THE ENSIGN GROUP

Nurse hours

3.36 /day

Staff turnover

38%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation Garland runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, dropping about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Staff turnover is 38.1%, better than the 45.8% national figure. The most recent inspection was February 2025, so the picture is fairly current. Ask about weekend coverage and what those three abuse deficiencies involved before deciding.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

McKinney Healthcare and Rehabilitation Center sits at 125 certified beds under hospital district ownership, and the inspection record is the bright spot here, a 4-out-of-5 health inspection rating with the most recent survey done in May 2025. The 21 deficiencies on file are mostly low-level, with none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Staffing is where the numbers get thin. At 3.06 nurse hours per resident day, this home runs roughly 21 percent below the national average, weekends drop about 19 percent below its own weekday coverage, and turnover hits 50.7 percent against a 45.8 percent national figure. Ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

4.31 /day

Staff turnover

54%

Serious cites

0

Broadway By The Sea runs on a for-profit LLC out of Long Beach, and the numbers tell a split story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, but weekends dip roughly 13% below weekdays, and turnover runs 53.6% against a national 45.8%, so the hours are there on paper, the consistency isn't. The inspection record is the real problem: 79 deficiencies, four at harm or jeopardy level, nine abuse-related, and $205,642 in fines across five events, with the most recent inspection in January 2026. Strong quality scores don't offset that paper trail.

Nurse hours

3.26 /day

Staff turnover

n/a

Serious cites

0

Brighton Care Center runs 108 certified beds under corporate ownership, and its state inspection record is recent and solid, a 4-star health inspection rating with the last survey in November 2024. Where it gets shaky is staffing: 3.26 nurse hours per resident day, roughly 16% under the national average, and weekends run another 16% below its own weekday levels. A 1-star staffing rating reflects that gap. The 13 deficiencies on record, two of them at harm or jeopardy level, plus a single $38,812 fine, suggest problems serious enough to matter without a pattern of abuse. Quality measures score well at 5 stars, but good numbers on paper don't staff a night shift.

Nurse hours

3.17 /day

Staff turnover

42%

Serious cites

0

Kirkwood Manor runs about 18% leaner on nurse staffing than the national average, and weekends dip roughly another 12% below its own weekday levels, so the hours per resident aren't just low on paper, they thin out further when families tend to visit. Turnover sits at 42.3%, slightly better than the national rate, which suggests the problem is how many staff are scheduled rather than whether they stay. The current inspection record carries 49 deficiencies, including one at the harm level and one abuse-related, plus a $29,026 fine. A 2/5 staffing rating and 2/5 on health inspections line up with that record; the 3/5 quality measures are the one place the numbers look steadier. Ask specifically how the weekend shift is covered.

Nurse hours

3.17 /day

Staff turnover

54%

Serious cites

0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

Nurse hours

3.79 /day

Staff turnover

56%

Serious cites

0

Hurricane Health and Rehabilitation runs 60 beds under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. Weekends drop roughly 14% below its own weekday coverage, and annual turnover hits 55.7% against a national 45.8%, so the people caring for residents are changing often and thinning out on Saturdays and Sundays. The inspection record shows 16 deficiencies, three serious enough to cause harm, plus two fines totaling $46,602; the last inspection was September 25, 2025. Quality measures score well, but staffing consistency and the harm-level findings are the real story here.

Nurse hours

3.62 /day

Staff turnover

46%

Serious cites

0

Legend Oaks runs 126 certified beds in San Antonio under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, about 6% under the national figure of 3.86. Weekends run roughly 13% leaner than weekdays there, and annual turnover is 46.2%, which is right at the national average of 45.8%, so retention isn't the outlier here; the hours per resident are. The current record shows 32 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection on December 4, 2025. Quality measures score well above its staffing marks, a gap worth asking about directly.

Nurse hours

3.09 /day

Staff turnover

51%

Serious cites

0

Onion Creek runs on thin staffing: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends about 11% leaner than weekdays. The 1-out-of-5 staffing rating reflects that, and turnover at 50.5% means many of the aides and nurses currently on the floor weren't there a year ago. Its inspection history is the heavier concern, 26 deficiencies on record, including three at the harm or jeopardy level and one tied to abuse, plus two fines totaling $51,337. The 4-out-of-5 quality measure rating shows some clinical care is being tracked and scored well, but staffing is what families feel day to day, and the numbers there are hard to argue with.

Nurse hours

3.45 /day

Staff turnover

42%

Serious cites

0

Northeast Rehabilitation runs on 3.45 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 15% below its own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure, but the inspection record is where the real trouble shows: 45 deficiencies, two at harm or jeopardy level, and five tied to abuse. Fines total $16,449 across two penalties, and the last inspection was March 2025. It's a government hospital-district home, so ownership isn't the issue here, the staffing shortfall and that deficiency count are what a family should weigh before deciding.

Nurse hours

5.03 /day

Staff turnover

n/a

Serious cites

0

New Orange Hills runs about 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, but weekends drop about 10% below its own weekday level, so the coverage isn't as steady as that number suggests. The real trouble is its record: 82 deficiencies, including one at the harm or jeopardy level and two abuse-related, with a $8,278 fine, and a health inspection rating of 2 out of 5. It's corporate-owned, and the last inspection was February 18, 2026, so the record is current, not stale. Strong quality measures (4/5) and above-average staffing sit next to a serious inspection history, worth weighing carefully before choosing it.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

River Pointe Of Trinity sits in a county of about 7,000 people, and its numbers tell two different stories. The care quality measures look strong and inspectors gave it four stars, with the most recent visit in April 2025. But look at who's actually on the floor: 3.21 nursing hours per resident per day against a national average of 3.86, weekend staffing roughly a fifth thinner than weekdays, and nearly half the nursing staff turning over each year. Seventeen deficiencies are on the current record, including two that put residents in harm's way and one tied to abuse, plus about $19,700 in fines. Good outcomes in a building that runs lean.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

Nurse hours

3.26 /day

Staff turnover

68%

Serious cites

0

Phoenix Mountain Post Acute runs 130 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop further, about 8% below its own weekday coverage. Turnover tells its own story: 68.4% annually against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 27 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,018. Its last inspection was November 19, 2025. CMS gives it one star for health inspections and two for staffing, though five for quality measures, a split worth asking about directly.

Nurse hours

3.64 /day

Staff turnover

60%

Serious cites

0

The Springs at St. Andrews Village in Aurora runs 3.64 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating of 1 out of 5, and 60% annual turnover means the aides and nurses working those shifts are often new. The 21 deficiencies on record include one at the harm level, with a $14,220 fine. Quality scores look strong at 5 out of 5, but that's largely self-reported MDS data, while the staffing number is payroll-verified. Worth asking how the home covers weekends.

Nurse hours

3.71 /day

Staff turnover

62%

Serious cites

0

Ironwood Rehabilitation and Care Center runs 80 certified beds in Coeur d'Alene under corporate for-profit ownership, and the numbers a family should weigh are turnover and inspection history. Annual staff turnover sits at 62.2% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year, and weekend nurse coverage drops about 13% below the home's own weekday level. Total nursing hours come in at 3.71 per resident day, slightly under the 3.86 national figure. The current record carries 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was May 1, 2026.

Nurse hours

3.56 /day

Staff turnover

58%

Serious cites

0

Rock Creek Of Ottawa runs 75 certified beds under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover hits 58.2% against a national figure of 45.8%, so consistent hands-on care is the real question here. The inspection record shows 28 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $12,735; the last survey was January 30, 2025. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5.

Nurse hours

3.82 /day

Staff turnover

55%

Serious cites

0

Wayne Countryview runs 3.82 nurse hours per resident day, just under the national average of 3.86, and weekend staffing drops about 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 55.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was January 28, 2026. CMS rates quality measures 2 out of 5 and staffing 2 out of 5, with inspections at 3. This for-profit LLC home holds a valid license and no serious safety findings, but the staffing consistency and retention numbers are the real story.

Nurse hours

3.47 /day

Staff turnover

64%

Serious cites

0

Keystone Ridge runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. That gap matters more when you consider turnover: 64.4% of staff left over the past year, well above the 45.8% national figure, so the people covering those short weekend shifts are often new. Inspectors have cited 26 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $70,103 fine on record and a May 2025 inspection. Corporate-owned and for-profit, it holds a single health inspection star but five stars on quality measures, a split worth asking about directly.

Nurse hours

3.49 /day

Staff turnover

52%

Serious cites

0

Westwood runs about 3.49 nurse staffing hours per resident day, roughly 9% under the national average of 3.86, and weekends drop another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.1%, higher than the 45.8% national figure, which matters because unfamiliar caregivers mean less continuity for residents with dementia or complex needs. The inspection record is current (May 2025) and the health inspection rating is decent, but five deficiencies include one at the harm level and two tied to abuse, plus a $9,620 fine.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

0

East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

3.78 /day

Staff turnover

50%

Serious cites

0

Opus Post Acute Rehabilitation runs 98 beds in West Columbia under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap looks small until you see weekends, when coverage drops roughly 16% below the home's own weekday level, exactly when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, so the people caring for your relative are changing often. The current record carries 15 deficiencies, including one at the harm level and one tied to abuse, plus $12,043 in fines across two penalties. Its last inspection was January 29, 2026, so that picture is recent.

Nurse hours

3.44 /day

Staff turnover

48%

Serious cites

0

Golden Palms runs 3.44 nurse hours per resident day, about 11 percent under the national average, and weekends drop roughly 16 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since care doesn't pause on Saturdays. The inspection record shows 23 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, along with three fines totaling $15,997. Staff turnover sits at 47.8 percent, slightly above the national figure, which means the aides and nurses who know your family member are often new. The most recent inspection was April 15, 2026, so the picture is current rather than stale.

Nurse hours

3.02 /day

Staff turnover

n/a

Serious cites

0

Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.

Nurse hours

3.09 /day

Staff turnover

36%

Serious cites

0

Parker Post Acute runs 154 beds under for-profit LLC ownership, and its staffing sits at 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is 36.3%, better than the 45.8% national figure, which matters because consistent caregivers know residents. The inspection record is the real concern: a 1-out-of-5 health inspection rating, 28 deficiencies on file, five at harm or jeopardy level, and two tied to abuse. One fine totaling $17,342. The most recent inspection was March 2026, so that record is current, not stale.

Nurse hours

3.39 /day

Staff turnover

60%

Serious cites

0

Falls City Nursing and Rehabilitation Center runs 63 beds under corporate for-profit ownership, and its staffing numbers are the first thing to look at. At 3.39 nurse hours per resident day, it sits about 12 percent under the national average, weekends dip roughly another 10 percent below its own weekday level, and 60 percent of staff turned over in a year against a national 45.8 percent. That combination earned it a 1 out of 5 on CMS staffing, and it shows up in the care record too: seven deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. The most recent inspection was July 31, 2025, so the picture is current.

Nurse hours

3.04 /day

Staff turnover

36%

Serious cites

0

The Courtyard Rehabilitation and Healthcare Center runs about 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level, the kind of gap that shows up when a resident needs help on a Saturday night. Staff turnover sits at 36.1%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with one fine of $17,635; the most recent inspection was in September 2025. For-profit corporate ownership, 56 beds, and a four-star inspection history are the tradeoffs against that thin daily staffing.