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.
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Northgate Plaza runs thin on nursing staff, 3.19 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The 66.1% annual turnover means most of the people caring for your relative are new, still learning the building, or already halfway out the door.
Behind the staffing numbers sits a 1-out-of-5 health inspection rating and 65 deficiencies on the current record, including two at the harm level and two tied to abuse. Two fines total $55,697. Ownership is a for-profit corporation, and the most recent inspection was in December 2024.
Lakeside Rehabilitation and Care Center is a 100-bed for-profit home in Coeur d'Alene, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends run about 16% thinner than weekdays, and turnover hits 54.2% against a national 45.8%, meaning the people caring for your family member are both stretched and frequently changing. The inspection history is the bigger concern: 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with $220,832 in fines. The last inspection was August 2025. Ownership is corporate, for profit. Ask hard questions before choosing this one.
Sunview runs a split record. Nurse staffing sits at 4.47 hours per resident day, about 16% above the national average, and turnover of 41.2% is slightly better than the typical home. Those are real strengths, and the 5/5 quality measure rating reflects them. But the inspection side tells a different story: 19 deficiencies on record, 2 at harm or jeopardy level, 5 abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Weekend staffing drops roughly 15% below weekday levels, which matters when falls and emergencies don't wait for Monday. The last inspection was September 2024.
Irondale Post Acute carries a 1-out-of-5 health inspection rating, and the record behind it is heavy: 27 deficiencies, six of them at the level where residents were actually harmed or put in immediate jeopardy, and four tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent compliance problems. Five fines total $147,455, and the last inspection was February 2026. Staffing sits at 3.35 hours per resident day, about 13 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. The quality measure score looks strong on paper, but that's self-reported data, the inspection findings and the penalty history are what families should weigh here.
Timber Springs runs on 3.27 nursing hours per resident day, about 15% under the national average, and weekends drop another 15% below what it already provides on weekdays. Inspectors have cited 67 deficiencies, including six tied to abuse and five serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection records. Two fines totaling $30,654 sit on the books, with the most recent inspection in September 2025. The quality measure score looks strong, but that's built on self-reported data, and the staffing and inspection numbers are what families actually live with.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Provo Rehabilitation and Nursing runs 220 certified beds under corporate ownership, and its staffing sits at 3.88 nurse hours per resident day, essentially the national average, though weekends drop about 11% below its own weekday level. The bigger issue is what inspectors keep finding: 75 deficiencies on the current record, 27 of them at harm or jeopardy level and 12 tied to abuse, with two fines totaling $82,617. Staff turnover hits 54.5% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. A 1/5 inspection rating and a last visit in October 2024 tell you the oversight is ongoing.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.
Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.