RELIANT CARE MANAGEMENT
Ownership rollup across 34 nursing homes in 2 states: Kansas, Missouri. 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 1.2 of 5 stars on the CMS overall rating — about 1.3 stars below the ~2.5 average of the 2 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 also moving the wrong way: across the same 34 homes rated throughout, the average fell 0.56 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 | 1.6 of 5 | 33 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.0 of 5 | 33 rated homes | from payroll (PBJ) hours |
| Quality measures | 2.4 of 5 | 33 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.
1 of this chain’s 34 home is 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 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 |
|---|---|---|
| Holton Health Care CenterHolton, KS | 1 of 5 | 3 immediate-jeopardy SFF candidate $206,328 fined |
| Bernard Care CenterSaint Louis, MO | 1 of 5 | $37,388 fined |
| Bridgewood Health Care CenterKansas City, MO | 1 of 5 | 10 immediate-jeopardy SFF candidate Abuse flag $1,148,689 fined |
| Brookfield Health Care CenterBrookfield, MO | 1 of 5 | $14,800 fined |
| Brunswick Health Care CenterBrunswick, MO | 1 of 5 | $15,143 fined |
| Carrie Elligson Gietner Health Care CenterSaint Louis, MO | 1 of 5 | $92,561 fined |
| Cassville Health Care CenterCassville, MO | 1 of 5 | 2 immediate-jeopardy SFF candidate $123,925 fined |
| Chariton Park Health Care CenterSalisbury, MO | 1 of 5 | 1 immediate-jeopardy SFF candidate Abuse flag $198,116 fined |
| Crestwood Health Care CenterFlorissant, MO | 1 of 5 | 5 immediate-jeopardy Abuse flag $146,887 fined |
| Eastview Manor Care CenterTrenton, MO | 1 of 5 | 5 immediate-jeopardy Abuse flag $163,472 fined |
| Edgewood Manor Health Care CenterRaytown, MO | 1 of 5 | Abuse flag $135,307 fined |
| Fair View Health Care CenterSedalia, MO | 1 of 5 | — |
| Four Seasons Living CenterSedalia, MO | 1 of 5 | 1 immediate-jeopardy Abuse flag $25,605 fined |
| Grand Manor Health Care CenterSaint Louis, MO | 1 of 5 | 1 immediate-jeopardy $126,118 fined |
| Gregory Ridge Health Care CenterKansas City, MO | 1 of 5 | 9 immediate-jeopardy SFF candidate Abuse flag $708,002 fined |
| Heritage Care CenterSaint Louis, MO | 1 of 5 | 10 immediate-jeopardy SFF candidate Abuse flag $424,748 fined |
| Hidden Lake Health Care CenterSaint Louis, MO | 1 of 5 | 1 immediate-jeopardy $123,610 fined |
| Legendary Health Care CenterMarshall, MO | 1 of 5 | 1 immediate-jeopardy $93,208 fined |
| Milan Health Care CenterMilan, MO | 1 of 5 | 1 immediate-jeopardy Abuse flag $49,897 fined |
| Nathan Richard Health Care CenterNevada, MO | 1 of 5 | 1 immediate-jeopardy $69,178 fined |
| Nick's Health Care CenterPlattsburg, MO | 1 of 5 | Abuse flag $21,948 fined |
| North Village ParkMoberly, MO | 1 of 5 | 8 immediate-jeopardy SFF candidate Abuse flag $543,649 fined |
| Odessa Health Care CenterOdessa, MO | 1 of 5 | — |
| Parkway Health Care CenterKansas City, MO | 1 of 5 | $30,821 fined |
| Rest Haven Health Care CenterSedalia, MO | 1 of 5 | Abuse flag $39,230 fined |
| Sarcoxie Health Care CenterSarcoxie, MO | 1 of 5 | — |
| South County Health Care CenterArnold, MO | 1 of 5 | 1 immediate-jeopardy Abuse flag $93,995 fined |
| Wellsville Health Care CenterWellsville, MO | 1 of 5 | $20,642 fined |
| Westview Nursing HomeCenter, MO | 1 of 5 | $42,680 fined |
| St Elizabeth Care CenterSaint Elizabeth, MO | 2 of 5 | — |
| Stonecrest HealthcareViburnum, MO | 2 of 5 | — |
| Greenville Health Care CenterGreenville, MO | 3 of 5 | — |
| Portageville Health Care CenterPortageville, MO | 3 of 5 | $240,603 fined |
| Hillside Health Care CenterSaint Louis, MO | Not rated | 5 immediate-jeopardy Special Focus Abuse flag $168,680 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.