FUNDAMENTAL HEALTHCARE
Ownership rollup across 66 nursing homes in 6 states: Indiana, Maryland, Nevada, South Carolina, Texas, Wisconsin. 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 0.5 stars below the ~2.9 average of the 6 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 65 homes rated throughout, the average rose 0.26 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 | 2.5 of 5 | 65 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.2 of 5 | 65 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.4 of 5 | 64 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 64 of 66 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 |
|---|---|---|
| Forest Haven Nursing And Rehabilitation CtrCatonsville, MD | 1 of 5 | $273,754 fined |
| Julia Manor Nursing And Rehabilitation CenterHagerstown, MD | 1 of 5 | 3 immediate-jeopardy Abuse flag |
| Northampton Manor Nursing And Rehabilitation CenteFrederick, MD | 1 of 5 | $16,562 fined |
| Oakland Nursing & Rehabilitation CenterOakland, MD | 1 of 5 | $16,559 fined |
| Bennettsville Health And Rehabilitation CenterBennettsville, SC | 1 of 5 | 2 immediate-jeopardy $15,646 fined |
| Calhoun Convalescent CenterSaint Matthews, SC | 1 of 5 | 3 immediate-jeopardy $23,735 fined |
| Lake Emory Post Acute CareInman, SC | 1 of 5 | Abuse flag $27,147 fined |
| Magnolia Manor - GreenwoodGreenwood, SC | 1 of 5 | 1 immediate-jeopardy $13,075 fined |
| Magnolia Manor - InmanInman, SC | 1 of 5 | 5 immediate-jeopardy SFF candidate $94,778 fined |
| Magnolia Manor - Rock HillRock Hill, SC | 1 of 5 | 4 immediate-jeopardy $128,214 fined |
| Oakbrook Health And Rehabilitation CenterSummerville, SC | 1 of 5 | $22,564 fined |
| Physical Rehabilitation And Wellness Center Of SpaSpartanburg, SC | 1 of 5 | 1 immediate-jeopardy Abuse flag $52,105 fined |
| Riverside Health and RehabCharleston, SC | 1 of 5 | 1 immediate-jeopardy $27,788 fined |
| Springdale Healthcare CenterCamden, SC | 1 of 5 | $16,985 fined |
| Avir at MemorialDenison, TX | 1 of 5 | 2 immediate-jeopardy $47,097 fined |
| Corinth Rehabilitation Suites on the ParkwayCorinth, TX | 1 of 5 | 4 immediate-jeopardy |
| San Gabriel Rehabilitation and Care CenterRound Rock, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $19,393 fined |
| Berlin Nursing And Rehabilitation CenterBerlin, MD | 2 of 5 | 1 immediate-jeopardy $232,065 fined |
| Fairfield Nursing & Rehabilitation CenterCrownsville, MD | 2 of 5 | $51,597 fined |
| Moran Nursing And Rehabilitation CenterWesternport, MD | 2 of 5 | Abuse flag |
| Villa Rosa Nursing And Rehabilitation, LLCMitchellville, MD | 2 of 5 | — |
| Horizon Health And Rehabilitation CenterLas Vegas, NV | 2 of 5 | — |
| North Las Vegas Care CenterNorth las Vegas, NV | 2 of 5 | $9,311 fined |
| Spanish Hills Wellness SuitesLas Vegas, NV | 2 of 5 | — |
| Faith Healthcare CenterFlorence, SC | 2 of 5 | $8,281 fined |
| Lancaster Health and RehabilitationLancaster, SC | 2 of 5 | — |
| Magnolia Manor - GreenvilleGreenville, SC | 2 of 5 | $4,271 fined |
| Midlands Health & Rehabilitation CenterColumbia, SC | 2 of 5 | 1 immediate-jeopardy $51,803 fined |
| Southpointe Healthcare and RehabilitationGreenville, SC | 2 of 5 | 1 immediate-jeopardy $14,433 fined |
| Bremond Nursing and Rehabilitation CenterBremond, TX | 2 of 5 | 1 immediate-jeopardy $24,369 fined |
| Falcon Ridge RehabilitationHutto, TX | 2 of 5 | 1 immediate-jeopardy $8,577 fined |
| Hillside Heights Rehabilitation SuitesAmarillo, TX | 2 of 5 | Abuse flag $14,901 fined |
| Las Ventanas De SocorroSocorro, TX | 2 of 5 | 1 immediate-jeopardy $8,827 fined |
| Mira Vista CourtFort Worth, TX | 2 of 5 | 2 immediate-jeopardy $87,958 fined |
| Sandy Lake Rehabilitation And Care CenterCoppell, TX | 2 of 5 | $23,677 fined |
| Terra Bella Health and Wellness SuitesHouston, TX | 2 of 5 | 8 immediate-jeopardy SFF candidate $181,644 fined |
| The Pavilion At CreekwoodMansfield, TX | 2 of 5 | 4 immediate-jeopardy $39,674 fined |
| Pavilion at Glacier ValleySlinger, WI | 2 of 5 | — |
| Devlin Manor Nursing And Rehabilitation CenterCumberland, MD | 3 of 5 | $12,735 fined |
| Restore Health Rehabilitation CenterWhite Plains, MD | 3 of 5 | 1 immediate-jeopardy |
| Green Valley Health And Wellness SuitesHenderson, NV | 3 of 5 | — |
| Hallmark Healthcare CenterSummerville, SC | 3 of 5 | — |
| Magnolia Manor - SpartanburgSpartanburg, SC | 3 of 5 | 1 immediate-jeopardy $12,054 fined |
| Prince George Healthcare CenterGeorgetown, SC | 3 of 5 | — |
| St George Healthcare CenterSaint George, SC | 3 of 5 | $16,894 fined |
| Valley Falls TerraceSpartanburg, SC | 3 of 5 | — |
| Bridgecrest Rehabilitation SuitesHouston, TX | 3 of 5 | 2 immediate-jeopardy $48,802 fined |
| Crimson Heights Health & WellnessHumble, TX | 3 of 5 | 3 immediate-jeopardy $33,539 fined |
| Meadowbrook Care CenterVan Alstyne, TX | 3 of 5 | 1 immediate-jeopardy $14,069 fined |
| The Courtyards At PasadenaPasadena, TX | 3 of 5 | 1 immediate-jeopardy $8,827 fined |
| Woodlands Place Rehabilitation SuitesDenison, TX | 3 of 5 | 3 immediate-jeopardy $109,954 fined |
| Belltower Health & Rehabilitation CenterGranger, IN | 4 of 5 | — |
| Allegany Health Nursing And RehabCumberland, MD | 4 of 5 | $18,636 fined |
| College Park Rehabilitation CenterNorth las Vegas, NV | 4 of 5 | — |
| Jolley Acres Healthcare CenterOrangeburg, SC | 4 of 5 | — |
| Lake City Scranton Healthcare CenterScranton, SC | 4 of 5 | — |
| Canton OaksCanton, TX | 4 of 5 | 1 immediate-jeopardy $49,111 fined |
| Creekside Terrace RehabilitationBelton, TX | 4 of 5 | $13,070 fined |
| Edgewood Rehabilitation And Care CenterMesquite, TX | 4 of 5 | — |
| Harbor Point Skilled NursingTexas City, TX | 4 of 5 | — |
| Sterling Oaks RehabilitationKaty, TX | 4 of 5 | — |
| Harmon Hospital - SNFLas Vegas, NV | 5 of 5 | $8,018 fined |
| Brownfield Rehabilitation And Care CenterBrownfield, TX | 5 of 5 | — |
| Las Brisas Rehabilitation And Wellness CenterIrving, TX | 5 of 5 | — |
| Villa Haven Health And Rehabilitation CenterBreckenridge, TX | 5 of 5 | — |
| Rehab Center of CherawCheraw, SC | Not rated | 1 immediate-jeopardy Special Focus $64,075 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.