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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

74/100

South Valley Post Acute Rehabilitation

Denver, CO · Denver County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
49%
Serious cites
0

South Valley Post Acute Rehabilitation runs about 3.10 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday level. Staff turnover sits at 48.9%, a few points above the national figure. What keeps this Denver home's record from looking worse is its inspection history: 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated January 29, 2026. The federal stars split the difference too, fours for health inspections and quality measures, but a two for staffing. Corporate-owned and certified for 106 beds.

B

74/100

Legend Healthcare And Rehabilitation - Greenville

Greenville, TX · Hunt County

CMS 4/5126 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
48%
Serious cites
0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

B

74/100

Legend Oaks Healthcare And Rehabilitation - New Br

New Braunfels, TX · Comal County

CMS 3/5126 bedsGovernmentMedicaid
Nurse hours
3.30 /day
Staff turnover
50%
Serious cites
0

Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

B

73.5/100

Rehabilitation And Nursing Center Of The Rockies

Fort Collins, CO · Larimer County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
47%
Serious cites
0

Rehabilitation And Nursing Center Of The Rockies runs a 106-bed for-profit operation in Fort Collins, and the staffing numbers are the first thing that stand out: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 17% below its own weekday coverage. That thin margin matters more given 21 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, plus a $21,721 fine. Turnover sits at 47%, slightly above the national figure. The quality measure score looks strong and the most recent inspection was in June 2025, so the picture isn't one-sided, but the inspection and staffing ratings both land at 2 out of 5, and that combination is what a family should ask about directly.

B

73.5/100

Lila Doyle Post Acute

Seneca, SC · Oconee County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
n/a
Serious cites
0

Lila Doyle Post Acute runs 120 beds in Seneca under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, which matters when a resident needs help on a Sunday. The inspection record shows eight deficiencies, two at harm or jeopardy level and two tied to abuse, plus two fines totaling $22,838. The most recent inspection was June 24, 2026. Quality measures score well, but staffing and inspection results are where the concerns live.

B

73.5/100

Decatur County Healthcare

Parsons, TN · Decatur County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Decatur County Healthcare sits in Parsons with 125 certified beds, run by a for-profit corporation, and its record is a mixed bag worth understanding before you visit. The staffing numbers are the weak spot: 3.47 nurse hours per resident day, about 10% under the national average of 3.86, and weekends run roughly 17% below its own weekday level, so ask what coverage looks like on a Saturday. Turnover is 40%, a bit better than the 45.8% national figure, which matters for consistency of care. The inspection side looks stronger: a 4-star health inspection rating, 7 deficiencies on record with none at harm or jeopardy level and none abuse-related, and a recent inspection in December 2025. Quality measures earn 5 stars, but staffing earns 2.

B

73.5/100

Veranda Rehabilitation And Healthcare

Harlingen, TX · Cameron County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
40%
Serious cites
0

Veranda runs lean on nursing hours, 3.35 per resident day against a national average of 3.86, with weekends dropping about 20% below its own weekday coverage. That thin weekend staffing matters because the home's record shows 18 deficiencies, including one at the harm level and four tied to abuse, though a June 2025 inspection means the picture is recent. Turnover at 39.7% is actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The tension here is a corporation-owned building with strong inspection and quality marks but staffing that trails what residents may need, especially on weekends.

B

73.5/100

Hays Nursing And Rehabilitation Center

San Marcos, TX · Hays County

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Hays Nursing and Rehabilitation Center runs 116 certified beds in San Marcos under corporate for-profit ownership. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 37.9% actually beats the national 45.8%, which is worth noting, but the inspection record carries 26 deficiencies, including two at the harm or jeopardy level and three tied to abuse. One fine totaling $8,226 is on file, and the most recent inspection was March 2026.

B

73.5/100

Legacy Rehabilitation And Living

Amarillo, TX · Randall County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
n/a
Serious cites
0

Legacy Rehabilitation And Living runs 150 certified beds in Amarillo under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record shows 23 deficiencies, including one at the harm level and two tied to abuse, with a single $13,070 fine. Its quality measure stars are strong, but that score reflects resident data, not the hands available to help.

B

73/100

Citrus Heights Respiratory And Rehabilitation

Mesa, AZ · Maricopa County

CMS 3/5204 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
57%
Serious cites
0

Citrus Heights Respiratory And Rehabilitation runs 204 beds under corporate ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 3.88 hours per resident day, essentially matching the national average of 3.86, but weekends drop about 12% below the home's own weekday levels, so care thins out exactly when families tend to visit. Staff turnover hits 57%, well above the 45.8% national figure, which means familiar faces are hard to keep. The current inspection record shows 27 deficiencies, including one at the harm level and eight tied to abuse. A recent March 2026 inspection and strong quality measure scores offset some of that, but the thin weekend coverage and inspection history are what families should weigh.

B

73/100

Broadview Health And Rehabilitation Center

Greeley, CO · Weld County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
61%
Serious cites
0

Broadview Health and Rehabilitation Center runs 100 beds in Greeley under corporate for-profit ownership, and its inspection record is genuinely better than average, four stars on health inspections, five on quality measures, with the most recent look from state surveyors in February 2024. The problem sits underneath that: staffing earns one star, and 61.1% of staff turned over in a year against a national average near 46%. Fifteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Strong marks on paper don't mean much if the people providing daily care keep leaving.

B

73/100

Alta Vista Rehabilitation And Healthcare

Brownsville, TX · Cameron County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
36%
Serious cites
0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

B

73/100

The Pines Post Acute And Memory Care

Clintonville, WI · Waupaca County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
53%
Serious cites
0

The Pines runs 50 beds under corporate ownership, and its nursing hours come in around 12% under the national average, a gap that widens on weekends, when coverage drops another 11% below its own weekday pace. Staff turnover sits at 52.7%, roughly seven points above the national figure, so the people caring for residents change often. Its inspection record carries 18 deficiencies, including two at the harm level and four tied to abuse, with one fine of $11,960. The last inspection was July 17, 2025. Quality measures score well, but staffing and the deficiency history are what pull the overall picture down.

B

73/100

Beacon Harbor Healthcare And Rehabilitation

Rockwall, TX · Rockwall County

CMS 3/5190 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
41%
Serious cites
0

Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

B

73/100

The Villages Of Dallas

Dallas, TX · Dallas County

CMS 3/5160 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
59%
Serious cites
0

The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.

B

72.5/100

Peoria Post Acute And Rehabilitation

Peoria, AZ · Maricopa County

CMS 4/5179 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
n/a
Serious cites
0

Peoria Post Acute And Rehabilitation runs 179 certified beds under for-profit partnership ownership, and its total nurse staffing of 4.13 hours per resident day sits about 7% above the national average of 3.86. That headline number looks solid, but weekends run roughly 10% below the home's own weekday staffing, so coverage thins out when families tend to visit. The inspection record shows 8 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was March 20, 2026. Quality measures score well, while CMS's staffing star comes in at just 1 out of 5, a gap worth asking about directly.

B

72.5/100

Malley Transitional Care Center

Northglenn, CO · Adams County

CMS 2/5162 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
n/a
Serious cites
0

Malley Transitional Care Center runs 162 beds in Northglenn under corporate for-profit ownership, and the staffing numbers are where families should focus. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 14% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 29 deficiencies, five at harm or jeopardy level and two tied to abuse, with one fine of $11,180. Last inspection was September 2024. The quality measure rating looks strong on paper, but quality scores and daily staffing don't always tell the same story here.

B

72.5/100

Shawnee Post Acute Rehabilitation Center

Overland Park, KS · Johnson County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
n/a
Serious cites
0

Shawnee Post Acute runs 101 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. That headline number looks fine until you notice weekends run about 12% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the real story here. Forty-four deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. One fine totaling $28,558. The last inspection was February 2026, and CMS gave the health inspection domain 2 out of 5 stars, against 4 for quality measures and 3 for staffing. Ask about those abuse-related citations directly before you decide anything.

B

72.5/100

Legend Healthcare And Rehabilitation - Paris

Paris, TX · Lamar County

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

Legend Healthcare and Rehabilitation in Paris runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 43 deficiencies, one serious enough to involve harm or jeopardy, and one fine of $16,149. CMS rated its staffing 2 out of 5 stars and its inspection history 3, though quality measures scored higher at 4. The last inspection was February 5, 2026, so the record is recent.

B

72/100

Desert Blossom Health & Rehab Center

Mesa, AZ · Maricopa County

CMS 5/5106 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

Desert Blossom runs on thinner staffing than most homes nationally, 3.45 nurse hours per resident day against a 3.86 average, and it gets worse on weekends, when coverage drops about 14% below its own weekday level. That gap matters, because 51.6% of staff turned over last year, higher than the 45.8% national rate, so the people who know these residents best keep leaving. The inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $8,278 fine. CMS rated the quality measures 5 out of 5 and staffing 2 out of 5, worth asking the administrator how they reconcile those two before you decide.

B

72/100

South Mountain Post Acute

Phoenix, AZ · Maricopa County

CMS 4/5124 bedsGovernmentMedicaid
Nurse hours
4.06 /day
Staff turnover
48%
Serious cites
0

South Mountain Post Acute runs 124 beds in Phoenix under corporate for-profit ownership, and its last full health inspection came in August 2024, recent enough to trust the findings are current. Those findings are mixed: 16 deficiencies on record, though none rose to the level of harm or jeopardy, and none involved abuse. The staffing picture is where things get uneven. Total nurse hours sit at 4.06 per resident day, about 5% above the national average, but weekend coverage drops roughly 6% below its own weekday level, and turnover at 47.5% edges past the national rate. High quality measure scores and steady inspection results don't erase thin weekend staffing and near-half turnover, ask how they cover weekends.

B

72/100

Premier Care Center For Palm Springs

Palm Springs, CA · Riverside County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
45%
Serious cites
0

The staffing numbers at Premier Care Center For Palm Springs look decent on paper, 4.09 nurse hours per resident day, slightly above the national average, but the inspection record tells a different story. Seventy-one deficiencies on the current record, including one at the harm level and five tied to abuse, plus a $102,250 fine, with the most recent inspection dated March 2026. Staff turnover sits at 45.2%, essentially matching the national rate, and weekend staffing drops about 12% below weekday levels. This is a for-profit corporate home with 99 certified beds in Riverside County. The quality measure score of 4/5 stands out against a 1/5 inspection rating, worth asking what those measures aren't capturing.

B

72/100

Monte Vista Hills Healthcare Center

Pocatello, ID · Bannock County

CMS 5/5113 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
46%
Serious cites
0

Monte Vista Hills runs 113 certified beds in Pocatello under corporate ownership, and its inspection record is genuinely clean, 17 deficiencies on file, none involving harm or jeopardy, none abuse-related, with a survey as recent as December 2025. Where it slips is staffing: 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends run about 14% thinner than its own weekdays. Turnover sits at 45.7%, essentially identical to the national rate, so retention isn't the outlier here, raw hours are. The 5/5 quality measure rating and 4/5 inspection rating give you something real to lean on, but a 2/5 staffing rating tells you to ask pointed questions about who's actually on the floor on a Saturday night.

B

72/100

Skyline Transitional Care Center

Boise, ID · Ada County

CMS 4/5111 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
38%
Serious cites
0

Skyline Transitional Care Center runs 111 certified beds in Boise under corporate for-profit ownership. Its 2-out-of-5 staffing rating reflects 3.53 nursing hours per resident day, roughly 9% under the national average, and weekends dip about 15% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, better than the 45.8% national figure, which matters for continuity. On inspections, the home holds a 3/5 rating with 32 deficiencies, four at harm or jeopardy level and three abuse-related. A March 2025 inspection is recent, but those harm-level findings and the staffing picture are the real story here.

B

72/100

Creekside Transitional Care And Rehabilitation

Meridian, ID · Ada County

CMS 4/5139 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
53%
Serious cites
0

Creekside runs 139 beds in Meridian under corporate for-profit ownership, and its staffing sits a little under the national average, about 3.73 nurse hours per resident day versus 3.86 nationally. Weekends dip roughly another 12% below its own weekday coverage, and turnover is 53.1% against a national 45.8%, so the people at the bedside change often. The 31 deficiencies on record include one at the harm level, with a single fine of $8,278; the last inspection was June 13, 2025. Resident outcome measures look strong, but low staffing hours and high turnover are what's holding the overall picture down.

B

72/100

Bennett Hills Rehabilitation And Care Center

Gooding, ID · Gooding County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
51%
Serious cites
0

Bennett Hills runs 80 certified beds in Gooding under corporate for-profit ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That parity hides two problems: weekend coverage drops roughly 14% below the home's own weekday levels, and annual turnover is 51.4%, well above the 45.8% national figure. The inspection record is the bigger concern. Thirty-eight deficiencies are on file, including three tied to abuse and one at the harm or jeopardy level, with a single $16,350 fine. The last inspection was April 30, 2026. Quality measures score well, but a one-star health inspection rating and 38 deficiencies tell you where the trouble lives.

B

72/100

Beatrice Health And Rehabilitation

Beatrice, NE · Gage County

CMS 5/587 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
44%
Serious cites
0

Beatrice Health and Rehabilitation runs 87 certified beds under corporate for-profit ownership, and its inspection record looks solid, a 4-star health inspection rating, a 4-star quality measure rating, and no deficiencies at the harm or jeopardy level. The catch is staffing, which earns just 2 stars. At 3.80 nurse hours per resident day, this home sits slightly under the national average, and weekend coverage drops about 12% below its own weekday levels, so care can thin out exactly when families tend to visit. Turnover at 43.5% is a touch better than the national average, which suggests some stability. The last inspection was April 2025.

B

72/100

Oak View Health And Rehabilitation

Conway, SC · Horry County

CMS 1/5190 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
59%
Serious cites
0

Oak View runs on thinner staffing than most homes nationally, about 3.59 nurse hours per resident day against an average of 3.86, and it thins out further on weekends, dropping roughly 13% below its own weekday coverage. That matters when you consider the inspection record: 22 deficiencies, three of them serious enough to put residents in harm's way, and one $59,005 fine. CMS has placed this Conway home in its Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The 59.4% annual turnover is well above the 45.8% national figure, meaning the people caring for your relative are frequently new. Quality measures look strong on paper, but the staffing and enforcement record tell a fuller story.

B

72/100

Union City Health And Rehabilitation

Union City, TN · Obion County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
22%
Serious cites
0

Union City Health and Rehabilitation runs on thinner nursing coverage than most homes, about 3.49 nurse hours per resident each day, roughly 10% under the national average, and weekend shifts drop another 13% below its own weekday levels. That staffing picture is paired with a one-star health inspection rating from CMS and ten deficiencies on the current record, one of them serious enough to involve harm or jeopardy. On the other hand, turnover sits at 22.4%, well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The one fine on record is modest at $10,348, and the most recent inspection was in August 2025, so the findings are current rather than stale.

B

72/100

Greentree Health And Rehabilitation Center

Clintonville, WI · Waupaca County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
n/a
Serious cites
0

Greentree runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends drop around 16% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and when fewer eyes are on residents. The current record shows 22 deficiencies, including one at the harm level and five abuse-related citations, which is a lot for a 50-bed home. The last inspection was April 2025, so the picture is recent. A for-profit corporate owner, middling inspection and quality scores, and thin weekend coverage together explain the C. Ask about weekend nurse coverage and how abuse complaints get investigated before you decide.