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Pivotal Health Care nursing homes
9 nursing homes with 358 beds in Iowa (5), Kansas (2), Missouri (2).
CMS affiliated entity 404 · data as of September 1, 2026
The group's record in brief
CMS links 9 certified nursing homes in 3 states to Pivotal Health Care: 9 for profit, 0 nonprofit. 9 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 121 health citations; 5 citations were rated actual harm or immediate jeopardy. At their latest standard inspections the homes averaged 5.5 health deficiencies (national average 9.2).
CMS lists no fines against the group's homes in the last three years. Average nursing staff turnover across its homes was 51.5% (national 45.8%).
Staffing across the group
Daily payroll records from 9 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 15% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 4.44 | 3.75 |
| Registered nurses | 1.07 | 0.62 |
| Weekdays | 4.65 | 3.92 |
| Weekends | 3.93 | 3.33 |
| Share of nursing hours by contract staff | 6.8% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
8 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.9 overall, 3.4 health inspections, 4.4 staffing, 4 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 3 | |
| 4 of 5 | 2 | |
| 3 of 5 | 2 | |
| 2 of 5 | 1 | |
| 1 of 5 | 0 |
Across the group: 5 citations rated actual harm or immediate jeopardy, and an average of 4.47 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Prairie Vista Village | Altoona | IA | 5 | 7 | |
| Northridge Village | Ames | IA | 5 | 6 | |
| Kennybrook Village | Grimes | IA | 3 | 12 | |
| Terrace Glen Village | Marion | IA | 5 | 10 | |
| Cedar Ridge Village | West Des Moines | IA | 3 | 18 | |
| Westchester Village of Lenexa | Lenexa | KS | 4 | 22 | |
| Colonial Village | Overland Park | KS | 2 | 28 | |
| Linden Woods Village | Gladstone | MO | 4 | 17 | |
| Raintree Village | Lees Summit | MO | n/a | 1 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Cadet Investment LLC, Scenic Development LLC, WSG LLC, Poky - 5R LLC, Scenic Holdings LLC.
Staff pay reports
Staff pay at Pivotal Health Care homes
No staff pay figure at Pivotal Health Care homes has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.
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