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JERICHO CARE GROUP

Ownership rollup across 7 nursing homes in 1 state: California. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.3 of 5 stars on the CMS overall rating — about 0.8 stars below the ~3.2 average of its state. 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 6 homes rated throughout, the average rose 0.17 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.

7
Homes in this chain
458
Certified beds76 per home on average · 6 of 7 homes report beds
93%
Occupied427 residents a day across 458 beds · 6 of 7 homes
+0.17
Star changeacross the 6 homes rated throughout · 2025-02 to 2026-06
1
State covered
2.3
Average CMS ratingacross 6 of 7 homes CMS rates · ~3.2 in its states · ~3.0 nationally

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.

ComponentChain averageBasis
Health inspection1.8 of 56 rated homesstate surveyors’ findings, ranked within each state
Staffing2.0 of 56 rated homesfrom payroll (PBJ) hours
Quality measures4.2 of 56 rated homeslargely 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.

1 with immediate-jeopardy citations1 Special-Focus candidates1 with an abuse flag3 with federal fines

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.

$2.1M
Related-party expensesummed across 6 homes · FY2023 cost reports
4%
of operating expensegoes to related companies, across the 6 homes reporting both figures
+6.7%
Operating marginrevenue-weighted across 6 homes with a cost report
$377K
Total federal fines3 homes fined

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.

Who pays — share of resident-days across this chain
Medicaid 33%Medicare 14%Other / private 53%

Weighted by each home’s average daily census, across the 6 of 7 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.

HomeCMS ratingFlags
Foundation Skilled NursingFresno, CA 1 of 5$96,763 fined
Majestic Mountain Care CenterOakhurst, CA 1 of 52 immediate-jeopardy SFF candidate Abuse flag $252,683 fined
Cornerstone Care CenterSanger, CA 2 of 5$27,612 fined
Covenant Post AcuteFresno, CA 3 of 5
Morning Star Post AcuteClovis, CA 3 of 5
Vineyard Care CenterReedley, CA 4 of 5
Stonehaven Senior LivingFresno, CANot rated
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

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.