EDURO HEALTHCARE
Ownership rollup across 34 nursing homes in 7 states: California, Montana, North Dakota, New Mexico, South Dakota, Texas, Utah. 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 2.4 of 5 stars on the CMS overall rating — about 0.4 stars below the ~2.8 average of the 7 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 34 homes rated throughout, the average rose 0.18 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 | 2.4 of 5 | 34 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.2 of 5 | 34 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.1 of 5 | 34 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 34 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 |
|---|---|---|
| Cooney Healthcare And RehabilitationHelena, MT | 1 of 5 | 1 immediate-jeopardy SFF candidate Abuse flag $213,136 fined |
| Skyline Heights Nursing And RehabilitationBillings, MT | 1 of 5 | 1 immediate-jeopardy SFF candidate $413,752 fined |
| Yellowstone River Nursing And RehabilitationBillings, MT | 1 of 5 | 1 immediate-jeopardy $142,698 fined |
| The Meadows On UniversityFargo, ND | 1 of 5 | $41,041 fined |
| Rolling Hills HealthcareBelle Fourche, SD | 1 of 5 | 1 immediate-jeopardy $80,634 fined |
| Bear Creek Nursing And RehabilitationGrapevine, TX | 1 of 5 | 5 immediate-jeopardy $122,257 fined |
| Deer Creek Nursing and RehabilitationWimberley, TX | 1 of 5 | 4 immediate-jeopardy $75,581 fined |
| Ennis Care CenterEnnis, TX | 1 of 5 | 2 immediate-jeopardy $36,911 fined |
| Greenview Nursing and RehabilitationWaco, TX | 1 of 5 | 3 immediate-jeopardy $73,108 fined |
| Lakeshore Village Nursing And RehabilitationWaco, TX | 1 of 5 | 6 immediate-jeopardy $107,407 fined |
| Memorial Medical Nursing And RehabilitationSan Antonio, TX | 1 of 5 | 2 immediate-jeopardy $35,396 fined |
| Pleasanton North Nursing And RehabilitationPleasanton, TX | 1 of 5 | 3 immediate-jeopardy $167,869 fined |
| Richardson Nursing and RehabilitationRichardson, TX | 1 of 5 | 2 immediate-jeopardy $8,977 fined |
| San Antonio North Nursing and RehabilitationSan Antonio, TX | 1 of 5 | 4 immediate-jeopardy $17,268 fined |
| The Suites PasadenaPasadena, TX | 1 of 5 | 4 immediate-jeopardy $286,133 fined |
| Keystone Post-AcuteFresno, CA | 2 of 5 | $42,764 fined |
| Elkhorn Healthcare And RehabilitationClancy, MT | 2 of 5 | — |
| The Suites Rio VistaRio Rancho, NM | 2 of 5 | Abuse flag $17,215 fined |
| Spearfish Canyon HealthcareSpearfish, SD | 2 of 5 | Abuse flag $9,718 fined |
| Jourdanton Nursing and RehabilitationJourdanton, TX | 2 of 5 | $28,334 fined |
| Parkview Nursing and Rehabilitation CenterLockhart, TX | 2 of 5 | Abuse flag $64,967 fined |
| Eastern Montana Veterans HomeGlendive, MT | 3 of 5 | $51,041 fined |
| Cypress Woods Care CenterAngleton, TX | 3 of 5 | 1 immediate-jeopardy $22,104 fined |
| Silver Creek Nursing And RehabilitationSan Antonio, TX | 3 of 5 | — |
| Copper Ridge Health And Rehabilitation CenterButte, MT | 4 of 5 | $9,311 fined |
| Prairie Heights HealthcareAberdeen, SD | 4 of 5 | — |
| Hacienda Oaks At BeevilleBeeville, TX | 4 of 5 | — |
| Heritage Trails Nursing And Rehabilitation CenterCleburne, TX | 4 of 5 | 2 immediate-jeopardy $67,124 fined |
| Pleasanton South Nursing and RehabilitationPleasanton, TX | 4 of 5 | 3 immediate-jeopardy $8,827 fined |
| Southwest Montana Veterans HomeButte, MT | 5 of 5 | — |
| Bangs Nursing And RehabilitationBangs, TX | 5 of 5 | — |
| Golden Years Nursing And Rehabilitation CenterMarlin, TX | 5 of 5 | $8,021 fined |
| Hurst Plaza Nursing and RehabHurst, TX | 5 of 5 | $6,540 fined |
| Highland Care CenterHolladay, UT | 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.