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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

85.5/100

Lake Balboa Care Center

Van Nuys, CA · Los Angeles County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.95 /day
Staff turnover
27%
Serious cites
0

Lake Balboa Care Center runs about 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and its staff turnover of 26.7% sits well under the national 45.8%. Weekend coverage, though, drops about 17% below its own weekday level, so care can thin out when families visit. The current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in April 2026. State survey results land at 3 out of 5 stars, while the quality measures score 5 out of 5. For-profit corporate ownership, 50 beds.

A

85.5/100

Owyhee Health & Rehabilitation Center

Homedale, ID · Owyhee County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Owyhee Health & Rehabilitation Center runs 58 certified beds in Homedale, and the numbers here hold up better than most. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 20% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 38.8%, lower than the national 45.8%, which matters for whether you see the same faces month to month. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Corporate for-profit ownership, so ask who's actually on the floor.

A

85.5/100

Stonehenge Of South Jordan

South Jordan, UT · Salt Lake County

CMS 5/532 bedsFor-profit
Nurse hours
5.07 /day
Staff turnover
n/a
Serious cites
0

Stonehenge Of South Jordan runs 32 beds, and the nurse staffing here sits at 5.07 hours per resident day, roughly a third above the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so that strong staffing number isn't perfectly flat across the week. The current record shows 8 deficiencies, one of them serious enough to reach harm or jeopardy level, and none tied to abuse. Inspectors were last in on December 18, 2024, and the ownership changed hands within the past year, which is worth asking about directly. The inspection and staffing ratings both come in at the top of CMS's scale, with quality measures a step below.

A

85.5/100

Park Manor Rehabilitation Ctr

Walla Walla, WA · Walla Walla County

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

Park Manor runs on 4.33 nurse hours per resident day, roughly 12% above the national average, and its staff turnover of 30.4% sits well below the 45.8% national figure, two numbers that usually matter more to daily life than any star rating. Weekend coverage, though, drops about 16% below the home's own weekday level, so staffing isn't perfectly even across the week. The inspection record shows 7 deficiencies, including one at the harm level and one abuse-related, plus a single $28,106 fine; the most recent inspection was May 2026. Corporate-owned and for-profit, this is a home whose numbers mostly hold up, with a few specific things worth asking about directly.

A

85/100

Coronado Healthcare Center

Phoenix, AZ · Maricopa County

CMS 5/5191 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
44%
Serious cites
0

Coronado Healthcare Center runs 191 certified beds in Phoenix under individual for-profit ownership. Its inspection record is solid on paper, a 4/5 health inspection rating and 12 total deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. The tradeoff shows up in daily staffing: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends run roughly 13% lighter than weekdays, so care coverage depends on when you visit. Staff turnover at 43.8% is slightly better than the national 45.8%. A recent inspection date of January 30, 2026 means the record is current. Strong quality measures, thinner staffing floor.

A

85/100

Estrella Health And Rehabilitation Center

Avondale, AZ · Maricopa County

CMS 4/5161 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
36%
Serious cites
0

Estrella Health and Rehabilitation Center runs 161 certified beds in Avondale under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The good news is retention: 36.4% annual turnover beats the 45.8% national figure, meaning fewer unfamiliar faces. Its current record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 10, 2026. Quality measures score well; staffing and inspections sit mid-range.

A

85/100

Garden View Post Acute Rehabilitation

Baldwin Park, CA · Los Angeles County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
40%
Serious cites
0

Garden View Post Acute Rehabilitation runs 97 certified beds in Baldwin Park under for-profit LLC ownership, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That edge narrows on weekends, which run roughly 12% below the home's own weekday level. Staff turnover lands at 39.6%, better than the 45.8% national figure, and the last inspection was recent, February 2026. The record shows 45 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. Federal stars split: 5/5 on quality measures, 3/5 on both health inspections and staffing. What you're weighing is a home with real clinical quality marks and decent retention against a lengthy deficiency list and thinner weekend coverage.

A

85/100

Fairmont Rehabilitation Hospital

Lodi, CA · San Joaquin County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
35%
Serious cites
0

Fairmont Rehabilitation Hospital in Lodi runs 4.55 nurse hours per resident day, about 18% above the national average, and its weekend staffing dips roughly 12% below its own weekday level, a gap worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover sits at 34.7%, noticeably better than the 45.8% national figure, which matters for continuity. The tradeoff shows up in inspections: 25 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in January 2025.

A

85/100

Lomita Post-Acute Care Center

Lomita, CA · Los Angeles County

CMS 3/571 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

Lomita Post-Acute runs 71 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average. Weekends dip about 13% below its own weekday coverage, so the weekday number is the better one. Annual turnover of 35.3% is meaningfully lower than the 45.8% national figure, which suggests less churn than most homes manage. Where it gets complicated is inspection history: 51 deficiencies on the current record, including one abuse-related citation, with no harm or jeopardy findings. The health inspection rating lands at 2 out of 5, while quality measures come in at 5 out of 5. That split is worth understanding before you visit, ask about the abuse citation and what changed after it.

A

85/100

Claremont Care Center

Pomona, CA · Los Angeles County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
38%
Serious cites
0

Claremont Care Center runs 99 beds in Pomona under for-profit LLC ownership, and its staffing numbers are the strongest part of the story: 4.24 nurse hours per resident day, about 10% above the national average. Weekend coverage dips roughly 12% below its own weekday level, so ask how that plays out on Saturdays. Turnover sits at 37.6%, better than the 45.8% national figure, which matters for whether you see the same faces. The current record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection in February 2026. Quality measures score well; inspections are middling.

A

85/100

St. Catherine Healthcare

Fullerton, CA · Orange County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

St. Catherine Healthcare runs 99 beds in Fullerton under corporate ownership, and its staffing sits slightly above the national average at 3.95 hours per resident day, modest, but on the right side of the line. The standout number is turnover: 16.9% against a national average near 46%, which suggests people actually stay. Weekend coverage dips about 7% below weekdays, so ask how that plays out on Saturdays. The inspection record is heavier: 52 deficiencies on file, three tied to abuse, though none reached harm or jeopardy level, and the last survey was recent. Quality measures score well; the inspection side is where the questions live.

A

85/100

Cloverdale Healthcare Center

Cloverdale, CA · Sonoma County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Cloverdale Healthcare Center runs 72 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the care side: a 5/5 health inspection rating with 13 deficiencies on record, none of them causing harm or involving abuse. Total nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends dip about 12% below the home's own weekday levels, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 36.5% is meaningfully better than the 45.8% national figure, which matters for continuity of care. The most recent inspection was December 19, 2025.

A

85/100

Timber Ridge Health And Rehabilitation

Stevens Point, WI · Portage County

CMS 4/548 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
33%
Serious cites
0

Timber Ridge is county-owned, and that shows in the numbers: 4.96 nurse hours per resident day against a national average of 3.86, with turnover at 33.3% versus 45.8% nationally. Weekend staffing dips about 12% below its own weekday level, which is worth asking about. The tradeoff is inspection history, 16 deficiencies on record, six of them abuse-related, though none rose to harm or jeopardy. The most recent state visit was February 2025. Strong staffing and quality scores coexist here with a longer-than-ideal deficiency list, so read the inspection reports yourself before deciding.

A

85/100

Turlock Nursing And Rehabilitation Center

Turlock, CA · Stanislaus County

CMS 3/5144 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
35%
Serious cites
0

Turlock Nursing and Rehabilitation Center runs 144 beds under for-profit limited liability ownership that changed hands within the past year. Its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, and weekends dip about 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover of 34.9% beats the national 45.8%, which matters for consistency of care. The current record carries 41 deficiencies, none at harm or jeopardy level, but two tied to abuse. A March 2026 inspection is recent enough to reflect present conditions.

A

85/100

Vintage Faire Nursing & Rehabilitation Center

Modesto, CA · Stanislaus County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
44%
Serious cites
0

Vintage Faire runs about 4.19 nurse hours per resident per day, roughly 8% above the national average, though weekends dip about 12% below its own weekday staffing. Staff turnover sits at 44.1%, a touch under the national 45.8%, so the team is comparatively stable. What holds it back is the inspection record: 73 deficiencies on file, including one abuse-related citation, with no harm-level findings, and a 2-star health inspection rating despite a 5-star quality measure score. The last inspection was April 11, 2025, so the record is recent. This for-profit LLC- owned home has real clinical strengths, but the survey history is worth asking about directly.

B

84.5/100

Brookside Healthcare Center

Redlands, CA · San Bernardino County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

Brookside runs on more nursing hours than most homes in the country, about 4.54 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 35.1% versus roughly 46% nationally. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on a Sunday. The 32 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in October 2024. Corporate for-profit ownership, 97 beds. The weak spot is inspections, not care delivery; quality and staffing measures both sit well above average.

B

84/100

Catalina Post Acute And Rehabilitation

Tucson, AZ · Pima County

CMS 4/5102 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
42%
Serious cites
0

Catalina Post Acute runs 102 beds under for-profit LLC ownership, and its staffing sits slightly ahead of the national average at 3.98 nurse hours per resident day. That margin narrows on weekends, when coverage drops roughly 10% below the home's own weekday levels, worth asking about if your family visits then. Staff turnover is 41.7%, a bit better than the 45.8% national figure. The inspection record shows 21 deficiencies, none involving harm or abuse, with the most recent survey in September 2025. Quality measures score well; inspection and staffing results land in the middle. It reads as a stable, adequately staffed home without serious red flags, rather than a standout.

B

84/100

Brookfield Healthcare Center

Downey, CA · Los Angeles County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
36%
Serious cites
0

Brookfield Healthcare Center runs 4.02 nurse hours per resident day, about 4% above the national average, though weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 36.4%, meaningfully better than the 45.8% national figure, which matters for whether your parent sees the same aides month to month. The tradeoff shows up in the inspection record: 27 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related. A 4-out-of-5 inspection rating and a December 2025 survey suggest the home has been correcting problems, but that one harm-level finding is the number to press them on directly.

B

84/100

St Joseph Villa

Salt Lake City, UT · Salt Lake County

CMS 3/5221 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
31%
Serious cites
0

St Joseph Villa runs 3.59 nurse hours per resident day, about 7% under the national average, and weekend coverage dips roughly 12% below its own weekday numbers, a pattern families should ask about directly, since needs don't pause on Saturdays. Turnover sits at 31.2%, well below the 45.8% national figure, which suggests a steadier workforce than many for-profit homes of this size. The tradeoff shows up in the inspection record: 14 deficiencies, three at harm or jeopardy level and two abuse-related, with the most recent state visit in July 2024. Its quality and staffing ratings are stronger than its inspection history, so weigh those abuse findings carefully before deciding.

B

84/100

Cedar Health And Rehabilitation

Cedar City, UT · Iron County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
40%
Serious cites
0

Cedar Health and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and its staffing is the strongest part of the picture: 3.97 nurse hours per resident day, slightly above the national average, with a 4/5 staffing star. Turnover sits at 39.5%, better than the 45.8% national figure, though weekend coverage drops about 11% below weekday levels. The concern is the inspection record, a 2/5 health inspection star, with 20 deficiencies on file including one at the harm level and three abuse-related. That combination of decent staffing and a recent, troubled inspection (June 2025) is what holds this home back from a stronger overall grade.

B

84/100

Olympia Transitional Care And Rehabilitation

Olympia, WA · Thurston County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
42%
Serious cites
0

Olympia Transitional Care and Rehabilitation runs 113 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekends run about 11% thinner than weekdays, so coverage isn't perfectly even. Staff turnover is 41.7%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 42 deficiencies, including one at the harm or jeopardy level and one flagged as abuse-related; that's worth asking about directly. The most recent inspection was April 24, 2026, so the findings are recent. Federal ratings put quality measures and staffing at 4 of 5 stars, health inspections at 3.

B

84/100

Mountain View Rehabilitation And Care Center

Marysville, WA · Snohomish County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
29%
Serious cites
0

Mountain View runs a fairly tight ship for a for-profit corporate home in Marysville. Its 3.76 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 11% thinner than weekdays, not unusual, but worth knowing if your family visits or calls on Saturdays. Turnover is the real bright spot: 28.7%, well below the 45.8% national figure, which suggests aides and nurses tend to stay. The inspection record shows 39 deficiencies, none at the harm level and none abuse-related, with a recent survey in January 2026.

B

84/100

Carmel Mountain Rehabilitation & Healthcare Center

San Diego, CA · San Diego County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
40%
Serious cites
0

Carmel Mountain runs 5.02 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 40% is a bit better than the typical 45.8%. That's the good news. The inspection record is where it gets harder: 53 deficiencies, one of them serious enough to cause harm, though none involve abuse. Health inspection rating sits at 2 out of 5 stars. Weekend staffing dips about 8% below its own weekday levels, which matters if you're visiting on a Saturday. The quality measure score is perfect, but that's largely self-reported. With a for-profit LLC owner and a recent April 2025 inspection, the staffing numbers are real, the safety record is the open question.

B

83.5/100

Palomar Vista Healthcare Center

Escondido, CA · San Diego County

CMS 2/574 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
n/a
Serious cites
0

Palomar Vista runs 4.52 nurse hours per resident day, about 17% above the national average of 3.86, that's real coverage, and it's why staffing scores well. Weekend hours dip roughly 14% below weekdays, so care can thin out on Saturdays and Sundays. The health inspection side is weaker: a 2-out-of-5 rating, with 51 deficiencies on record, one tied to abuse. None of those were cited at the harm or jeopardy level, which matters, but the volume is high. A recent September 2025 inspection means the record is current. Overall you're looking at a home that staffs better than average but has a history of inspection problems worth asking about directly.

B

83.5/100

Palm Terrace Care Center

Riverside, CA · Riverside County

CMS 4/571 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
44%
Serious cites
0

Palm Terrace runs 4.41 nurse hours per resident day, about 14% above the national average, though weekends dip roughly 15% below its own weekday numbers. Its 25 deficiencies include none at the harm or jeopardy level and one abuse-related citation, with an inspection in May 2025 keeping the record current. Staff turnover sits at 43.5%, slightly better than the 45.8% national rate, and the 5/5 quality measure rating stands out against a 3/5 on inspections and a 3/5 on staffing. For a 71-bed corporate-owned home, the care metrics look stronger than the compliance record, and the weekend gap is worth asking about directly.

B

83/100

Downey Post Acute

Downey, CA · Los Angeles County

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

Downey Post Acute runs a 99-bed for-profit operation where the nursing hours work out to 4.29 per resident day, roughly 11% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 12% below the home's own weekday level, so the weekday number flatters the week as a whole. Staff turnover sits at 39.3%, better than the 45.8% national figure, meaning fewer caregivers are cycling out the door than is typical. The harder part is the inspection record: 55 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $13,575. The most recent inspection was May 2026.

B

83/100

Alamitos Belmont Health And Rehabilitation

Long Beach, CA · Los Angeles County

CMS 3/594 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
26%
Serious cites
0

Alamitos Belmont runs a for-profit operation with 94 beds in Long Beach, and the staffing numbers are the strongest thing it has going: 4.50 nurse hours per resident day, about 16% above the national average, with turnover at 26% compared to 45.8% nationally. That retention matters, fewer unfamiliar faces on the floor. The catch is the inspection record. Forty-three deficiencies, three of them serious enough to endanger residents, one tied to abuse, and $33,017 in fines across three penalties. Quality measures score well, but that's self-reported data, and the last full inspection was January 2026. Weekend staffing also dips about 12% below weekday levels, so ask how coverage holds up on Saturdays and Sundays.

B

83/100

Panorama Gardens Nursing And Rehabilitation Center

Panorama City, CA · Los Angeles County

CMS 3/5151 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
34%
Serious cites
0

Panorama Gardens runs 151 certified beds under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86 nationally, though weekend coverage dips about 6% below its own weekday level. Turnover is where it looks better than most: 33.5% annually versus a 45.8% national rate, which matters for whether residents see familiar faces. The concerning part is the inspection record: 51 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $28,369 in fines across two penalties. A recent inspection (August 2025) and a 2/5 health inspection star suggest the survey history is the real story here, not the strong 5/5 quality measure score.

B

83/100

Mainplace Post Acute

Orange, CA · Orange County

CMS 2/5169 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
27%
Serious cites
0

Mainplace Post Acute runs 4.16 nurse hours per resident day, about 8% above the national average, and its staff turnover of 26.7% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. The catch is the inspection record: 68 deficiencies, including 2 at the harm or jeopardy level and 3 related to abuse, with one fine of $26,135. Weekend staffing also dips roughly 7% below its own weekday level. The most recent inspection was March 2026, so the record is current, not stale. Strong staffing numbers, a troubled survey history, worth asking the administrator directly how those abuse-related citations were resolved.

B

83/100

The Hills Post Acute

Santa Ana, CA · Orange County

CMS 1/5174 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

The Hills Post Acute runs 174 certified beds under for-profit LLC ownership in Santa Ana, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average of 3.86. Turnover is 34.8%, notably better than the 45.8% national figure, though weekend coverage dips about 8% below weekday levels. The staffing picture is the strong point here: CMS gives it 4 out of 5 on staffing and 4 on quality measures. What pulls it down is the inspection side, where it earns 2 stars and carries 119 deficiencies on its record, none flagged at harm or jeopardy level, and none abuse-related. Two fines totaling $4,893 is modest. Last inspection was May 2026, so the record is current.