THE ENSIGN GROUP

Nurse hours

4.68 /day

Staff turnover

62%

Serious cites

0

Somerset Post Acute Care runs 4.68 nurse hours per resident day, about 21% above the national average of 3.86, that's a real staffing advantage, and it shows up in a 3/5 staffing star. But look at how that coverage holds up on weekends: it drops roughly 14% below the weekday level, so the hands on deck shrink exactly when families tend to visit. Turnover sits at 61.9% against a national average of 45.8%, meaning most of the people providing that care are relatively new. The inspection record carries 43 deficiencies, one at the harm level and one abuse-related, with a $26,728 fine and a March 2025 inspection.

Nurse hours

4.10 /day

Staff turnover

n/a

Serious cites

0

Channel Islands Post Acute runs 4.10 nurse hours per resident day, about 6% above the national average, and CMS gives it four stars for staffing and four for health inspections. Inspectors were last in on May 9, 2025, and found 23 deficiencies, none at the harm or jeopardy level and none abuse-related. The caution sits in the quality measures, where CMS scores it 1 out of 5, the resident outcome data lags well behind the staffing picture. Weekend coverage also drops roughly 21% below its own weekday level, so care thins out when families tend to visit. This is a for-profit corporate home with real nursing hours and a clean harm record, but softer clinical outcomes than the staffing numbers suggest.

Nurse hours

3.65 /day

Staff turnover

34%

Serious cites

0

The Phoenix Post-Acute runs 134 certified beds in Texas City under corporate ownership, and its staffing sits about 5% under the national average at 3.65 nurse hours per resident day. Weekends dip roughly 7% below its own weekday coverage, so the quietest shifts are the thinnest. Turnover is the brighter spot at 34.4%, well under the 45.8% national figure, which suggests some continuity in who's actually at the bedside. The concern is the record itself: 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, and two fines totaling $90,049. Its last inspection was May 2026. Families should ask specifically about those harm-level findings and how weekend coverage gets filled.

Nurse hours

3.38 /day

Staff turnover

51%

Serious cites

0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

Nurse hours

3.55 /day

Staff turnover

33%

Serious cites

0

Wylie Oaks runs about 8% below the national average on nurse staffing, at 3.55 hours per resident day, and weekends dip roughly 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than average at 32.8%, meaning the aides and nurses you meet are more likely to still be there next year. The inspection record is the harder read: 28 deficiencies logged, two at harm or jeopardy level and two tied to abuse, with $58,390 in fines and a two-star health inspection rating. The most recent inspection was June 2025, so that picture is current, not stale.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.

Nurse hours

3.15 /day

Staff turnover

n/a

Serious cites

0

Granite Creek runs 128 certified beds in Prescott under for-profit partnership ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 2% below its own weekday level, so the thin coverage doesn't improve when families visit. Inspectors logged 32 deficiencies on the current record, two tied to abuse, though none rose to harm or jeopardy; the last visit was January 7, 2026. The quality star reflects strong clinical measures, but that staffing star tells a different story about how much time nurses actually have with residents.

Nurse hours

3.33 /day

Staff turnover

n/a

Serious cites

0

Berthoud Care And Rehabilitation is a 76-bed for-profit home in Larimer County, and its record is split down the middle. The health inspection side is genuinely strong, a 5-star rating with no deficiencies at the harm or jeopardy level, and a clean inspection as recently as June 2024. What pulls the overall picture down is staffing: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 14% below the home's own weekday levels, which is when families tend to visit and notice. Sixteen total deficiencies on record, one tied to abuse, plus a 2-star staffing rating, mean the people caring for residents are stretched thinner than at the average American nursing home.

Nurse hours

3.24 /day

Staff turnover

33%

Serious cites

0

Stillhouse Rehabilitation runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, and weekends are leaner still, roughly 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is a genuine bright spot at 32.8%, well under the 45.8% national figure, so the staff who are there tend to stay. But the inspection record carries 45 deficiencies, including one at the harm level and three tied to abuse, plus a $8,162 fine. As a hospital district facility, it answers to public ownership, which can mean more stable oversight.

Nurse hours

3.33 /day

Staff turnover

37%

Serious cites

0

Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.

Nurse hours

4.38 /day

Staff turnover

39%

Serious cites

0

Edgewater Skilled Nursing Center sits in Long Beach with 81 certified beds and a for-profit corporate owner. Nurse staffing runs 4.38 hours per resident day, about 13% above the national average, and turnover at 39.1% is better than the 45.8% norm, but weekend coverage drops roughly 13% below its own weekday level, so care thins out exactly when families tend to visit. The inspection record is where things get concerning: 76 deficiencies on file, including two at the harm level and two tied to abuse, plus $60,763 in fines. Two stars each for health inspections and quality measures, with the most recent inspection in March 2026.

Nurse hours

3.87 /day

Staff turnover

n/a

Serious cites

0

Atchison Senior Village runs 45 beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86, so there's no real cushion there. Weekends drop about 13% below its own weekday coverage, which is where thin staffing usually shows up first. The inspection record carries 39 deficiencies, including one at the harm or jeopardy level, plus three fines totaling $20,817; the last inspection was February 2026. The quality measure rating of 4 out of 5 is the bright spot here, and the health inspection rating of 3 reflects a mixed record rather than a troubled one. Weigh the weekend gap and that harm-level deficiency against the decent quality scores.

Nurse hours

3.59 /day

Staff turnover

n/a

Serious cites

0

Ashley River Healthcare runs 125 certified beds in Charleston under for-profit limited liability ownership. Its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $46,164. Quality measures score well and the last inspection was recent, but the staffing pattern and that harm-level citation are the numbers worth weighing.

Nurse hours

3.14 /day

Staff turnover

n/a

Serious cites

0

Amarillo Medical Lodge runs lean on nursing hours: 3.14 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap is what drives its one-star staffing rating, even as inspections and quality measures both come back strong. The 13 deficiencies on record are all low-level, none involved harm or jeopardy, and none were abuse-related, and the most recent inspection was in March 2026, so the record is current. This is a for-profit LLC with 102 certified beds. Families should ask how the weekend schedule is covered and what the nurse-to-resident ratio looks like on a Saturday evening, because the inspection record won't show it.

Nurse hours

3.45 /day

Staff turnover

n/a

Serious cites

0

Mesa Springs runs 89 certified beds in Abilene under corporate for-profit ownership, and its staffing is the weak spot: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, with weekends dropping roughly 13% below its own weekday levels. The inspection record carries 33 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, plus a single $8,190 fine. Federal ratings split sharply here, three stars for health inspections, four for quality measures, but one for staffing. The most recent inspection was March 19, 2026. If you're weighing this one, ask directly how nurse coverage holds up on Saturday and Sunday.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Mystic Park runs at 3.23 nurse staffing hours per resident per day, about 16 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 35.6 percent, better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. The record also carries 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a single $111,121 fine. Inspectors last visited in April 2026. The quality measure score looks strong, but that's built from resident assessments, not direct observation of care, the staffing and inspection numbers tell a harder story.

Nurse hours

3.24 /day

Staff turnover

55%

Serious cites

0

Copperfield Healthcare and Rehabilitation runs 124 certified beds in Houston under corporate for-profit ownership, and its staffing is the first thing to look at: 3.24 nurse hours per resident per day, roughly 16% under the national average. Weekends drop about 15% below its own weekday level, and annual turnover sits at 55% against a national 45.8%, so the aides and nurses who remain are stretched thinner on Saturdays and Sundays. The inspection record backs that up: 28 deficiencies, three of them at harm or jeopardy level, and a two-star health inspection rating despite strong quality measure scores. One fine of $23,029 is on file, with the last inspection dated September 2025. The low staffing rating tells you where the risk sits.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.

Nurse hours

3.38 /day

Staff turnover

38%

Serious cites

0

Legend Oaks-Kyle runs on thinner nursing coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with the gap widening on weekends, when staffing drops about 19% below its own weekday level. That pattern matters for a 126-bed building, because fewer hands on Saturdays and Sundays is when falls and missed care tend to happen. Turnover at 38.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how many nurses are scheduled in the first place. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine. Inspectors last visited in December 2025.

Nurse hours

3.39 /day

Staff turnover

n/a

Serious cites

0

River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.

Nurse hours

3.03 /day

Staff turnover

58%

Serious cites

0

Pueblo Springs runs 129 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.03 hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels, which matters when residents need help on a Saturday night. Staff turnover is 58.3% against a 45.8% national figure, so caregivers are cycling through faster than average. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though three are abuse-related. A June 2025 inspection is recent, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up better than the staffing picture would predict.

Nurse hours

3.26 /day

Staff turnover

47%

Serious cites

0

La Canada Care Center runs 128 certified beds in Tucson under for-profit LLC ownership, and the staffing numbers are where the story starts. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, weekend coverage drops roughly 13% below its own weekday level, and turnover lands at 47%, slightly above the national figure. On paper the home scores well on quality measures, but its current record carries 15 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse. One fine totaling $8,278 is on file, and the last inspection was recent. The staffing pattern is the piece worth asking about directly.

Nurse hours

3.33 /day

Staff turnover

54%

Serious cites

0

Pelican Pointe runs 3.33 nursing hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday level. That thinner weekend coverage matters when you're the one calling on a Saturday. Staff turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. The current inspection record carries 43 deficiencies, four at harm or jeopardy level and six tied to abuse, plus $71,640 in fines across four penalties. The most recent inspection was January 15, 2026, so the picture is current rather than stale.

Nurse hours

2.83 /day

Staff turnover

45%

Serious cites

0

Clarion Wellness and Rehabilitation Center runs 76 certified beds under corporate for-profit ownership, and its staffing is the number to sit with first: 2.83 nurse hours per resident per day, roughly 27% under the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so the thinnest shifts land when families often visit. The current inspection record carries 37 deficiencies, four at the harm or jeopardy level, four abuse-related, plus one fine of $24,174; the last inspection was August 28, 2025. Annual turnover of 44.9% sits near the national 45.8%, meaning the staff who remain are stretched thin, and the one-star health inspection rating reflects what surveyors have found.

Nurse hours

3.53 /day

Staff turnover

36%

Serious cites

0

Riverbend Post Acute Rehabilitation runs 131 certified beds in Kansas City under for-profit corporate ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus $84,023 in fines across two events. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover is 35.5%, better than the 45.8% national figure, but that's the one number here that works in its favor.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Foothills Transitional Care and Rehabilitation runs 185 certified beds in Maryville under corporate for-profit ownership, and its staffing numbers are the thing to look at first. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, weekend coverage drops about 13% below its own weekday level, and annual turnover hits 51.1% against a national 45.8%, that combination matters more than any single star rating. The inspection record shows 25 deficiencies, including two at the harm-or-jeopardy level and one tied to abuse, with $17,883 in fines and a last inspection in January 2024. Quality measures score well, but good numbers on paper don't staff a hallway on a Sunday.

Nurse hours

3.13 /day

Staff turnover

36%

Serious cites

0

Wisteria Place runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, which matters most when families visit and doctors don't. The 19 deficiencies on record include one at the harm level and one tied to abuse, plus a $21,645 fine. Staff turnover sits at 36.4%, better than the national 45.8%, so the people who do show up tend to stay. The last inspection was July 2025, so the record is recent rather than stale. What you have is a 123-bed for-profit that scores well on quality measures but is thin where it counts most: enough hands on deck.

Nurse hours

3.24 /day

Staff turnover

41%

Serious cites

0

Cambridge Health and Rehabilitation Center runs 158 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.24 hours per resident per day, about 16% under the 3.86 national average, with weekends roughly 9% thinner than weekdays. The inspection record is where the real weight sits: 26 deficiencies on file, seven of them at harm or jeopardy level and two tied to abuse, plus four fines totaling $68,342, most recently inspected May 15, 2025. Staff turnover of 40.6% is actually a touch better than the 45.8% national figure, and the quality measure score is strong, but thin daily staffing against that deficiency history is the tradeoff families should weigh.

Nurse hours

3.19 /day

Staff turnover

32%

Serious cites

0

Westpark Rehabilitation and Living runs 140 certified beds in Euless under hospital district ownership, and its inspection record is the part that should worry you. The home carries 55 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. Its health inspection rating sits at 1 out of 5, the lowest CMS assigns, with two fines totaling $26,186. Staffing runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 31.8% is genuinely better than the 45.8% national figure, and the quality measure rating is 4 out of 5, though strong self-reported measures are easier to post when inspections are finding this much.

Nurse hours

3.31 /day

Staff turnover

40%

Serious cites

0

Hunters Pond runs 128 beds in San Antonio under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.31 nurse hours per resident day, it sits roughly 14% under the national average, and weekends dip about another 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with $66,531 in fines across three penalties; the last inspection was August 2025. Turnover at 40% is actually a bit better than the 45.8% national figure, and its quality measure score is strong. But the health inspection and staffing ratings both come in low, and that's the tension worth weighing.