Portland, OR · Multnomah County
★★★★☆CMS 4/5180 bedsFor-profitMedicaid
- Nurse hours
- 5.03 /day
- Staff turnover
- 42%
- Serious cites
- 0
West Hills runs nurse staffing at 5.03 hours per resident day, roughly 30 percent above the national average, and its weekend coverage dips about 13 percent below its own weekday numbers. Staff turnover sits at 41.5 percent, a bit better than the 45.8 percent national figure. The tradeoff shows up in inspections: 26 deficiencies on the current record, including one at the harm or jeopardy level, and a single fine of $12,659, with the most recent visit in April 2025. That mix, strong staffing and quality measures against a middling inspection history, is what separates the numbers here from a clean record.
Clearwater, FL · Pinellas County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 45%
- Serious cites
- 0
Westchester Gardens runs 3.92 nurse hours per resident day, a hair above the national average of 3.86, so staffing is adequate but not generous, and weekends drop about 10% below its own weekday level, which is worth asking about if your family visits then. The 45% annual turnover lands right at the national figure, so continuity of caregivers is about typical. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related; the last inspection was June 2025. Quality measures score 5 out of 5 stars while inspections and staffing each sit at 3, a split that suggests good clinical outcomes but a survey history with room to improve.
Flagstaff, AZ · Coconino County
★★★★★CMS 5/550 bedsNon-profit
- Nurse hours
- 4.16 /day
- Staff turnover
- 48%
- Serious cites
- 0
Aspire Transitional Care runs a tight ship on the clinical side, with quality measures landing at the top of CMS's scale. Staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekend coverage dips about 10% below the home's own weekday levels. Turnover is a mild concern at 47.8%, slightly above the national 45.8%. The inspection record shows 19 deficiencies but none at the harm level, two tied to abuse, and the most recent survey was in August 2025. For a 50-bed nonprofit in Flagstaff, the numbers lean favorable, with staffing consistency worth watching.
Naples, FL · Collier County
★★★★★CMS 5/530 bedsFor-profitMedicaid
- Nurse hours
- 4.80 /day
- Staff turnover
- 52%
- Serious cites
- 0
The Gardens at Terracina runs 4.80 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its 30 beds make for a small, closely staffed building. Weekend coverage dips about 14% below weekday levels, which is common but worth asking about if your family visits on Saturdays. Annual turnover sits at 52.4%, above the 45.8% national figure, so ask how long the current director of nursing and weekday charge nurse have been there. Four deficiencies on record, none involving harm or abuse, two fines totaling $10,881, and a clean inspection in May 2024. Corporate-owned and consistently well-staffed.
Flagstaff, AZ · Coconino County
★★★☆☆CMS 3/558 bedsNon-profitMedicaid
- Nurse hours
- 4.52 /day
- Staff turnover
- 59%
- Serious cites
- 0
The Peaks runs a solid nursing floor on paper: 4.52 nurse hours per resident day, roughly 17% above the national average, which earns its staffing marks. The catch is consistency and oversight. Weekend coverage drops about 11% below its own weekday level, turnover sits at 58.6% against a national 45.8%, and its last inspection in November 2024 left 28 deficiencies on record, including four tied to abuse and one at the harm or jeopardy level. A nonprofit with 58 beds and a recent two-star health inspection history means families should ask directly how weekends are covered and what changed after that harm finding.
Largo, FL · Pinellas County
★★☆☆☆CMS 2/5244 bedsFor-profitMedicaid
- Nurse hours
- 4.00 /day
- Staff turnover
- 40%
- Serious cites
- 0
Sabal Palms runs 244 beds in Largo under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 7% below its own weekday levels. Turnover lands at 39.8%, better than the 45.8% national figure, which matters for continuity of care. The concern is the inspection record: 20 deficiencies, including one at the harm level and two tied to abuse, with a 2/5 health inspection rating and the most recent survey from July 2024. Quality and staffing measures both come in at 3/5. Families should ask directly how those abuse-related citations were resolved and what weekend coverage looks like in practice.
Missoula, MT · Missoula County
★★★☆☆CMS 3/5193 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 55%
- Serious cites
- 0
Village Health & Rehabilitation runs 3.99 nurse hours per resident day, just above the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover at 55.2%, nearly ten points above the national 45.8%, which matters for whether caregivers know residents' routines. On the record: 25 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $27,846. The most recent inspection was August 2025, so the picture is current. Quality and staffing star ratings both sit at 4/5, while inspections land at 3/5, the split tells you where the trouble concentrates.
Missoula, MT · Missoula County
★★★☆☆CMS 3/572 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 63%
- Serious cites
- 0
Riverside Health & Rehabilitation runs 72 certified beds in Missoula under for-profit partnership ownership, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average. That edge narrows on weekends, though, when coverage drops roughly 11% below the home's own weekday level. The bigger concern is turnover: 62.8% annually against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its current record carries 33 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus one $35,139 fine. The most recent inspection was January 15, 2026. Quality and staffing measures both rate 4 out of 5 stars, but health inspections sit at 2, the gap between how the place scores on paper and what surveyors actually found.
Hamilton, MT · Ravalli County
★★☆☆☆CMS 2/558 bedsFor-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- n/a
- Serious cites
- 0
Valley Health and Rehab is a for-profit, LLC-owned home with 58 certified beds in Hamilton. Its 29 deficiencies include four tied to abuse and three serious enough to put residents in harm's way, and two fines totaling $28,644 sit on the record. That inspection history is the real story here, the 2-star health inspection rating reflects it. Nurse staffing averages 3.70 hours per resident day, about 4% under the national figure, and weekends run roughly 8% thinner than weekdays, so coverage dips when it's already below average. The 3-star quality measure score offers some balance, but this record deserves close questions before you decide.