Opco Skilled Management

Phoebe J
PBJ Takeaway: Opco Skilled Management

52 Facilities5 States81% For-ProfitAvg. Overall Rating: 2.3Avg. Staffing Rating: 1.8Staffing Rating: 1.8

Opco Skilled Management operates 52 nursing homes across 5 states, with 81% classified as for-profit. Its average CMS overall rating is 2.3 stars.

Across the portfolio, facilities report an average of 3.20 total nurse HPRD, including 0.40 RN hours, below the national ratio of 3.77 HPRD.

42% of Opco Skilled Management facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 86 fines ($2.8 million) for the chain's nursing homes.

320 Consulting
Opco Skilled Management Key Metrics
Providers Provider roster shows 52 facilities; CMS chain performance file lists 47.
52
States
5
Avg. Rating
2.3
Total Fines
$2.8 million
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – Opco Skilled Management
Special Focus Facilities (SFFs)
0
SFF Candidates
1
1-Star Overall
13
Cited for Abuse
11
Avg. CMS 5-Star Rating – Opco Skilled Management
Overall
2.3
Health Inspection
2.3
Staffing
1.8
Quality Measures
4.1
Opco Skilled Management Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
AZPrescott Village Nursing & RehabilitationPrescott3.020.5421
AZQuiburi Mission Nursing & RehabilitationBenson3.460.9443
TXWillow Ridge Wellness & Rehabilitation AbuseFort Worth3.150.5421
TXFort Worth Wellness & Rehabilitation 1 starFort Worth3.080.3911
TXGlenview Wellness & Rehabilitation 1 starNorth Richland Hills2.740.4011
TXWest Side Campus of Care Abuse, 1 starWhite Settlement3.120.4012
TXSkyline Nursing Center Abuse, 1 starDallas3.010.4212
TXSan Antonio Wellness & RehabilitationSan Antonio3.320.3522
TXBedford Wellness & RehabilitationBedford3.230.5331
TXWhite Acres Wellness & RehabilitationEl Paso3.400.5221
TXArbor Lake Nursing & Rehabilitation, Llc AbuseFort Worth2.950.4121
TXHighland Pines Nursing Home AbuseLongview3.850.3222
TXBrentwood Place ThreeDallas2.640.3531
TXGreenville GardensGreenville2.400.3521
TXQuitman Wellness & RehabilitationQuitman3.240.2531
TXSunny Springs Nursing & RehabSulphur Springs3.100.5922
TXBrentwood Place OneDallas2.380.3531
TXBrentwood Place TwoDallas2.520.3821
TXFt Worth Southwest Nursing CenterFort Worth3.420.4932
TXVillage Creek Nursing & RehabilitationFort Worth3.150.3441
TXMineola Gardens Wellness & RehabilitationMineola3.150.4832
TXBrentwood Place FourDallas3.310.4331
TXForest Park Nursing & Rehabilitation 1 starDallas2.640.2211
TXThe Hillcrest of North Dallas 1 starDallas2.880.4111
TXCypress Springs Wellness & RehabilitationMount Vernon3.670.7121
NMLas Cruces Wellness & Rehabilitation LlcLas Cruces5.140.6424
NMDesert Springs Health Care LlcHobbs3.110.4243
NMFiesta Park Wellness & RehabilitationAlbuquerque3.590.5043
NMGrants Wellness & Rehabilitation LlcGrants3.830.5653
AZPrescott Valley Nursing & Rehabilitation AbusePrescott Valley4.350.6933
INPlainfield Health Care Center SFF CandidatePlainfield2.790.3021
MOWillowcreek Wellness & Rehabilitation Abuse, SFF CandidateFlorissant3.500.1321
MOBluebird Wellness and Rehabilitation 1 starSaint Louis3.200.2311
MOPine Grove Manor 1 starSaint Louis3.840.3811
MOMonarch Springs Wellness & Rehabilitation 1 starUniversity City3.600.4611
NMWhite Sands Healthcare AbuseHobbs3.160.5222
NMCasa Arena Healthcare Llc 1 starAlamogordo2.860.3211
NMLos Alamos Wellness & Rehabilitation 1 starLos Alamos3.260.3912
NMLovington Healthcare LlcLovington2.840.4342
NMOdelia HealthcareAlbuquerque3.420.7543
NMGallup Nursing & Rehabilitation LlcGallup3.180.8253
NMPaloma Springs Healthcare LlcT Or C3.070.4933
NMLa Vida Buena HealthcareLas Vegas2.280.6022
NMLas Cruces Village Nursing & Rehabilitation Llc Abuse, 1 starLas Cruces3.640.3311
NMAztec Healthcare AbuseAztec3.260.4722
NMSocorro Wellness & RehabilitationSocorro3.690.5353
NMSan Juan Care CenterFarmington3.180.6143
NMCasa Maria Healthcare 1 star, SFF CandidateRoswell3.050.3211
NMTaos HealthcareTaos3.110.5623
NMCoronado Care CenterPortales3.350.5343
NMSunset Villa Healthcare AbuseRoswell3.640.5423
TXMesquite Village Wellness & RehabilitationMesquite3.260.1732

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Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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