ASPEN SKILLED HEALTHCARE
Ownership rollup across 35 nursing homes in 2 states: Arizona, California. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 3.7 of 5 stars on the CMS overall rating — about 0.6 stars above the ~3.2 average of the 2 states it operates in — better than its local peers. It is improving: across the same 35 homes rated throughout, the average rose 0.71 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 3.1 of 5 | 35 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 3.9 of 5 | 35 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.5 of 5 | 35 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 31 of 35 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Kei-Ai Los Angeles Healthcare CenterLos Angeles, CA | 1 of 5 | 1 immediate-jeopardy Abuse flag $184,989 fined |
| Berkley East Healthcare CenterSanta Monica, CA | 2 of 5 | 3 immediate-jeopardy $58,205 fined |
| Bixby Towers Post-Acute RehabLong Beach, CA | 2 of 5 | 4 immediate-jeopardy SFF candidate $132,727 fined |
| Ocean Pointe Healthcare CenterSanta Monica, CA | 2 of 5 | 2 immediate-jeopardy $55,450 fined |
| Woodland Post-AcuteWoodland, CA | 2 of 5 | $14,302 fined |
| Berkley Post-AcuteVan Nuys, CA | 3 of 5 | — |
| Berkley West Healthcare CenterSanta Monica, CA | 3 of 5 | 1 immediate-jeopardy $101,046 fined |
| Kei-Ai South Bay Healthcare CenterGardena, CA | 3 of 5 | $17,088 fined |
| Lake Park Healthcare CenterOakland, CA | 3 of 5 | 1 immediate-jeopardy $17,996 fined |
| Marina Pointe Healthcare & SubacuteCulver City, CA | 3 of 5 | — |
| Mission Palms Healthcare CenterWestminster, CA | 3 of 5 | $13,923 fined |
| Riverwood Health CareStockton, CA | 3 of 5 | $47,637 fined |
| Sierra Vista HealthcareFresno, CA | 3 of 5 | 1 immediate-jeopardy $12,048 fined |
| The Gardens Healthcare CenterNorthridge, CA | 3 of 5 | — |
| Tracy Nursing And Rehabilitation CenterTracy, CA | 3 of 5 | — |
| The Rehabilitation Center At The PalazzoPhoenix, AZ | 4 of 5 | — |
| Alta Healthcare Center of CamarilloCamarillo, CA | 4 of 5 | $43,407 fined |
| Country Crest Post-AcuteOroville, CA | 4 of 5 | — |
| Lodi Nursing & RehabilitationLodi, CA | 4 of 5 | — |
| North Park Post-AcuteTracy, CA | 4 of 5 | — |
| San Juan Hills Healthcare CenterSan Juan Capistrano, CA | 4 of 5 | — |
| South Marin Health & Wellness CenterGreenbrae, CA | 4 of 5 | — |
| Villa Valencia Healthcare CenterLaguna Hills, CA | 4 of 5 | — |
| Cottonwood Healthcare CenterWoodland, CA | 5 of 5 | — |
| Greenridge Post AcuteEl Sobrante, CA | 5 of 5 | — |
| Hillcrest Heights Healthcare CenterSan Diego, CA | 5 of 5 | — |
| La Casa Via Transitional Care CenterWalnut Creek, CA | 5 of 5 | — |
| Oakland Heights Nursing And RehabilitationOakland, CA | 5 of 5 | $7,409 fined |
| Pacific Heights Transitional Care CenterSan Francisco, CA | 5 of 5 | $25,490 fined |
| Petaluma Post-Acute RehabilitationPetaluma, CA | 5 of 5 | — |
| Stonebrook Health And RehabilitationLos Gatos, CA | 5 of 5 | — |
| The Avenues Transitional Care CenterSan Francisco, CA | 5 of 5 | $12,685 fined |
| The Springs Healthcare Center At The CarlottaPalm Desert, CA | 5 of 5 | — |
| University Post-Acute RehabSacramento, CA | 5 of 5 | — |
| Woodlands Healthcare CenterLos Gatos, CA | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.