OPCO SKILLED MANAGEMENT
Ownership rollup across 66 nursing homes in 4 states: Arizona, Missouri, New Mexico, Texas. 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 2.3 of 5 stars on the CMS overall rating — about 0.5 stars below the ~2.7 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 is improving: across the same 66 homes rated throughout, the average rose 0.29 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 | 2.2 of 5 | 66 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.7 of 5 | 66 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.3 of 5 | 66 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.
2 of this chain’s 66 homes are tied to an institutional investment firm in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.
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 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 |
|---|---|---|
| Bluebird Wellness And RehabilitationSaint Louis, MO | 1 of 5 | 4 immediate-jeopardy $234,836 fined |
| Cameron Nursing CenterCameron, MO | 1 of 5 | — |
| Carmel Hills Wellness & RehabilitationIndependence, MO | 1 of 5 | 1 immediate-jeopardy $20,787 fined |
| Magnolia Wellness CenterSaint Louis, MO | 1 of 5 | 2 immediate-jeopardy Abuse flag $209,790 fined |
| Maple Grove Wellness & RehabilitationFenton, MO | 1 of 5 | — |
| Pine Grove ManorSaint Louis, MO | 1 of 5 | 2 immediate-jeopardy $31,665 fined |
| Rehab Of Kansas City SouthKansas City, MO | 1 of 5 | Abuse flag |
| Willowcreek Wellness & RehabilitationFlorissant, MO | 1 of 5 | 5 immediate-jeopardy $90,333 fined |
| Casa Arena Healthcare LLCAlamogordo, NM | 1 of 5 | 2 immediate-jeopardy $124,375 fined |
| Casa Maria HealthcareRoswell, NM | 1 of 5 | 4 immediate-jeopardy $99,368 fined |
| Las Cruces Village Nursing & Rehabilitation LLCLas Cruces, NM | 1 of 5 | Abuse flag |
| Brentwood Place ThreeDallas, TX | 1 of 5 | 1 immediate-jeopardy $8,281 fined |
| Broadway Nursing & RehabilitationSan Antonio, TX | 1 of 5 | 3 immediate-jeopardy $84,129 fined |
| Forest Park Nursing & RehabilitationDallas, TX | 1 of 5 | 7 immediate-jeopardy $193,834 fined |
| Fort Worth Wellness & RehabilitationFort Worth, TX | 1 of 5 | 1 immediate-jeopardy $122,336 fined |
| Glenview Wellness & RehabilitationNorth Richland Hills, TX | 1 of 5 | 3 immediate-jeopardy $23,970 fined |
| Highland Pines Nursing HomeLongview, TX | 1 of 5 | 1 immediate-jeopardy $17,629 fined |
| Ivy Creek Wellness & RehabilitationWaco, TX | 1 of 5 | 3 immediate-jeopardy $149,039 fined |
| Mineola Gardens Wellness & RehabilitationMineola, TX | 1 of 5 | 1 immediate-jeopardy Abuse flag $50,527 fined |
| The Hillcrest Of North DallasDallas, TX | 1 of 5 | 5 immediate-jeopardy $221,052 fined |
| West Side Campus Of CareWhite Settlement, TX | 1 of 5 | 3 immediate-jeopardy $31,279 fined |
| Willow Ridge Wellness & RehabilitationFort Worth, TX | 1 of 5 | 10 immediate-jeopardy $321,244 fined |
| Prescott Valley Nursing & RehabilitationPrescott Valley, AZ | 2 of 5 | Abuse flag $8,278 fined |
| Prescott Village Nursing & RehabilitationPrescott, AZ | 2 of 5 | Abuse flag $8,278 fined |
| Blue Springs Wellness & RehabilitationBlue Springs, MO | 2 of 5 | 2 immediate-jeopardy Abuse flag $96,959 fined |
| Hilltop At Blue River, TheKansas City, MO | 2 of 5 | — |
| Monarch Springs Wellness & RehabilitationUniversity City, MO | 2 of 5 | — |
| Rehabilitation Center Of Independence, TheIndependence, MO | 2 of 5 | 3 immediate-jeopardy Abuse flag $71,208 fined |
| Aztec HealthcareAztec, NM | 2 of 5 | 1 immediate-jeopardy Abuse flag $105,228 fined |
| Betty Dare Wellness & Rehabilitation LLCAlamogordo, NM | 2 of 5 | — |
| Fiesta Park Wellness & RehabilitationAlbuquerque, NM | 2 of 5 | 2 immediate-jeopardy Abuse flag $39,025 fined |
| La Vida Buena HealthcareLas Vegas, NM | 2 of 5 | $105,374 fined |
| Los Alamos Wellness & RehabilitationLos Alamos, NM | 2 of 5 | 1 immediate-jeopardy Abuse flag $91,403 fined |
| Northrise Wellness & RehabilitationLas Cruces, NM | 2 of 5 | — |
| White Sands HealthcareHobbs, NM | 2 of 5 | Abuse flag $21,528 fined |
| Arbor Lake Nursing & Rehabilitation, LLCFort Worth, TX | 2 of 5 | 1 immediate-jeopardy Abuse flag $14,676 fined |
| Cypress Springs Wellness & RehabilitationMount Vernon, TX | 2 of 5 | 1 immediate-jeopardy $29,438 fined |
| McGregor Wellness & RehabilitationMc Gregor, TX | 2 of 5 | 6 immediate-jeopardy $49,443 fined |
| San Antonio Wellness & RehabilitationSan Antonio, TX | 2 of 5 | 1 immediate-jeopardy $104,627 fined |
| Skyline Nursing CenterDallas, TX | 2 of 5 | 5 immediate-jeopardy Abuse flag |
| Sunny Springs Nursing & RehabSulphur Springs, TX | 2 of 5 | 2 immediate-jeopardy |
| White Acres Wellness & RehabilitationEl Paso, TX | 2 of 5 | $4,475 fined |
| Quiburi Mission Nursing & RehabilitationBenson, AZ | 3 of 5 | Abuse flag |
| Sunrise Nursing & RehabilitationRaymore, MO | 3 of 5 | $10,193 fined |
| Las Cruces Wellness & Rehabilitation LLCLas Cruces, NM | 3 of 5 | — |
| Lovington Healthcare LLCLovington, NM | 3 of 5 | — |
| Spanish Trails Wellness & RehabilitationAlbuquerque, NM | 3 of 5 | Abuse flag $57,519 fined |
| Sunset Villa HealthcareRoswell, NM | 3 of 5 | Abuse flag $80,968 fined |
| Bedford Wellness & RehabilitationBedford, TX | 3 of 5 | 1 immediate-jeopardy $13,627 fined |
| Brentwood Place FourDallas, TX | 3 of 5 | — |
| Brentwood Place TwoDallas, TX | 3 of 5 | $14,433 fined |
| Ft. Worth Southwest Nursing CenterFort Worth, TX | 3 of 5 | 3 immediate-jeopardy $23,923 fined |
| Greenville GardensGreenville, TX | 3 of 5 | 1 immediate-jeopardy $16,206 fined |
| Mesquite Village Wellness & RehabilitationMesquite, TX | 3 of 5 | $8,021 fined |
| Quitman Wellness & RehabilitationQuitman, TX | 3 of 5 | 1 immediate-jeopardy $39,049 fined |
| Village Creek Nursing & RehabilitationFort Worth, TX | 3 of 5 | $19,009 fined |
| Coronado Care CenterPortales, NM | 4 of 5 | — |
| Odelia HealthcareAlbuquerque, NM | 4 of 5 | 1 immediate-jeopardy $4,088 fined |
| Paloma Springs Healthcare LLCT Or C, NM | 4 of 5 | $19,971 fined |
| Socorro Wellness & RehabilitationSocorro, NM | 4 of 5 | — |
| Taos HealthcareTaos, NM | 4 of 5 | — |
| Desert Springs Health Care LLCHobbs, NM | 5 of 5 | $17,215 fined |
| Gallup Nursing & Rehabilitation LLCGallup, NM | 5 of 5 | 1 immediate-jeopardy |
| Grants Wellness & Rehabilitation LLCGrants, NM | 5 of 5 | 1 immediate-jeopardy $10,839 fined |
| San Juan Care CenterFarmington, NM | 5 of 5 | — |
| Brentwood Place OneDallas, TX | 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.