AVARDIS HEALTH
Ownership rollup across 38 nursing homes in 4 states: Mississippi, North Carolina, Pennsylvania, Virginia. 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 2.0 of 5 stars on the CMS overall rating — about 0.9 stars below the ~2.9 average of the 4 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It has been broadly flat, moving +0.05 stars across the same 38 homes rated throughout 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 | 1.9 of 5 | 37 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.3 of 5 | 37 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.2 of 5 | 37 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 all 38 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 |
|---|---|---|
| Courtyard Health And RehabilitationMcComb, MS | 1 of 5 | 9 immediate-jeopardy SFF candidate Abuse flag $26,939 fined |
| Grand Trace Health And RehabilitationNatchez, MS | 1 of 5 | $33,940 fined |
| Middleton Oaks Health And RehabilitationWinona, MS | 1 of 5 | $10,868 fined |
| The Oaks Rehabilitation And Healthcare CenterMeridian, MS | 1 of 5 | 3 immediate-jeopardy $32,432 fined |
| Biltmore Haven Nursing and RehabilitationArden, NC | 1 of 5 | 3 immediate-jeopardy SFF candidate $189,174 fined |
| Emerald Ridge Health and RehabilitationAsheville, NC | 1 of 5 | 1 immediate-jeopardy $73,475 fined |
| Hibriten Mountain Nursing and RehabilitationLenoir, NC | 1 of 5 | Abuse flag $53,110 fined |
| Highfield Nursing and RehabilitationCary, NC | 1 of 5 | 3 immediate-jeopardy $175,559 fined |
| Wellington Rehabilitation and HealthcareKnightdale, NC | 1 of 5 | $15,642 fined |
| Westwood Health and RehabilitationArchdale, NC | 1 of 5 | $15,642 fined |
| Pennknoll VillageEverett, PA | 1 of 5 | $17,345 fined |
| Ashland Nursing And RehabilitationAshland, VA | 1 of 5 | 2 immediate-jeopardy SFF candidate Abuse flag $36,491 fined |
| Augusta Nursing and RehabilitationFishersville, VA | 1 of 5 | 6 immediate-jeopardy Abuse flag $203,292 fined |
| Ghent Health and RehabilitationNorfolk, VA | 1 of 5 | Abuse flag |
| Kings Daughters Community Health & RehabStaunton, VA | 1 of 5 | 5 immediate-jeopardy Abuse flag $94,940 fined |
| Newport News Nursing & RehabNewport News, VA | 1 of 5 | 3 immediate-jeopardy Abuse flag $97,124 fined |
| Woodstock Valley Health and RehabilitationWoodstock, VA | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $174,324 fined |
| Clay County Health and RehabilitationHayesville, NC | 2 of 5 | — |
| Crown Haven Health and RehabilitationCharlotte, NC | 2 of 5 | 1 immediate-jeopardy $71,235 fined |
| Kannapolis Health and RehabilitationKannapolis, NC | 2 of 5 | 1 immediate-jeopardy $34,690 fined |
| Valley View Care and RehabilitationAndrews, NC | 2 of 5 | $9,770 fined |
| Walnut Cove Health and RehabilitationWalnut Cove, NC | 2 of 5 | 1 immediate-jeopardy $40,149 fined |
| Wilora Lake HealthcareCharlotte, NC | 2 of 5 | Abuse flag |
| Manor At Penn Village, TheSelinsgrove, PA | 2 of 5 | — |
| Manor At St Luke Village,theHazleton, PA | 2 of 5 | — |
| Pavilion At St Luke Village, TheHazleton, PA | 2 of 5 | $90,662 fined |
| Pheasant Ridge Nursing and RehabilitationRoanoke, VA | 2 of 5 | 1 immediate-jeopardy |
| Windsor Grove Health and RehabilitationWindsor, VA | 2 of 5 | — |
| Hilltop Manor Health And Rehabilitation CenterUnion, MS | 3 of 5 | — |
| Forrest Oakes HealthcareAlbemarle, NC | 3 of 5 | $5,242 fined |
| Locust Grove Retirement VillageMifflin, PA | 3 of 5 | $12,831 fined |
| Skyline Nursing & RehabilitationFloyd, VA | 3 of 5 | $10,358 fined |
| Oak Grove HealthcareRutherfordton, NC | 4 of 5 | — |
| Willowbrook Rehabilitation and CareYadkinville, NC | 4 of 5 | — |
| Jamestown Health and RehabilitationWilliamsburg, VA | 4 of 5 | — |
| Cardinal Healthcare and RehabilitationLincolnton, NC | 5 of 5 | — |
| Grayson Health and RehabilitationIndependence, VA | 5 of 5 | — |
| Starkville Manor Health Care And Rehabilitation CeStarkville, MS | Not rated | 5 immediate-jeopardy Special Focus $51,893 fined |
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.