
0

Redmond Care And Rehabilitation Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That's the tradeoff you're weighing against a 26.2% turnover rate, well below the 45.8% national figure, meaning the aides and nurses here tend to stay. Its inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State surveyors were last in on June 13, 2025, so that picture is current. The for-profit corporate owner runs 139 beds, and the home's quality measure scores are strong. Read the staffing pattern carefully: slightly thin overall, thinner on weekends, but a stable workforce.

A

87/100

Bainbridge Island Health & Rehab Center

Bainbridge Island, WA · Kitsap County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
23%
Serious cites
0

Bainbridge Island Health & Rehab runs on a stable crew: 23.3% annual turnover against a national average near 46%, which matters more than the headline staffing number. Nurse coverage sits at 3.91 hours per resident day, barely above the 3.86 national average, and weekends drop roughly 10% below weekday levels, so the consistency comes from who stays, not from deep benches. The record shows 19 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was November 2025. For a for-profit LLC, steady retention and clean inspection scores are the real story here.

A

87/100

Lynnwood Post Acute Rehabilitation Center

Lynnwood, WA · Snohomish County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Lynnwood Post Acute Rehabilitation Center runs 67 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover is 41.9%, a bit better than the 45.8% national figure. The inspection record shows 50 deficiencies, none at harm or jeopardy level, but four are abuse-related, which is worth asking about directly. The last inspection was July 8, 2025, so the picture is current. Quality measures score well; the inspection side is where the caution lives.

A

87/100

Arbor Rehabilitation & Nursing Center

Lodi, CA · San Joaquin County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
44%
Serious cites
0

Arbor Rehabilitation & Nursing Center runs 149 certified beds in Lodi under corporate ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekends dip about 7% below its own weekday levels. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 48 deficiencies, none at the harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was January 9, 2026, so the findings are recent. Quality measures score well; the inspection side is more mixed.

A

87/100

Vista Knoll Specialized Care Facility

Vista, CA · San Diego County

CMS 5/5119 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
40%
Serious cites
0

Vista Knoll runs a for-profit operation under a limited liability company, with 119 certified beds in San Diego County. The numbers here are decent overall: a 4-out-of-5 inspection rating, a perfect 5 on quality measures, and turnover at 39.8%, better than the national average of 45.8%. Total nurse staffing sits at 3.79 hours per resident day, slightly under the national 3.86, and weekends run about 13% leaner than weekdays, so families should ask how coverage holds up on Saturdays and Sundays. The record shows 31 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. The last inspection was September 26, 2025, so the picture is recent.

A

87/100

Camarillo Healthcare Center

Camarillo, CA · Ventura County

CMS 5/5114 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
39%
Serious cites
0

Camarillo Healthcare Center runs 114 beds under corporate ownership, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the national average of 3.86. Weekend coverage drops roughly 7% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover lands at 39.1%, which is meaningfully better than the 45.8% national figure, and its last inspection was recent, in February 2025. The 33 deficiencies on record include none tied to harm or jeopardy and none related to abuse. Quality measures scored well, and the health inspection record is solid. The staffing edge over average is thin, though, that's the number worth watching.

A

86/100

South Bay Post Acute Care

Chula Vista, CA · San Diego County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
41%
Serious cites
0

South Bay Post Acute Care runs 99 beds in Chula Vista under for-profit LLC ownership, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average, though weekends dip about 13% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 40.6%, better than the 45.8% national figure. The home carries 30 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was in May 2025.

A

85.5/100

Camelback Post Acute Care And Rehabilitation

Phoenix, AZ · Maricopa County

CMS 3/5107 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
34%
Serious cites
0

Camelback Post Acute runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage, so a Saturday or Sunday shift is when your family member is most likely to wait. The for-profit corporate owner has held onto staff better than most, with 34.4% turnover versus 45.8% nationally, and the 5/5 quality measure rating suggests the clinical tracking is solid. But 20 deficiencies on the current record, including one at harm level and one abuse-related, plus a 2/5 inspection rating from the April 2024 survey, is the part I'd press the administrator on directly before deciding.

A

85.5/100

Chandler Post Acute And Rehabilitation

Chandler, AZ · Maricopa County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Chandler Post Acute and Rehabilitation runs 120 beds under corporate ownership, and its numbers are a mixed bag worth understanding before you visit. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average, and weekends drop about 17% below what the home staffs on weekdays, so a Saturday or Sunday shift is when you'd want to pay closest attention. Turnover at 43.7% is actually a touch better than the national figure, and the quality measure score is strong. The part that gives pause: 21 deficiencies on record, five tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was December 2023.