Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Cascades At Skyview has 48 certified beds and a staffing figure that looks decent on paper, 4.08 nurse hours per resident day, about 6% above the national average. But the weekends run roughly 14% thinner than weekdays, and annual turnover sits at 75.5% against a national norm of 45.8%, so that average is being held up by a workforce that keeps leaving. The inspection record is the bigger problem: 46 deficiencies on file, five of them at harm or jeopardy level and three tied to abuse, with $141,424 in fines and a place in CMS's Special Focus Facility program.
Emerald Nursing & Rehab Lancaster is a 293-bed for-profit home in Lincoln, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, and it drops another 10 percent on weekends when families tend to visit. Staff turnover is 73.5 percent against a national 45.8, most of the people caring for your relative this year likely won't be there next year. The inspection history shows 57 deficiencies, four at harm or jeopardy level, two tied to abuse, and $79,725 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Adept Nursing & Rehab Of Sutherland is a 60-bed for-profit home in Lincoln County, and the numbers behind its record are worth understanding before you visit. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends run about 14% thinner than weekdays, which matters because that's when many families actually show up. Staff turnover is the harder number: 69.5% of the nursing team leaves within a year, against a national average of 45.8%.
The inspection record is where things get serious. Thirty-nine deficiencies are on file, three at the harm or jeopardy level, two tied to abuse, with $51,637 in fines. CMS has placed the home in its Special Focus Facility program, and a March 2026 inspection is the most recent look regulators have taken.
The Banyan At Montclair holds 175 beds under for-profit LLC ownership, and its staffing runs about 8% above the national average, 4.16 nurse hours per resident day. But that number hides a churn problem: 62.8% annual turnover against a national 45.8%, and weekend coverage drops roughly 7% below weekday levels. The inspection record is the harder read. Sixty-one deficiencies on file, four at harm or jeopardy level, five tied to abuse, plus three CMS fines totaling $141,793. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. A recent December 2025 inspection doesn't reset any of that.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.