Vertical Health Services

PBJ Takeaway: Vertical Health Services

18 Facilities3 States100% For-ProfitAvg. Overall Rating: 1.6Avg. Staffing Rating: 1.5Staffing Rating: 1.5

Vertical Health Services operates 18 nursing homes across 3 states, all classified as for-profit. Its average CMS overall rating is 1.6 stars.

Across the portfolio, facilities report an average of 3.10 total nurse HPRD, including 0.50 RN hours, below the national ratio of 3.77 HPRD.

56% of Vertical Health Services facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 59 fines ($1.8 million) for the chain's nursing homes.

320 Consulting

Vertical Health Services Key Metrics

Providers

States

Avg. Rating

1.6

Total Fines

$1.8 million

– Vertical Health Services

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Vertical Health Services

Overall

1.6

Health Inspection

1.9

Staffing

1.5

Quality Measures

3.4

Vertical Health Services Facilities

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

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
MO	Athene Nursing and Rehabilitation ⚠	Town and Country	2.98	0.27	1	1
MO	Aspen Point Health and Rehabilitation ⚠	Saint Charles	3.13	0.54	—	—
WA	Parkside Care ⚠	Union Gap	4.09	0.98	1	1
WA	Renton Health & Rehabilitation	Renton	4.48	1.04	2	4
WA	Valley View Skilled Nursing and Rehabilitation	Renton	3.99	0.94	2	3
TN	Chattanooga Health and Rehab Center ⚠	Chattanooga	3.13	0.43	1	1
MO	St Joseph Chateau	Saint Joseph	2.70	0.49	2	1
MO	Aurora Health and Rehabilitation ⚠	Rolla	3.02	0.64	1	1
MO	Belleview Care Center ⚠	Saint Joseph	3.08	0.61	1	1
MO	Advanced Care of St Joseph	Saint Joseph	2.66	0.46	2	1
MO	Amberwood Estates Nursing and Rehabilitation ⚠	Saint Louis	2.93	0.09	1	1
MO	Atrium Place Health and Rehabilitation	Saint Louis	2.30	0.23	2	1
MO	Aegis Health and Rehabilitation ⚠	Wildwood	2.88	0.36	1	1
MO	Lee'S Summit Place	Lees Summit	3.03	0.68	3	1
MO	Avalon View Health and Wellness	Liberty	3.12	0.25	2	1
MO	Arbor View Nursing and Rehabilitation ⚠	Cedar Hill	2.83	0.34	1	1
MO	Alpine Breeze Health and Wellness ⚠	Raytown	2.48	0.21	2	1
WA	Agility Health and Rehabilitation	University Place	3.83	0.50	3	3

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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