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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

B

82.5/100

City Creek Post Acute

Salt Lake City, UT · Salt Lake County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
n/a
Serious cites
0

City Creek Post Acute sits in Salt Lake City with 108 certified beds and a for-profit partnership structure. The numbers here pull in opposite directions: residents' clinical outcomes score well on federal quality measures, but staffing earns only one star out of five, and the home carries 21 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. That staffing figure is the one worth sitting with, since day-to-day care depends on people, not charts. The most recent inspection closed in March 2026, so the picture is current. Ask about direct-care hours per resident per day and how the abuse-related findings were resolved before you make a decision.

B

82.5/100

Draper Rehabilitation And Care Center

Draper, UT · Salt Lake County

CMS 4/593 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
40%
Serious cites
0

Draper Rehabilitation runs on 3.84 nurse hours per resident day, right at the national average of 3.86, but weekends dip about 15% below its own weekday staffing. Turnover sits at 40%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The current record shows six deficiencies, including one at the harm level and one abuse-related citation, those are the ones worth asking about directly, even with a recent inspection in November 2025 and four-out-of-five stars across health inspections, quality measures, and staffing. This is a for-profit LLC, so ask how the harm and abuse citations were resolved and how weekend coverage is handled.

B

82.5/100

Pinnacle Nursing And Rehabilitation Center

Price, UT · Carbon County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
39%
Serious cites
0

Pinnacle runs about 3.54 nurse hours per resident day, roughly 8% under the national average, and weekends dip 16% below its own weekday coverage, so the care you'd see on a Saturday isn't quite what you'd see on a Tuesday. Turnover is 39.3%, which is actually better than the 45.8% national figure. Fifteen deficiencies sit on the record, but none at harm or jeopardy level and none abuse-related, and the last inspection was January 29, 2026. Quality measures score 5/5. The main soft spot is staffing volume, not safety.

B

82.5/100

Beacon Hill Rehabilitation

Longview, WA · Cowlitz County

CMS 5/567 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Beacon Hill Rehabilitation runs 67 certified beds in Longview under corporate for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, roughly 6% above the national average. That edge narrows on weekends, when coverage drops about 19% below the home's own weekday level, so the weekday numbers aren't the whole picture. Staff turnover is 37.5%, better than the 45.8% national rate and a real point in its favor given how hard retention is in this industry. The health inspection and quality measure ratings both come in at five stars, and the most recent inspection was in May 2026. Against that, nine deficiencies are on the current record, including one at the harm level and one abuse-related, plus a single $25,350 fine.

B

82/100

Rose Villa Health Care Center

Bellflower, CA · Los Angeles County

CMS 3/553 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
33%
Serious cites
0

Rose Villa runs 4.07 nurse hours per resident day, about 5% above the national average, and its staff turnover of 32.7% is well below the national 45.8%, meaning the people caring for your family member are more likely to still be there next year than at a typical home. Weekend staffing drops about 13% from weekday levels, which is worth asking about. The 50 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy, and the last inspection was April 2025. At 53 beds under corporate ownership, it's small enough that management changes could affect daily life quickly.

B

82/100

Lakeshore Post Acute And Rehabilitation Center

Pueblo, CO · Pueblo County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
44%
Serious cites
0

Lakeshore Post Acute runs on thinner staffing than most homes nationally, 3.38 nurse hours per resident day against a 3.86 average, and weekends dip about 12% below its own weekday coverage. Turnover sits at 44.1%, slightly better than the national 45.8%, so the crew that's there tends to stay. The tradeoff shows up in its record: 30 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. A 5/5 on quality measures and 3/5 on inspections tells you the clinical outcomes look solid when care happens, but the staffing margin is narrow enough that a bad weekend could strain it. The most recent state visit was August 2025.

B

82/100

Hearthstone Health And Rehabilitation

Sparks, NV · Washoe County

CMS 1/5125 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
35%
Serious cites
0

Hearthstone runs 125 beds in Sparks under for-profit LLC ownership, and its last inspection on March 5, 2026 left a record of 59 deficiencies, one at the harm or immediate jeopardy level, five tied to abuse. That's a lot of findings, even for a home with a recent survey. Staffing sits just under the national average at 3.81 nurse hours per resident day, and weekends run about 15% thinner than weekdays, so coverage dips when families tend to visit. Turnover is genuinely better than most: 34.7% against a national 45.8%. One fine totaling $48,721 is on record. The quality measure score looks strong, but the inspection history is what should drive your questions.

B

82/100

Holladay Healthcare Center

Salt Lake City, UT · Salt Lake County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
44%
Serious cites
0

Holladay Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 43.8% is slightly better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 25 deficiencies, none at harm or jeopardy level, but three tied to abuse, worth asking about directly. A 2/5 health inspection rating against a 5/5 quality measure rating suggests the clinical metrics look better than the survey history.

B

82/100

The Terrace Transitional

Ogden, UT · Weber County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

The Terrace Transitional runs 3.34 nursing hours per resident per day, about 13 percent under the national average of 3.86, and weekends dip another 13 percent below its own weekday numbers. That's a real gap if your parent needs help on a Saturday. Turnover sits at 43.8 percent, slightly better than the 45.8 percent national figure, so the same faces are somewhat more likely to stick around. The current record shows 26 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was August 2024. Family complaints tend to surface in surveys, and a 2-out-of-5 inspection rating reflects that.

B

82/100

Pacific Care And Rehabilitation

Hoquiam, WA · Grays Harbor County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
41%
Serious cites
0

Pacific Care and Rehabilitation runs a tight ship on the clinical side. State inspectors visited in May 2025 and logged twelve deficiencies, but none rose to harm or jeopardy, and nothing on the record involves abuse, that's a cleaner inspection sheet than most homes carry. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, though weekends drop about 13% below weekday coverage, so ask how that gap gets filled. Turnover of 40.5% edges out the national rate of 45.8%, meaning this corporate-owned building retains caregivers a bit better than average. The weak spot isn't care quality, it's consistency when the weekday crew goes home.

B

82/100

Puget Sound Transitional Care

Des Moines, WA · King County

CMS 2/5165 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Staffing at Puget Sound Transitional Care lands right at the national average, 3.85 nurse hours per resident day against 3.86, and turnover of 32.4% is meaningfully better than the 45.8% typical elsewhere. The problem isn't the workforce. It's the inspection record: 63 deficiencies, including one at the level that signals actual harm or jeopardy and three tied to abuse. A one-star health inspection rating alongside a four-star quality measure score tells you the day-to-day care metrics look fine on paper, but the state has found serious problems when it looks closely, most recently in August 2025. Weekend staffing also drops about 12% below weekday levels, so if you're touring, ask who's actually on the floor on a Saturday.

B

82/100

Sea Cliff Healthcare Center

Huntington Beach, CA · Orange County

CMS 2/5182 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
45%
Serious cites
0

Sea Cliff Healthcare Center runs 182 certified beds in Huntington Beach under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. The catch is weekends, when coverage drops about 10% below what the home staffs on weekdays. Staff turnover lands at 44.6%, essentially in line with the national 45.8%, so retention isn't the standout problem here. The bigger concern is the inspection record: 87 deficiencies on file, four of them abuse-related, though none rose to actual harm or jeopardy. State inspectors were last in on January 14, 2026, and the health inspection rating came back 2 out of 5.

B

82/100

The Grove Care And Wellness

Riverside, CA · Riverside County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
46%
Serious cites
0

The Grove Care and Wellness runs 4.53 nurse hours per resident day, roughly 17% above the national average, and its quality measure rating sits at the top of CMS's scale. Weekend staffing, though, drops about 11% below what the home covers Monday through Friday, so coverage thins out when families tend to visit. Turnover is 45.7%, almost exactly the national rate, meaning this isn't a stable long-term crew. Inspectors found 24 deficiencies on the current record, none causing harm, but one tied to abuse, worth asking about directly. The last full inspection was January 30, 2025, so the record is recent. With 38 beds and for-profit corporate ownership, ask who's actually on the floor on Saturdays.

B

82/100

Mission Care Center

Rosemead, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
38%
Serious cites
0

Mission Care Center runs 4.46 nurse hours per resident day, about 16% above the national average, and its 37.7% turnover beats the 45.8% norm, a sign the floor is mostly steady. Weekends thin out roughly 13% below weekday coverage, so ask how that plays out on Sundays. The record shows 40 deficiencies with none at harm level, but two tied to abuse, which deserves a direct question. The last inspection was March 2026; quality measures score 5/5 even as health inspection sits at 3/5, and this for-profit LLC home's numbers land it solidly above average without being clean.

B

82/100

Victoria Post Acute Care

El Cajon, CA · San Diego County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
50%
Serious cites
0

Victoria Post Acute Care runs 120 certified beds in El Cajon under corporate ownership, and its staffing sits modestly above the national average at 4.03 nurse hours per resident day. Weekend coverage, though, drops roughly 7% below what the home staffs on weekdays, and annual turnover of 49.6% is a few points higher than the national 45.8%, worth asking about if continuity of care matters to you. The inspection record shows 41 deficiencies, including one at the harm level and two tied to abuse, which is a lot to carry even with a recent January 2026 inspection and strong marks on quality measures.

B

81.5/100

Villa Maria Post Acute And Rehabilitation

Tucson, AZ · Pima County

CMS 3/583 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Villa Maria Post Acute runs 83 certified beds under for-profit LLC ownership, and its nursing hours sit at 3.51 per resident day, roughly 9% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage, which matters when a fall or infection doesn't wait for Monday. The inspection record shows 25 deficiencies, including two at harm or jeopardy level and one abuse-related, with an $8,018 fine; the last survey was January 2026. Turnover is 41.8%, a bit better than the 45.8% national figure. Family surveys look strong, but staffing and inspection ratings sit at 2 out of 5. Ask about weekend nurse coverage and how that abuse deficiency was resolved.

B

81.5/100

Beachside Nursing Center

Huntington Beach, CA · Orange County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
31%
Serious cites
0

Beachside Nursing Center runs 59 certified beds in Huntington Beach under for-profit LLC ownership. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, though weekends run roughly 16% lighter than weekdays, worth asking about if your family visits Saturdays or Sundays. Staff turnover of 30.9% is meaningfully lower than the 45.8% national figure, which suggests aides and nurses tend to stick around. The current record carries 53 deficiencies, none at harm or jeopardy level and none abuse-related, with a February 2026 inspection that's recent enough to trust. Quality measures score well, staffing and inspections land in the middle.

B

81/100

Wellsprings Of Gilbert

Gilbert, AZ · Maricopa County

CMS 5/532 bedsFor-profit
Nurse hours
4.07 /day
Staff turnover
49%
Serious cites
0

Wellsprings of Gilbert is a small for-profit home, 32 beds, that runs on solid fundamentals. Nurse staffing sits at 4.07 hours per resident per day, about 5% above the national average, and the health inspection and quality measure ratings both come back at the top of the scale, with only four deficiencies on record and none involving harm, jeopardy, or abuse. The last inspection was in October 2024, so the picture is current. What holds it back from the top tier is staffing consistency: weekend coverage drops roughly 13% below its own weekday levels, and annual turnover of 48.6% runs a few points above the national average. Those aren't red flags; they're the difference between a good home and a great one.

B

81/100

Arroyo Vista Nursing Center

San Diego, CA · San Diego County

CMS 5/553 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
50%
Serious cites
0

Arroyo Vista is a small for-profit home in San Diego, 53 beds, run by a limited liability company, and the numbers pull in different directions. Its most recent inspection was in January 2026, and it carries 26 deficiencies on record, though none at the harm level and none tied to abuse, which matters more than the raw count. The bigger concern is staffing: CMS gives it 1 out of 5 stars there, and annual turnover runs 50 percent against a national average of about 46 percent. Quality measures and health inspections both look strong on paper. The gap between how well residents are doing and how thin the workforce is behind them is the thing to ask about directly.

B

81/100

Grossmont Post Acute Care

La Mesa, CA · San Diego County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
49%
Serious cites
0

Grossmont Post Acute Care runs 90 beds in La Mesa under corporate for-profit ownership, and its staffing sits well above what most homes manage: 4.76 nurse hours per resident day against a national average of 3.86. That cushion thins on weekends, though, down about 12% from its own weekday numbers. The inspection record is the part worth slowing down on. Thirty-four deficiencies is a lot to carry, including one at the harm level and two tied to abuse. A single fine of $11,466 and a June 2025 inspection suggest the state has been watching. Staff turnover at 48.7% edges past the national 45.8%, so the people delivering that above-average care keep changing.

B

81/100

Northbrook Healthcare Center

Willits, CA · Mendocino County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
42%
Serious cites
0

Northbrook Healthcare Center in Willits runs 4.04 nurse hours per resident per day, about 5% above the national average of 3.86, but that average hides a dip, since weekends run roughly 11% leaner than weekdays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, which matters for continuity of care. The record shows 25 deficiencies, including one at the harm or jeopardy level and two flagged as abuse-related, plus a single fine of $9,295. State inspectors gave it 4 of 5 stars and quality measures came in at 5 of 5, though staffing landed at 2 of 5. The last inspection was January 30, 2026.

B

81/100

Arbor Glen Care Center

Glendora, CA · Los Angeles County

CMS 2/598 bedsFor-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
53%
Serious cites
0

Arbor Glen runs a for-profit, limited-liability operation with 98 beds in Glendora, and its nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average of 3.86. That sounds like good coverage until you notice weekends drop about 15% below the home's own weekday level, and annual turnover hits 53.4% against a national 45.8%. The inspection record is where things get more concerning: 88 total deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating. A recent inspection date of March 27, 2026, means the record is current. Quality measures score well at 4 out of 5, which may reflect how care is documented more than how consistently it's delivered.

B

81/100

River's Edge Rehabilitation & Living Center

Emmett, ID · Gem County

CMS 4/574 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
52%
Serious cites
0

River's Edge runs on thinner staffing than most homes in the country, about 3.50 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 12% below what the building manages Monday through Friday. That gap matters most on Saturdays and Sundays, when families tend to visit and when fewer hands are on the floor. Staff turnover sits at 52.4%, higher than the 45.8% national figure, so the people caring for residents are changing often. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent survey in April 2026. Corporate-owned and Medicare-certified for 74 beds.

B

81/100

St. George Rehabilitation

St. George, UT · Washington County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
46%
Serious cites
0

St. George Rehabilitation runs 99 certified beds under for-profit partnership ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. The 46% annual turnover rate is essentially the national figure, not an outlier in either direction. Inspectors logged 24 deficiencies, none at the harm or jeopardy level, though three were abuse-related, and the most recent inspection was June 7, 2024. Quality measures score well; staffing and inspection results land in the middle.

B

81/100

Coral Desert Rehabilitation And Care

St. George, UT · Washington County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
47%
Serious cites
0

Coral Desert Rehabilitation and Care sits at 60 beds in St. George, run by a for-profit corporation. The inspection side looks solid, a 4 out of 5 health inspection rating, a clean record of no abuse deficiencies and none at the harm level, and a recent survey from November 2024. Quality measures also score well. The problem is staffing: a 1 out of 5, with 47.1% annual turnover running slightly above the national 45.8%. Thirteen total deficiencies on record is a meaningful count even without any rising to actual harm. If your family member needs skilled nursing here, ask specifically about nurse and aide coverage on evenings and weekends, since that's where the weak staffing number shows up in daily life.

B

81/100

South Davis Specialty Care

Bountiful, UT · Davis County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
7.93 /day
Staff turnover
52%
Serious cites
0

South Davis Specialty Care runs 7.93 nurse staffing hours per resident per day, roughly double the national average, and that shows up in the CMS staffing rating. Weekend hours drop about 11% from weekday levels, so coverage isn't perfectly even. The 52% annual turnover is higher than the 45.8% national figure, meaning the people providing that generous staffing keep changing. The inspection record is recent and the health inspection score sits near the top, but nine deficiencies are on file, one serious enough to involve harm or jeopardy. No abuse citations appear. For-profit corporate ownership. Strong quality measure scores and heavy staffing are the real story here; the turnover and that one harm-level finding are what to ask about directly.

B

81/100

Pointe Meadows Health And Rehabilitation

Lehi, UT · Utah County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
50%
Serious cites
0

Pointe Meadows runs 99 certified beds as a for-profit corporation, and its staffing sits below the national average, 3.68 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below its own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Staff turnover is 49.6%, higher than the 45.8% national figure, which means nearly half the nursing staff changes over in a year. The inspection record is clean where it matters most: 22 deficiencies on file, but none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. A B grade here reflects solid clinical quality measures and inspections against staffing you'd want to watch.

B

81/100

The Springs At Pacific Regent

San Diego, CA · San Diego County

CMS 5/559 bedsFor-profit
Nurse hours
5.06 /day
Staff turnover
n/a
Serious cites
0

The Springs At Pacific Regent runs 5.06 nurse hours per resident per day, roughly 31% above the national average of 3.86, and it holds 5 out of 5 stars on both health inspections and quality measures. Weekend staffing drops about 19% below its own weekday level, though, so the strong overall number leans on weekdays. The record shows 19 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. It's a for-profit limited liability company with 59 certified beds. The staffing star lands at 3 out of 5 even with the high hours, which is worth asking about directly.

B

81/100

Mcallen Transitional Care Center

Mcallen, TX · Hidalgo County

CMS 4/5100 bedsGovernmentMedicaid
Nurse hours
3.72 /day
Staff turnover
32%
Serious cites
0

McAllen Transitional Care Center runs on thinner nurse coverage than most homes, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so a Saturday fall gets less eyes on it than a Tuesday one. Staff turnover sits at 32.1%, which is meaningfully better than the 45.8% national figure, and that steadiness shows in the quality measures, which score at the top of CMS's range. What holds the record back is the inspection side: 16 deficiencies, including one at the harm level and one tied to abuse, plus a fine of $8,827. The county hospital district owns it, and its last state visit was December 2024.

B

81/100

Westover Hills Rehabilitation And Healthcare

San Antonio, TX · Bexar County

CMS 4/5124 bedsGovernmentMedicaid
Nurse hours
3.56 /day
Staff turnover
29%
Serious cites
0

Westover Hills Rehabilitation And Healthcare runs 124 certified beds in San Antonio under for-profit LLC ownership. Its nurses provide 3.56 hours of care per resident per day, roughly 8% under the national average, and weekend staffing drops about 13% below its own weekday levels, a pattern families should ask about directly. Turnover sits at 29.2%, well below the 45.8% national figure, so the team here is more stable than most. The inspection record is the harder reading: 31 deficiencies, including 4 tied to abuse and 2 serious enough to trigger the harm or jeopardy level, plus two fines totaling $20,156. The last inspection was April 2025.