THE ENSIGN GROUP

Nurse hours

5.23 /day

Staff turnover

60%

Serious cites

0

Mt Angel Health and Rehabilitation runs on a for-profit corporate model with 93 certified beds, and the staffing numbers are genuinely strong: 5.23 nurse hours per resident day, roughly 35% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, and annual turnover sits at 60.4% against a national average of 45.8%, meaning the people providing that care are cycling through faster than most. The current record carries 22 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus two fines totaling $27,967. A recent inspection in June 2026 and solid marks across health, quality, and staffing stars suggest the home is being watched closely and meeting most standards, but the abuse-related citations and high turnover are worth asking about directly.

Nurse hours

3.40 /day

Staff turnover

36%

Serious cites

0

Paramount Health and Rehabilitation is a 99-bed for-profit home in Salt Lake City, and the numbers pull in different directions. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent leaner than weekdays, so the hours get thinnest exactly when families tend to visit. Turnover at 36 percent is better than the 45.8 percent national figure, which matters for consistency of care. What weighs heaviest is the inspection record: a one-star health inspection rating, 31 deficiencies, four at harm or jeopardy level, four tied to abuse, and $119,012 in fines, with the last inspection in May 2024. The five-star quality measure score doesn't cancel that out.

Nurse hours

3.55 /day

Staff turnover

44%

Serious cites

0

Citadel Post Acute runs 128 beds in Mesa under corporate for-profit ownership, and its inspection record is genuinely clean, five deficiencies on the current books, none at the harm or jeopardy level, with the last state visit in February 2025. That one abuse-related citation is worth asking about directly. Where the numbers thin out is daily staffing: 3.55 nurse hours per resident, roughly 8% under the national average, and weekends drop about 16% below the home's own weekday coverage. Turnover sits at 43.8%, slightly better than the national 45.8%. Quality measures score well, but quality scores reflect past performance, not who's on the floor on a Sunday.

Nurse hours

4.21 /day

Staff turnover

34%

Serious cites

0

Montecito Post Acute runs 4.21 nursing hours per resident per day, about 9 percent above the national average, and its staff turnover of 34.2 percent sits well below the typical 45.8 percent, that kind of retention usually shows up in how consistently residents see the same faces. The trade-off is weekends, when staffing drops roughly 17 percent below the home's own weekday level. Eighteen deficiencies are on record, one serious enough to involve harm or jeopardy, with a single fine of $8,278; nothing abuse-related. Inspectors last visited in February 2025. For a 222-bed corporate-owned building, the staffing and quality numbers carry more weight than the citation count.

Nurse hours

4.34 /day

Staff turnover

31%

Serious cites

0

The Orchard runs a 162-bed for-profit operation in Whittier, and the staffing numbers are the strongest thing it has going. At 4.34 nurse hours per resident day, it beats the national average by roughly 12%, and its 30.9% turnover is well below the 45.8% typical elsewhere, a real sign that workers tend to stay. The trouble is everything around that care. Inspectors have logged 55 deficiencies, including two at the harm level and two tied to abuse, with $26,400 in fines and a 2-out-of-5 inspection rating. Weekend coverage also dips about 7% below weekdays. Good hands on deck, but a record that says the building has problems staffing alone won't fix.

Nurse hours

4.20 /day

Staff turnover

58%

Serious cites

0

Osborn Health and Rehabilitation runs 130 beds in Scottsdale under corporate ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just eight deficiencies on file, none of them causing harm or jeopardy. Staffing tells a more mixed story. At 4.20 nurse hours per resident day, it sits about 9% above the national average, but that margin narrows on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover of 58.1% is well above the 45.8% national figure, which matters for how well residents know their caregivers. The one abuse-related deficiency is worth asking about directly.

Nurse hours

4.32 /day

Staff turnover

55%

Serious cites

0

Mission Hills Post Acute Care runs 75 certified beds under corporate ownership, and the raw staffing number looks decent: 4.32 nurse hours per resident day, roughly 12% above the national average. But that average hides a pattern, weekends run about 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Staff turnover sits at 55.1% against a national 45.8%, which means nearly six in ten caregivers left within the year. The current inspection record carries 48 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was recent enough (June 2025) to suggest the record is being watched.

Nurse hours

3.43 /day

Staff turnover

52%

Serious cites

0

Boulder Canyon Health and Rehabilitation runs 140 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a clean recent survey in January 2026, 18 deficiencies on file but none that rose to harm or jeopardy, and nothing abuse-related. Staffing is where the numbers get thinner. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below its own weekday levels, worth asking about if your family visits or needs help mainly on Saturdays and Sundays. Annual turnover of 52.4% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year.

Nurse hours

3.55 /day

Staff turnover

26%

Serious cites

0

Grand Terrace runs a tight ship on the clinical side, perfect marks on both health inspections and quality measures, with 14 deficiencies on record and none of them rising to harm or jeopardy. That's a clean inspection history, and the state visited recently enough that the findings are current. The staffing picture is where it gets uneven: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so care thins out when families tend to visit. Turnover at 25.8% is well below the national 45.8%, which suggests a stable crew. Corporate-owned, and that one abuse-related deficiency is worth asking about directly.

Nurse hours

3.64 /day

Staff turnover

21%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation, West S runs 124 certified beds under corporate ownership in San Antonio, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 12% below the home's own weekday level, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover sits at 20.7%, well below the 45.8% national average, so the aides and nurses you meet are more likely to still be there next year. Against that, the current inspection record carries 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus an $8,632 fine. The most recent inspection was January 29, 2026.

Nurse hours

3.30 /day

Staff turnover

48%

Serious cites

0

Shea Post Acute Rehabilitation Center in Scottsdale runs on 3.30 nurse hours per resident day, about 14% under the national average of 3.86, and weekends are staffed roughly 17% lighter than weekdays. Annual turnover sits at 47.5%, slightly above the national 45.8%, meaning the people caring for your family member may be newer than you'd expect. The good news: the last state inspection was December 2024, the record shows 11 deficiencies with none at the harm level, and both the inspection and quality measure ratings come back at the top score. One abuse-related deficiency is worth asking about directly. Strong clinical outcomes, thinner staffing, that's the real tradeoff here.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Tempe Post Acute looks strong on paper where inspections and quality measures are concerned, top marks in both, and a recent survey from March 2026 with six deficiencies on record, only one of which rose to the level of actual harm. Nothing abuse-related. The problem is staffing, which sits at the very bottom of the federal scale. That's the number families should sit with, because it's the one that shapes daily life: how long you wait after pressing a call light, whether there's time for a real conversation at meals. A clean inspection record tells you the building is run lawfully. It doesn't tell you there are enough hands on the floor.

Nurse hours

5.05 /day

Staff turnover

41%

Serious cites

0

Surprise Health and Rehabilitation Center runs 5.05 nurse hours per resident day, roughly a third more than the national average, and its quality measure rating is as high as CMS gives. That's the good news. The staffing star tells a different story, it's a 2 out of 5, in part because weekend coverage drops about 16% below the home's own weekday level, so the average hides a thinner weekend shift. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home's eight deficiencies include nothing tied to harm, jeopardy, or abuse. The last inspection was March 2026, so the record is current.

Nurse hours

4.20 /day

Staff turnover

n/a

Serious cites

0

Alamitos West runs 150 beds in Orange County under individual for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That's the good news. The catch is that weekends drop about 9% below the home's own weekday level, so coverage thins out when families tend to visit most. The inspection record shows 78 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. A November 2025 inspection is recent, which helps. The staffing star sits at 2 out of 5 despite the decent average, suggesting inconsistency rather than outright shortfall.

Nurse hours

3.56 /day

Staff turnover

n/a

Serious cites

0

Littleton Care And Rehabilitation Center sits at 35 certified beds, run by a for-profit limited liability company. The inspection history is genuinely strong on paper, a five-star health inspection rating and a five-star quality measure rating, with the most recent survey completed in February 2026. But that record carries 10 deficiencies, including one at the harm level and two tied to abuse, plus a $7,781 fine. Staffing tells its own story: 3.56 nurse hours per resident day lands about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage. Fewer aides on Saturday and Sunday matters most when residents need help then.

Nurse hours

2.94 /day

Staff turnover

n/a

Serious cites

0

West Bend Health and Rehabilitation runs 45 certified beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed May 1, 2025. CMS rates its quality measures 5 out of 5, which reflects good clinical outcomes on paper, but the staffing and inspection scores land at 3. If you're weighing this one, ask how the weekend schedule actually gets covered.

Nurse hours

3.99 /day

Staff turnover

n/a

Serious cites

0

The Healthcare Resort Of Olathe runs 70 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.99 hours per resident day, a little above the national average of 3.86, though weekends drop roughly 12% below its own weekday coverage. Where the record gets harder to overlook is inspections: 58 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with $37,417 in fines across three cases. The most recent inspection was April 16, 2025. Strong quality measure scores don't cancel out that inspection history, and the staffing edge is thin enough that a weekend dip matters.

Nurse hours

4.05 /day

Staff turnover

n/a

Serious cites

0

The Healthcare Resort of Leawood runs a for-profit operation with 70 certified beds, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. But weekend coverage drops roughly 7% below its own weekday levels, so care thins out when families tend to visit. The bigger concern is the inspection record: 36 deficiencies on file, one serious enough to reach harm or jeopardy level, plus a $19,105 fine. A 2/5 inspection rating against 4/5 marks for both quality measures and staffing tells you the clinical numbers look better than the survey history. The most recent inspection was August 2025, so that record is current, not stale.

Nurse hours

3.46 /day

Staff turnover

54%

Serious cites

0

Copper Ridge runs a 120-bed for-profit operation in West Jordan with a clean recent inspection record, 16 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent state visit was September 2025. The care quality numbers back that up. Where it gets thinner is staffing: 3.46 nurse hours per resident day, roughly 10 percent under the national average, with weekends running about 18 percent below its own weekday coverage. Turnover sits at 53.9 percent against a 45.8 percent national mark, so you're looking at a home that's doing well on care measures but cycling through caregivers faster than average. Worth asking how they cover weekends and which staff actually stay.

Nurse hours

5.21 /day

Staff turnover

n/a

Serious cites

0

Desert Mountain Care Center has 99 certified beds in Indio, run by a for-profit limited liability company. The raw staffing number looks strong, 5.21 nurse hours per resident day, about 35% above the national average, but the federal staffing star tells a different story at 1 out of 5, and weekend coverage runs about 8% below weekday levels, so the hours aren't distributed as evenly as the headline figure suggests. The inspection record carries 46 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related. The most recent inspection was June 26, 2025. Quality measures score 5 out of 5 against 3 out of 5 for health inspections. Families should ask how the abuse deficiencies were resolved and what weekend staffing actually looks like.

Nurse hours

3.15 /day

Staff turnover

46%

Serious cites

0

Sabino Canyon Rehabilitation & Care Center runs 112 certified beds in Tucson under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends are thinner still, about 14% below the home's own weekday coverage, and annual turnover lands at 46.3%, right around the national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dating to August 2023. Quality measures score well; staffing and inspections sit in the middle. For a family weighing a Tucson placement, the real question is whether the weekday-to-weekend staffing dip matters for the care your relative needs.

Nurse hours

4.26 /day

Staff turnover

36%

Serious cites

0

Whittier Hills runs 160 beds under a for-profit limited liability company, and its staffing is the strongest part of the picture: 4.26 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 8% below weekdays. Turnover sits at 36.2%, better than the 45.8% national figure. The concern is the inspection record, 74 deficiencies, three tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was February 2026. Los Angeles County has no shortage of options, so weigh that deficiency history against the adequate staffing before deciding.

Nurse hours

3.17 /day

Staff turnover

23%

Serious cites

0

Hampden Hills runs 3.17 nurse hours per resident per day against a national average of 3.86, roughly 18% leaner, with weekends about 7% thinner than weekdays. The trade-off is retention: 22.6% annual turnover looks good next to the 45.8% national figure, so whoever is on the floor tends to stay. The current record carries 42 deficiencies, one abuse-related, none flagged at harm or jeopardy level, and the last inspection was January 2025, recent enough to trust. Ownership is a for-profit corporation, so margin pressure is a fair thing to keep in mind.

Nurse hours

3.73 /day

Staff turnover

41%

Serious cites

0

The Healthcare Resort Of Topeka runs a stable ship on the clinical side, a perfect five stars on both health inspections and quality measures, with no deficiencies at the harm or jeopardy level during a survey completed in December 2025. Staffing is where the picture gets thinner: 3.73 nurse hours per resident day sits just under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage tightens exactly when families tend to visit. Turnover at 40.5% is better than the national 45.8%, though not dramatically so. Worth asking about two abuse-related deficiencies on the current record, and how weekend shifts are actually covered.

Nurse hours

3.35 /day

Staff turnover

36%

Serious cites

0

Henderson Health and Rehabilitation runs 266 beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends about 10% thinner than weekdays. Turnover is 35.7%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the harder part: 37 deficiencies, including one at harm or jeopardy level and two related to abuse, plus a $40,830 fine, with the most recent inspection in August 2025. Its quality measure score is strong, but that's self-reported data, and it sits alongside a two-star inspection rating. Ask about the abuse-related findings and weekend coverage before deciding.

Nurse hours

3.35 /day

Staff turnover

43%

Serious cites

0

The Reserve Healthcare and Rehabilitation in Charleston runs 135 certified beds under for-profit LLC ownership, and its inspection record is the standout: zero deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection dated May 28, 2026. That clean sheet is why CMS gave it 5 out of 5 inspection stars and 4 out of 5 on quality measures. The staffing side is thinner, 3.35 nurse hours per resident day sits about 13% under the national average of 3.86, and weekend coverage drops roughly 13% below its own weekday level, which is when families tend to notice. Turnover at 43.4% is slightly better than the 45.8% national figure, so the workforce is comparatively stable even if the hours aren't generous.

Nurse hours

3.73 /day

Staff turnover

62%

Serious cites

0

Harrison Pointe runs 3.73 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. That gap matters more than the small shortfall against the average, because it means the coverage your relative gets on a Saturday looks different from a Tuesday. Annual turnover sits at 61.8% against a national 45.8%, so the people providing care change often. The inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the last visit in March 2026. Clinical quality measures score well; staffing is where this home is thinnest.

Nurse hours

4.40 /day

Staff turnover

42%

Serious cites

0

Southland runs 120 certified beds in Norwalk under for-profit LLC ownership, and the staffing numbers are genuinely on the high side, 4.40 nurse hours per resident day, roughly 14% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 41.7%, a bit better than the 45.8% national figure. What drags this home down is its inspection record: 92 deficiencies, three at harm or jeopardy level and eight tied to abuse, plus two fines totaling $38,376. A recent inspection date doesn't erase that history. Families should ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.

Nurse hours

4.34 /day

Staff turnover

53%

Serious cites

0

Palm Terrace runs 99 certified beds in Laguna Hills under for-profit limited liability ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.34 hours per resident day, about 12% above the national average, but weekends drop roughly 15% below the home's own weekday level, and annual turnover hits 52.5% against a national rate of 45.8%. The inspection record is where the concern sharpens: 50 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $33,118 in fines across two penalties. A five-star quality measure rating sits alongside a two-star staffing rating and a two-star inspection rating, a split worth asking about directly. The most recent inspection was February 2026.

Nurse hours

3.55 /day

Staff turnover

43%

Serious cites

0

Windsor Rehabilitation and Healthcare runs 108 certified beds in Terrell under for-profit limited liability ownership, and the staffing numbers are the first thing to look at. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 42.9%, slightly better than the 45.8% national figure, which is a modest point in its favor. The inspection record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, but the health inspection rating sits at 2 out of 5.