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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

80.5/100

The Healthcare Resort Of Colorado Springs

Colorado Springs, CO · El Paso County

CMS 3/597 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
54%
Serious cites
0

The Healthcare Resort Of Colorado Springs runs 97 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. That's a real cushion, though weekends dip about 17% below the home's own weekday levels, so coverage isn't perfectly even across the week. The harder numbers are on the inspection side: 21 deficiencies on the current record, including one at harm or jeopardy level and four tied to abuse. A $79,098 fine stands against that, and the last inspection was June 26, 2025. Staff turnover runs 54.3% against a national 45.8%, which means a lot of the people providing that above-average staffing are relatively new. Quality measures score well; the inspection history is what pulls the overall picture down.

B

80.5/100

Rock Hill Post Acute Care Center

Rock Hill, SC · York County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
47%
Serious cites
0

Rock Hill Post Acute Care Center runs 99 certified beds as a for-profit LLC, and its recent inspection record is genuinely solid: seven deficiencies on file, none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 17% below the home's own weekday coverage. Annual turnover of 47.1% edges past the national figure of 45.8%, which matters most on weekends when fewer familiar hands are on the floor. The most recent inspection was September 2025, so the picture is current.

B

80.5/100

Compass Post Acute Rehabilitation

Conway, SC · Horry County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
45%
Serious cites
0

Compass Post Acute Rehabilitation in Conway runs about 3.34 nurse hours per resident per day, roughly 13 percent under the national average of 3.86, and weekend staffing drops another 15 percent below its own weekday levels. That thinner weekend coverage is worth asking about directly, especially if your family member needs more help on Saturdays and Sundays. Turnover sits at 44.9 percent, essentially matching the national rate, so staffing stability isn't the standout problem here, raw hours are. The inspection record is cleaner than most: three deficiencies on file, none involving harm or abuse, with the most recent survey in April 2025. Quality measures score well; staffing is the weakest of the three federal ratings.

B

80.5/100

Shoreline Health And Rehabilitation

Seattle, WA · King County

CMS 5/5114 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
35%
Serious cites
0

Shoreline Health And Rehabilitation runs 114 beds in Seattle under corporate ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.96 hours per resident day, a hair above the national average, though weekends drop about 16% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover is 35.1%, noticeably better than the 45.8% national figure, which suggests people stick around. The home carries 38 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was recent, in March 2026.

B

80.5/100

Rainier Rehabilitation

Puyallup, WA · Pierce County

CMS 5/5117 bedsFor-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
21%
Serious cites
0

Rainier Rehabilitation runs lean on trouble and heavy on staff. At 5.30 nurse hours per resident day, it's well above the national average, and its 21.1% turnover is less than half the national figure, a sign people tend to stay. Five deficiencies on record, none causing harm and none abuse-related, with an inspection as recent as August 2025. The catch is weekends, when staffing drops about 16% below the weekday level. That dip likely explains why CMS rates staffing only 3 out of 5 while inspection and quality measures both hit 5. If your family member needs steady weekday care, this home looks solid; ask specifically who's on the floor Saturday and Sunday.

B

80.5/100

South Hill Rehabilitation And Care Center

Spokane, WA · Spokane County

CMS 5/5113 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
64%
Serious cites
0

South Hill runs a leaner ship than most on weekdays, 4.63 nurse hours per resident day, roughly a fifth more than the national average, but that cushion thins out on weekends, when staffing drops about 21% below its own weekday pace. It's a for-profit LLC, and 63.5% of its nursing staff turned over in the past year, well above the 45.8% national figure. Inspectors were last in on June 18, 2025, and the home carries 30 deficiencies, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Strong marks on quality measures and inspections sit alongside the turnover and weekend dip, worth asking about directly.

B

80/100

Mission Palms Post Acute

Mesa, AZ · Maricopa County

CMS 5/5160 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
37%
Serious cites
0

Mission Palms Post Acute runs leaner than the typical U.S. nursing home, 3.54 nurse hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. Turnover sits at 37.1%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though 5 are abuse-related, a category worth asking about directly. Maricopa County's last survey was in February 2026, so the record is recent. For-profit LLC ownership and 160 beds round out the picture.

B

80/100

Lemon Grove Care And Rehabilitation Center

Lemon Grove, CA · San Diego County

CMS 3/5158 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
48%
Serious cites
0

Lemon Grove Care and Rehabilitation Center runs 158 certified beds under corporate for-profit ownership, and its staffing sits at 3.92 nurse hours per resident day, roughly 2% above the national average of 3.86. Weekends drop about 6% below the home's own weekday coverage, and annual turnover is 47.7% against a national 45.8%, thin margins either way. The bigger concern is the inspection record: 60 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a 2/5 health inspection star rating. Quality measures score 5/5 and staffing 3/5, but those numbers don't offset a citation history that recent. The last inspection was December 18, 2025.

B

80/100

Victoria Healthcare And Rehabilitation Center

Costa Mesa, CA · Orange County

CMS 5/579 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
18%
Serious cites
0

Victoria Healthcare and Rehabilitation Center runs 79 certified beds in Costa Mesa under corporate for-profit ownership, and the numbers that stand out most are its people. Nurse staffing sits at 4.22 hours per resident day, about 9% above the national average, though weekend coverage dips roughly 8% below its own weekday level. Annual turnover is 17.9%, well under the national 45.8%, which means the aides and nurses around your family member are more likely to still be there next year. Inspections are current as of July 2025 and clean where it matters most: 27 deficiencies on record, but none at the harm or jeopardy level and none abuse-related. The federal staffing star lands at 3 of 5, a reminder that averages hide the weekend gap.

B

80/100

Englewood Post Acute And Rehabilitation

Englewood, CO · Arapahoe County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
32%
Serious cites
0

Englewood Post Acute runs leaner than the typical American nursing home, 3.13 nurse hours per resident day against a national 3.86, and weekends thin out further, dropping roughly 14% below what the building staffs Monday through Friday. The corporate owner has kept turnover at 32.3%, well under the 45.8% national figure, and the last inspection in November 2024 landed a 4-out-of-5 health rating. What that record also carries: 16 deficiencies, three serious enough to cause harm or jeopardy, one tied to abuse. Quality measures score 4 out of 5, staffing 3 out of 5. If your family member needs consistent weekday coverage, the numbers look steadier than the weekend picture does.

B

80/100

Mccall Rehabilitation And Care Center

Mccall, ID · Valley County

CMS 5/565 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
60%
Serious cites
0

McCall Rehabilitation and Care Center runs 65 certified beds under for-profit LLC ownership, and its inspection record looks solid, a recent July 2025 survey, nine deficiencies total, none at the harm level, none abuse-related, and a 4-out-of-5 inspection rating. The staffing picture is more mixed. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average, weekends drop roughly 9 percent below its own weekdays, and annual turnover hits 60 percent against a national 45.8. Quality measures score well, but the people delivering that care are stretched thinner than average and cycling out faster.

B

80/100

Rehabilitation Center Of Des Moines

Des Moines, IA · Polk County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

The Rehabilitation Center of Des Moines runs 74 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a nose above the national average of 3.86. Weekends thin out about 13% from weekday coverage, so the care you'd see on a Saturday looks lighter than midweek. Turnover is 35.9%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is inspection history: 34 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, with the last survey dated September 2025. The quality measure score of 5 out of 5 contrasts sharply with a 2 out of 5 on both staffing and health inspections, worth asking about directly before deciding.

B

80/100

Mt Ogden Health And Rehabilitation Center

Washington Terrace, UT · Weber County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
63%
Serious cites
0

Mt Ogden runs 108 certified beds in Washington Terrace under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing. At 3.84 nurse hours per resident day it sits just under the national average of 3.86, and weekends dip about 10% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover is the sharper concern: 63% of staff leave annually against a national 45.8%, which means the people caring for your relative are likely to change often. The inspection record is recent, December 2024, with 14 deficiencies, none at harm or jeopardy level, though four are abuse-related and worth asking about directly. Quality measures score well; staffing is the weaker leg.

B

80/100

Cedar Pointe Health And Wellness Center

Cedar Park, TX · Williamson County

CMS 4/5122 bedsGovernmentMedicaid
Nurse hours
3.48 /day
Staff turnover
27%
Serious cites
0

Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.

B

79.5/100

Discovery Rehabilitation And Living

Salmon, ID · Lemhi County

CMS 4/545 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
47%
Serious cites
0

Discovery Rehabilitation and Living runs 45 certified beds in Salmon under corporate for-profit ownership, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average. That's the strongest part of the picture. Weekends dip about 15% below weekday coverage, though, and turnover lands at 46.7%, essentially matching the national rate rather than beating it. The inspection record is where things get uneven. Thirty-six deficiencies are on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. Federal inspectors rated health inspections 2 out of 5 stars while quality measures came in at 5. The staffing hours are real, but a thin inspection margin and near-average retention are worth asking about directly.

B

79.5/100

Providence Place

Kansas City, KS · Wyandotte County

CMS 4/545 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
50%
Serious cites
0

Providence Place runs 45 beds in Kansas City under corporate for-profit ownership, and its clinical quality scores are genuinely strong, a 5 out of 5 on CMS quality measures. The staffing picture is more mixed: 3.80 nurse hours per resident day sits just under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Annual turnover hits 50%, above the 45.8% national figure. Inspections in August 2025 turned up 29 deficiencies, though none rose to harm or jeopardy, and none involved abuse. What that adds up to is a home with real clinical strengths and a staffing margin thin enough that weekends and turnover are worth asking about directly.

B

79.5/100

Orem Rehabilitation And Nursing Center

Orem, UT · Utah County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
n/a
Serious cites
0

Orem Rehabilitation runs 3.45 nursing hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and care needs don't pause. The inspection record shows 29 deficiencies, five serious enough to involve harm or jeopardy, and seven tied to abuse, with a $38,357 fine and a May 2025 inspection that's still fairly recent. A 5/5 on quality measures sits alongside a 2/5 on inspections and 3/5 on staffing, which tells you the clinical metrics look better on paper than the survey history and weekend coverage suggest. For-profit corporate ownership rounds out the picture.

B

79.5/100

Stonehenge Of Orem

Orem, UT · Utah County

CMS 5/534 bedsFor-profit
Nurse hours
3.93 /day
Staff turnover
48%
Serious cites
0

Stonehenge Of Orem is a small for-profit home, 34 beds, limited liability ownership that changed hands within the past year, and its record on inspections is genuinely clean. Two deficiencies total, none causing harm or jeopardy, no abuse findings, and a March 2026 inspection that's still recent. Nurse staffing sits at 3.93 hours per resident day, just above the national average, though weekends run about 16% lighter than weekdays, so coverage depends on when you visit. Turnover is 47.7%, slightly above the national figure, which matters more at a building this size where losing a few aides reshapes the whole floor. The care numbers look strong; the question is whether new ownership keeps them there.

B

79.5/100

Mira Vista Care Center

Mount Vernon, WA · Skagit County

CMS 4/561 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
47%
Serious cites
0

Mira Vista Care Center runs 61 certified beds in Mount Vernon under corporate for-profit ownership, and its staffing sits slightly under the national average, 3.81 nurse hours per resident day against 3.86 nationally, with weekend coverage dropping roughly 19% below its own weekday levels. Staff turnover is 47.2%, a bit above the 45.8% national figure. The current inspection record shows 41 deficiencies, none at the harm or jeopardy level, though 6 are abuse-related, and the most recent inspection was in March 2026. What stands out is the split: a 5/5 on quality measures and 4/5 on staffing against a 3/5 inspection rating, so the day-to-day care metrics look stronger than the survey history suggests.

B

79/100

The Healthcare Center Of Eastview

Birmingham, AL · Jefferson County

CMS 2/592 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
36%
Serious cites
0

The Healthcare Center Of Eastview runs 92 beds in Birmingham under individual for-profit ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 36.2%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours fall short. The current record shows 8 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection was September 2023. Quality measures score well; the inspection history is the weaker piece.

B

79/100

North Mountain Medical And Rehabilitation Center

Phoenix, AZ · Maricopa County

CMS 5/5164 bedsFor-profitMedicaid
Nurse hours
5.94 /day
Staff turnover
43%
Serious cites
0

North Mountain Medical runs 5.94 nurse hours per resident day, roughly 54 percent above the national average, but CMS still gives it only 2 of 5 stars for staffing. That gap is worth sitting with: weekend coverage drops about 11 percent below its own weekday level, and turnover sits at 43 percent, slightly better than the 45.8 percent national figure, though still meaning most of the people caring for your relative are relatively new. Inspections look strong on paper, with 5-star ratings for health inspections and quality measures and just 4 deficiencies on record, none at harm or jeopardy level. One is abuse-related, which you should ask about directly.

B

79/100

Lake Pleasant Post Acute Rehabilitation Center

Peoria, AZ · Maricopa County

CMS 4/5128 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
50%
Serious cites
0

Lake Pleasant Post Acute runs 3.32 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. That thin margin shows up in the staffing rating, 2 out of 5, and in a 50% annual turnover rate, which runs above the 45.8% national figure. The inspection record carries 20 deficiencies, none at harm or jeopardy level, though 2 are abuse-related, with the most recent inspection on February 26, 2026. Quality measures score 5 out of 5, so the clinical numbers look better than the day-to-day coverage does. For-profit, limited liability ownership, 128 beds.

B

79/100

Az - Rio Vista Post Acute And Rehabilitation

Peoria, AZ · Maricopa County

CMS 5/5150 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
49%
Serious cites
0

Rio Vista Post Acute runs 150 beds in Peoria under corporate for-profit ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections, a recent April 2025 visit, and no abuse deficiencies among the 12 on file. That one harm-level deficiency is worth asking about directly. The staffing picture is where it thins out. At 3.48 nurse hours per resident day, it sits roughly 10% under the national average, weekend coverage drops about 12% below its own weekday levels, and turnover at 48.9% runs above the national figure. So you have a home that inspects well but runs leaner than average on the floor, especially Saturdays and Sundays. Ask how they staff weekends.

B

79/100

Springdale Village Post Acute

Mesa, AZ · Maricopa County

CMS 3/5122 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
50%
Serious cites
0

Springdale Village Post Acute runs slightly lean on nurse staffing, 3.78 hours per resident day against a national average of 3.86, and weekends get thinner still, about 15% below its own weekday coverage. That gap matters because families visit on weekends and that's often when problems surface. Annual turnover sits at 50%, above the 45.8% national figure, so the people caring for your relative may not be the people who were there last year. The inspection record is the bigger concern: 29 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating from CMS, even though its quality measures score well and its last full inspection was in April 2024. For-profit, limited liability ownership. Worth asking about that abuse citation and weekend coverage specifically.

B

79/100

River Park Post Acute

Chandler, AZ · Maricopa County

CMS 5/566 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
53%
Serious cites
0

River Park Post Acute runs 66 beds in Chandler under for-profit LLC ownership, and its inspection history is mostly solid, a 4 out of 5 on health inspections, last surveyed in April 2025, with 11 deficiencies on record. The concern is the one at harm or jeopardy level, plus two abuse-related citations. Staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. Annual turnover is 53.1% against a national 45.8%. Quality measures score a perfect 5, but that's family surveys and clinical metrics, it doesn't offset thin weekend coverage or the abuse findings. Ask specifically what those two citations involved.

B

79/100

St Elizabeth Healthcare Center

Fullerton, CA · Orange County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
23%
Serious cites
0

St Elizabeth Healthcare Center runs on 4.52 nurse hours per resident day, about 17% above the national average, and its staff turnover of 23% is roughly half the national rate, that kind of retention is uncommon and usually shows up in how consistently residents are cared for. Weekend staffing dips about 9% below weekdays, so ask how that plays out on Sundays. The trade-off is in the inspection record: 58 deficiencies on file, four of them abuse-related, though none reached harm or jeopardy level, and the most recent inspection was in March 2026. For-profit corporate ownership, 59 beds.

B

79/100

Pacific Haven Subacute And Healthcare Center

Garden Grove, CA · Orange County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
42%
Serious cites
0

Pacific Haven runs 5.23 nurse hours per resident day, about a third more than the national average, and its clinical quality measures come in at the top of CMS's scale. That's the good news. The rest of the record is harder to square: 35 deficiencies on file, two of them serious enough to involve harm or jeopardy, two tied to abuse, and a staffing star rating that sits at 2 out of 5 despite the raw hours. Weekend coverage dips below its own weekday level. It's owned by a for-profit limited liability company, and the most recent inspection was in May 2025, recent enough to trust, but not a clean result.

B

79/100

Ukiah Post Acute

Ukiah, CA · Mendocino County

CMS 4/557 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
52%
Serious cites
0

Ukiah Post Acute runs 4.15 nurse hours per resident day, about 7% above the national average, and 39 deficiencies sit on its record, three at the harm or jeopardy level, three tied to abuse. The inspection history is current, dated February 2026, and CMS gave it 4 stars each for health inspections and quality measures, which suggests the day-to-day care holds up better than that deficiency count implies. Staffing is the softer spot: 3 stars, with weekend hours running about 12% under weekdays and turnover at 51.6%, above the 45.8% national figure. It's a for-profit LLC with 57 beds, so ask who's actually on the floor on a Sunday.

B

79/100

Temple View Transitional Care Center

Rexburg, ID · Madison County

CMS 3/5119 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
51%
Serious cites
0

Temple View runs 119 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average. Weekends drop about 14% below the home's own weekday coverage, a gap that matters when residents need help on a Saturday. Annual turnover is 51.3%, above the 45.8% national figure, so many aides are still learning the building. The record shows 36 deficiencies, none at harm or jeopardy level, two tied to abuse. Its last inspection was January 2026, so the picture is current. The 2/5 inspection rating and the staffing shortfall pull against strong quality measures, worth asking about direct-care coverage on weekends and evenings.

B

79/100

Hillside Village Of De Soto Rehabilitation And Nur

De Soto, KS · Johnson County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
45%
Serious cites
0

Hillside Village Of De Soto Rehabilitation And Nur runs 49 certified beds under corporate ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. That gap is small, but the weekend pattern matters more: staffing drops about 9% below its own weekday level, so care thins out exactly when families tend to visit. Turnover is 45.2%, a hair under the national 45.8%, so retention here isn't the problem it is at many homes. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy and none involved abuse, and the most recent inspection was January 7, 2026. The quality measure rating is strong; the health inspection record is solid.