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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

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67/100

The Mildred & Shirley L. Garrison Geriatric Educat

Lubbock, TX · Lubbock County

CMS 2/5120 bedsGovernmentMedicaid
Nurse hours
3.00 /day
Staff turnover
54%
Serious cites
0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

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67/100

Brodie Ranch Nursing And Rehabilitation Center

Austin, TX · Travis County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
41%
Serious cites
0

Brodie Ranch runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends are about 13% thinner than its own weekdays. For a 120-bed home that is a real gap, and it shows up in the staffing star rating, which sits at 2 out of 5. The inspection record is heavier than that number alone suggests: 31 deficiencies, three of them at harm or jeopardy level, three abuse-related, and $61,059 in fines across three events. Last inspection was March 26, 2025. Turnover at 40.9% is actually below the national 45.8%, and the 4/5 quality measure rating is the strongest thing here. Government hospital district ownership doesn't change what the numbers say about daily coverage.

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66/100

Mcintosh Care And Rehabilitation Center

Longmont, CO · Boulder County

CMS 3/5110 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
50%
Serious cites
0

McIntosh Care and Rehabilitation Center runs on 3.00 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 14% below its own weekday levels. That thin coverage shows up in a 2-out-of-5 staffing rating and a 50% annual turnover rate, higher than the 45.8% national figure, meaning the aides and nurses who remain are stretched, and the ones who leave take familiarity with residents with them. The inspection record carries 20 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus one $14,015 fine; the most recent inspection was March 19, 2026. The 3-out-of-5 marks on health inspections and quality measures are middling, not alarming on their own, the staffing numbers are the part worth pressing on during a visit.

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66/100

Marianwood Health And Rehabilitation

Issaquah, WA · King County

CMS 3/5117 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
66%
Serious cites
0

Marianwood runs 117 beds in Issaquah under for-profit LLC ownership, and its nurse staffing sits just under the national average, close enough that the 3.81 hours per resident day isn't the real story. The real story is what happens on weekends, when staffing drops about 13% below its own weekday level, and a turnover rate of 66.1% that runs well past the national 45.8%. On inspections, the record shows 50 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $64,574. The most recent inspection was November 2025, so the picture is current. Quality measures score well, but consistent staffing and a clean inspection history are what families actually live with day to day.

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66/100

San Marcos Rehabilitation And Healthcare Center

San Marcos, TX · Hays County

CMS 2/5129 bedsFor-profitMedicaid
Nurse hours
2.98 /day
Staff turnover
49%
Serious cites
0

San Marcos Rehabilitation and Healthcare Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home already provides on weekdays. State inspectors have cited 17 deficiencies, three of them serious enough to put residents at harm or jeopardy, and the last inspection was in October 2025. Staff turnover sits at 48.8%, a few points above the national rate, at a for-profit corporate home with 129 certified beds. Its quality measure score looks strong, but that reflects charted care, not the hours of nursing help actually available at the bedside when you or your family member needs it.

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66/100

Granite Mesa Health Center

Marble Falls, TX · Burnet County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
n/a
Serious cites
0

Granite Mesa runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, and weekends drop roughly another 20% below what the home staffs during the week. That pattern matters more than any single number, because it means the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, with a $59,345 fine and a survey completed at the very end of 2025. Ownership is a for-profit LLC, and the 124-bed building earns solid marks on quality measures while staffing sits at the bottom of the federal scale.

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65.5/100

Sedona Trace Health And Wellness Center

Austin, TX · Travis County

CMS 3/5119 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
n/a
Serious cites
0

Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.

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65/100

Rosewood Rehabilitation Center

Reno, NV · Washoe County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
58%
Serious cites
0

Rosewood Rehabilitation Center runs 99 certified beds in Reno under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average of 3.86, and weekends dip about 14 percent below its own weekday level. Staff turnover is 58 percent against a national 45.8 percent, and CMS rates staffing 1 out of 5 stars. The inspection record is heavier still: 62 deficiencies, including 10 tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in December 2025. Its quality measure score is strong at 4 out of 5 stars, which makes the thin staffing the more pressing question for anyone weighing a move here.

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65/100

Crestwood Health And Rehabilitation Center

Wills Point, TX · Van Zandt County

CMS 5/5117 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
50%
Serious cites
0

Crestwood runs about 3.29 nurse hours per resident each day, roughly 15 percent under the national average, and weekends dip another 7 percent below its own weekday coverage. Staff turnover sits at 50 percent, a bit above the national 45.8 percent. On the plus side, its most recent inspection in January 2026 produced a 5-star health inspection rating, with 10 deficiencies on record, none at the harm level, though one is abuse-related, which is worth asking about directly. The quality measure rating of 2 out of 5 is where the tension shows: good inspection results, thinner day-to-day staffing and measured care outcomes. For-profit partnership ownership.

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65/100

Legend Oaks Healthcare And Rehabilitation Center -

Houston, TX · Harris County

CMS 2/5125 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
71%
Serious cites
0

Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.

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64.5/100

Millennium Post Acute Rehabilitation

West Columbia, SC · Lexington County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
59%
Serious cites
0

Millennium Post Acute Rehabilitation runs 132 beds in West Columbia under for-profit LLC ownership, and the numbers pull in two directions. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, but the weekend schedule drops roughly 16% below its own weekday level, and annual turnover hits 59.4% against a national 45.8%, which is a lot of churn for a building this size. The health inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,271; the most recent inspection was March 2026. CMS rates the quality measures 5 out of 5 and staffing just 1, so ask how care actually holds up on Saturdays.

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64.5/100

Legend Oaks Healthcare And Rehabilitation Center G

Gladewater, TX · Gregg County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
3.11 /day
Staff turnover
43%
Serious cites
0

Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.

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64/100

The Health Center At Research Park

Huntsville, AL · Madison County

CMS 1/591 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

Abuse icon on record

The Health Center at Research Park runs about 3.46 nurse hours per resident day, roughly 10% under the national average, and weekend coverage falls nearly a fifth below its own weekday level, so the gap between a Tuesday and a Sunday is real. Staff turnover sits at 54.7% against a national 45.8%, which means more than half the nursing staff leaves each year. Its current record carries 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $69,011; the last inspection was June 2024. Ownership is a for-profit corporation.

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64/100

Polaris Extended Care

Anchorage, AK · Anchorage County

CMS 2/596 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

Polaris Extended Care runs one of the more lopsided profiles you'll see in Anchorage: nurse staffing at 4.61 hours per resident day sits about 19% above the national average, and CMS gives it 5 out of 5 stars for that. But staffing is only part of the story. The health inspection record is the problem, 82 deficiencies, including 10 at the harm or jeopardy level and 5 tied to abuse, with $231,865 in fines across four penalties. Weekend staffing also drops about 16% below its own weekday level, so the coverage isn't even all week. The most recent inspection was May 2025, so this is current, not old history.

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64/100

Santa Rosa Care Center

Tucson, AZ · Pima County

CMS 3/5144 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
58%
Serious cites
0

Abuse icon on record

Santa Rosa Care Center runs about 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends dip another 13% below its own weekday levels. Annual turnover sits at 58.2% against a 45.8% national figure, so the staff cycling through the building is changing faster than at the typical home. Its inspection record shows 28 deficiencies, including one at the harm level and 12 tied to abuse, with the most recent inspection in August 2025. The quality measure score comes in strong, but that reflects charted clinical outcomes rather than day-to-day staffing or the survey history behind it.

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64/100

Desert Terrace Healthcare Center

Phoenix, AZ · Maricopa County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
55%
Serious cites
0

Abuse icon on record

Desert Terrace runs on leaner nursing hours than most homes, 3.35 per resident day against a national average of 3.86, and weekends drop about 11% below what the building staffs during the week. That matters because turnover sits at 55.4%, well above the 45.8% national figure, so the people covering those thinner weekend shifts are often new. The five-star quality measure rating looks strong on paper, but the inspection record tells a different story: 23 deficiencies, five tied to abuse, and a two-star health inspection score from a visit in late September 2025. None of those deficiencies rose to the level of actual harm, which is worth knowing. Corporate-owned, 108 beds, and a staffing picture that runs below average across the board.

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64/100

Casas Adobes Post Acute Rehab Center

Tucson, AZ · Pima County

CMS 3/5230 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
51%
Serious cites
0

Abuse icon on record

Casas Adobes runs about 3.97 nurse hours per resident day, a bit above the national average, but weekends drop roughly 13% below its own weekday coverage, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 50.5%, higher than the 45.8% national figure, which matters for whether your parent sees the same aides from month to month. The health inspection record is the real concern: 19 deficiencies, seven of them abuse-related, even though none rose to harm or jeopardy level, and the last inspection was in May 2026. The quality measure stars look strong, but the inspection side is where you'd want to ask hard questions before choosing this 230-bed for-profit home.

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64/100

Heritage Court Post Acute Of Scottsdale

Scottsdale, AZ · Maricopa County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
51%
Serious cites
0

Abuse icon on record

Heritage Court Post Acute runs 108 beds in Scottsdale under corporate ownership, and the numbers pull in two directions. Clinical quality measures score near the top, and the April 2025 inspection found no deficiencies at the harm level, but there are 18 deficiencies on record, three tied to abuse, and nurse staffing sits about 14% under the national average at 3.31 hours per resident day. Weekend coverage drops roughly 12% below the home's own weekday level, which matters when families visit and needs don't pause. Annual turnover is 50.7%, above the 45.8% national figure, so the people caring for your relative change often. Ask how they staff weekends and what those abuse deficiencies involved before deciding.

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64/100

Bella Vita Health And Rehabilitation Center

Glendale, AZ · Maricopa County

CMS 3/5176 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
45%
Serious cites
0

Abuse icon on record

Bella Vita runs 176 certified beds under corporate for-profit ownership in Glendale, and its staffing sits almost exactly at the national average, 3.88 nurse hours per resident day against 3.86 nationwide. That average hides a gap, though: weekends run about 11% leaner than weekdays, so coverage depends on when you visit. Turnover at 44.5% is slightly better than the national 45.8%, which is a small point in its favor. The bigger concern is the inspection record: 21 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,278 fine. The last inspection was October 31, 2024, so that record is recent.

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64/100

Horizon Post Acute And Rehabilitation Center

Glendale, AZ · Maricopa County

CMS 3/5196 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
46%
Serious cites
0

Abuse icon on record

Horizon Post Acute runs 196 beds in Glendale under corporate ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9 percent under the national average, with weekends about 10 percent thinner than weekdays. Turnover is 46.3 percent, close to the national figure of 45.8 percent, so continuity isn't the standout problem here. The inspection record is: 19 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with a single fine of $10,985. CMS scored staffing and health inspections 2 out of 5, while quality measures came in at 5. The most recent inspection was May 16, 2025.

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64/100

Magnolia Post Acute Care

El Cajon, CA · San Diego County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
38%
Serious cites
0

Abuse icon on record

Magnolia Post Acute Care runs 99 beds in El Cajon under corporate for-profit ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86 nationwide, with weekend coverage dropping roughly 13% below its own weekday numbers. Turnover of 37.5% is better than the 45.8% national figure, so the workforce is more stable than most. The concern is the inspection record: 33 deficiencies, including 8 abuse-related citations and one at the harm or jeopardy level, with a single $117,475 fine. A recent August 2025 inspection and a 2-out-of-5 health inspection rating suggest the care problems are current, not historical.

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64/100

Courtyard Health Care Center

Davis, CA · Yolo County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
39%
Serious cites
0

Abuse icon on record

Courtyard Health Care Center runs on better-than-average staffing: 4.28 nurse hours per resident day, roughly 11% above the national figure, with turnover at 39.2% compared to the 45.8% norm. Weekend coverage dips about 6% below its own weekday level, which is worth knowing if you visit on Saturdays or Sundays. The trouble sits in its inspection record, 65 deficiencies, including one at the harm level and ten tied to abuse, against a one-star health inspection rating. That's a serious paper trail, and the state was last in the building in April 2025. Strong staffing and strong quality measures don't erase what inspectors found.

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64/100

Park View Post Acute

Santa Rosa, CA · Sonoma County

CMS 2/5116 bedsFor-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
30%
Serious cites
0

Abuse icon on record

Park View Post Acute runs on better-than-average staffing, 4.49 nurse hours per resident day against a national 3.86, and its 30.1% turnover beats the 45.8% national figure, meaning you're more likely to see familiar faces than at the typical home. Weekends dip about 8% below the home's own weekday coverage, so ask how that gap gets filled. The caution is in the inspection record: 43 deficiencies, one at harm or jeopardy level and two abuse-related, with a 2/5 inspection rating. A single $9,347 fine and a March 2026 inspection suggest the problems aren't purely historical.

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64/100

City Park Healthcare And Rehabilitation Center

Denver, CO · Denver County

CMS 3/5125 bedsFor-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
31%
Serious cites
0

Abuse icon on record

City Park Healthcare and Rehabilitation Center runs 125 beds in Denver under corporate for-profit ownership, and its nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the one number that beats the norm: 30.7% against a national 45.8%, meaning the aides and nurses who are there tend to stay. The inspection record is the harder part, 39 deficiencies, including one at the harm level and six tied to abuse, with a $8,278 fine and a survey completed in January 2026.

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64/100

Rock Canyon Respiratory And Rehabilitation Center

Pueblo, CO · Pueblo County

CMS 1/5151 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
49%
Serious cites
0

Abuse icon on record

Rock Canyon runs on lean staffing: 2.80 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, so coverage thins exactly when families tend to visit. The 41 deficiencies on record include 7 at the harm or jeopardy level and 5 tied to abuse, and three fines total $89,938. Annual turnover of 49.1% sits slightly above the national 45.8%, which means caregivers cycle through faster than average. The quality measure star (4/5) looks strong on paper, but that score reflects reported clinical metrics, not the hands available at the bedside.

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64/100

Villas At Sunny Acres, The

Thornton, CO · Adams County

CMS 2/5160 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
31%
Serious cites
0

Abuse icon on record

Villas At Sunny Acres runs 160 certified beds in Thornton under corporate for-profit ownership, and its 3.06 nurse staffing hours per resident day sit roughly 21% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage. Turnover is the one number that looks better than most, 30.6% against a national 45.8%. The inspection record is where the concern sits: 28 deficiencies, four at harm or jeopardy level and four abuse-related, with a $19,988 fine and a 2/5 health inspection rating, though the most recent survey came in April 2025.

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64/100

Riverbend Health And Rehabilitation Center

Loveland, CO · Larimer County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
44%
Serious cites
0

Abuse icon on record

Riverbend runs about 20% below the national average on nurse staffing, 3.08 hours per resident day, and weekends drop roughly 9% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 43.8%, slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. The health inspection record shows 18 deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. Its last inspection was April 30, 2026, so that picture is current. Under a for-profit LLC, the numbers point to a home that's adequately watched but thinly staffed.

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64/100

Durango Health And Rehabilitation

Durango, CO · La Plata County

CMS 1/5133 bedsFor-profitMedicaid
Nurse hours
2.90 /day
Staff turnover
31%
Serious cites
0

Abuse icon on record

Durango Health and Rehabilitation runs 133 beds under corporate ownership, and its inspection record is the real story here: 48 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse. That earned a 1 out of 5 on CMS's health inspection rating. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. One bright spot: staff turnover is 31%, better than the 45.8% national figure, and quality measures scored 4 out of 5. But recent inspections, the last in June 2024, keep the overall picture middling.

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64/100

Oakwood Care And Rehabilitation

Lakewood, CO · Jefferson County

CMS 1/5170 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
54%
Serious cites
0

Abuse icon on record

Oakwood Care and Rehabilitation runs 170 beds in Lakewood under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.00 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. Turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 74 deficiencies, 10 of them at harm or jeopardy level and 11 abuse-related, plus $217,271 in fines across three penalties. The most recent inspection was September 2025. Quality measure scores look good on paper; the health inspection side tells a different story.

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64/100

Aspen Health And Wellness

Overland Park, KS · Johnson County

CMS 1/5102 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
56%
Serious cites
0

Aspen Health And Wellness runs 102 certified beds in Overland Park under corporate for-profit ownership, and its inspection record is the part that stands out. CMS has cited 55 deficiencies on the current record, including three at the harm or jeopardy level and one abuse-related, with 18 fines totaling $114,489 and a one-star health inspection rating from the most recent survey on June 26, 2025. Staffing sits at 3.66 nurse hours per resident day, about 5% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Turnover is 55.6% against a national 45.8%, meaning more than half the nursing staff leaves each year, worth asking about directly if you're considering this one.