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VERTICAL HEALTH SERVICES

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

15

States

3

Beds

1,939

Avg score

62.2

Avg turnover

57%

Federal fines

$1,188,260

Flags across this group

3 of the group's homes carry a CMS abuse icon.

All 15 homes

B

78.5/100

Agility Health And Rehabilitation

University Place, WA · Pierce County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
42%
Serious cites
0

Agility Health and Rehabilitation runs 120 certified beds in University Place under for-profit LLC ownership, and its staffing sits at 4.19 nurse hours per resident day, roughly 9% above the national average. Turnover lands at 42.3%, a touch better than the 45.8% norm, though weekend coverage drops about 16% below its own weekday level, so care can thin out when families visit most. The inspection record is where things get harder to ignore: 41 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its most recent inspection was June 9, 2026, so the picture is current, not stale. Quality measures score well, but that record is worth asking about directly.

B

78/100

Valley View Skilled Nursing And Rehabilitation

Renton, WA · King County

CMS 3/5136 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
38%
Serious cites
0

Valley View runs 4.19 nursing hours per resident day, roughly 9% more than the national average, and its staff turnover of 38% sits below the 45.8% national figure, both signs of a stable floor. Weekends thin out, though, running about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The record shows 59 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was March 2026. With 136 beds under for-profit LLC ownership, the staffing is the stronger story here; the inspection history is the one worth reading closely.

B

73.5/100

Renton Health & Rehabilitation

Renton, WA · King County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
44%
Serious cites
0

Renton Health & Rehabilitation runs 99 certified beds under a for-profit LLC, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, though weekends drop about 16% below its own weekday level. Staff turnover lands at 43.9%, slightly better than the 45.8% national figure. The problems show up elsewhere: 65 deficiencies on the current record, including 2 at harm or jeopardy level and 1 abuse-related, with two fines totaling $256,725. A 2/5 inspection rating against a 4/5 staffing rating tells the story, good daily coverage undermined by uneven weekends and a serious regulatory track record. The last inspection was January 13, 2026.

B

70/100

Avalon View Health And Wellness

Liberty, MO · Clay County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
2.98 /day
Staff turnover
54%
Serious cites
0

Avalon View runs 2.98 nurse hours per resident per day against a national average of 3.86, and weekends dip about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 54% versus 45.8% nationally, which means the people at the bedside keep changing. The record shows 46 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine of $14,267. Inspectors were last in on September 19, 2025, so that picture is recent. Quality measures score well, but those depend on the staff actually present to document them.

C

69/100

St Joseph Chateau

Saint Joseph, MO · Buchanan County

CMS 4/569 bedsFor-profitMedicaid
Nurse hours
2.67 /day
Staff turnover
41%
Serious cites
0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

C

64/100

Advanced Care Of St Joseph

Saint Joseph, MO · Buchanan County

CMS 1/5180 bedsFor-profitMedicaid
Nurse hours
2.48 /day
Staff turnover
52%
Serious cites
0

Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.

C

64/100

Aurora Health And Rehabilitation

Rolla, MO · Phelps County

CMS 2/5116 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
73%
Serious cites
0

Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.

C

63/100

Aspen Point Health And Rehabilitation

Saint Charles, MO · St. Charles County

CMS 1/5180 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
52%
Serious cites
0

Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.

C

63/100

Alpine Breeze Health And Wellness

Raytown, MO · Jackson County

CMS 2/5154 bedsFor-profitMedicaid
Nurse hours
2.40 /day
Staff turnover
59%
Serious cites
0

Abuse icon on record

Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.

C

59.5/100

Lee's Summit Place

Lees Summit, MO · Jackson County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
2.91 /day
Staff turnover
74%
Serious cites
0

Lee's Summit Place runs on thin nursing coverage: 2.91 nurse hours per resident per day against a national average of 3.86, and weekends dip roughly 15% below what the home itself staffs on weekdays. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in turnover of 73.9%, well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The inspection record is more reassuring: a 4-out-of-5 health inspection rating, with the most recent survey in April 2025 and 30 deficiencies logged, just one of them serious enough to involve harm or jeopardy. No abuse deficiencies appear on the current record.

C

57.5/100

Aegis Health And Rehabilitation

Wildwood, MO · St. Louis County

CMS 1/566 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
42%
Serious cites
0

Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.

D

51/100

Belleview Care Center

Saint Joseph, MO · Buchanan County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
60%
Serious cites
0

Abuse icon on record

Belleview Care Center runs 90 certified beds in Saint Joseph under for-profit corporate ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 59.8% against a national 45.8% means the aides and nurses your relative sees are cycling out faster than usual, which matters for anyone who needs consistent hands-on care. Add a two-out-of-five inspection rating, 53 deficiencies on the current record (two at harm level, six abuse-related), and $31,330 in fines across two actions, and the picture is a home that has struggled on multiple fronts at once.

D

49.5/100

Chattanooga Health And Rehab Center

Chattanooga, TN · Hamilton County

CMS 1/5127 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
78%
Serious cites
0

Nurse staffing at Chattanooga Health And Rehab Center runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 77.6%, well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Inspectors cited 22 deficiencies on the current record, none at the harm level and none abuse-related, with one fine of $6,509 and a most recent inspection in August 2025. The limited liability, for-profit owner carries the license.

D

46.5/100

Athene Nursing And Rehabilitation

Town And Country, MO · St. Louis County

CMS 1/5282 bedsFor-profitMedicaid
Nurse hours
2.90 /day
Staff turnover
61%
Serious cites
0

Abuse icon on record

Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.

D

45.5/100

Atrium Place Health And Rehabilitation

Saint Louis, MO · St. Louis County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
2.19 /day
Staff turnover
82%
Serious cites
0

Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.