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ElderCareCosts

Pivotal Health Care

CMS Care Compare chain (Chain ID 404). Figures below are CMS-published chain averages and facility designations, not ElderCareCosts scores or opinions.

CMS chain averages

  • Facilities in chain (CMS): 9
  • Average overall rating: 3.9
  • Average health inspection rating: 3.4
  • Average staffing rating: 4.4
  • Average quality measure rating: 4

Source: CMS Nursing Home Provider Information (Chain / Affiliated Entity columns). Missing values mean CMS did not publish that average for this chain.

The enforcement and staffing record

  • No stored CMS fine totals for the linked facilities in the current snapshot. That is a statement about the loaded records, not a verdict on care.
  • Median reported nurse staffing: 4.43 hours per resident day across 9 reporting facilities (CMS Payroll-Based Journal, 2026Q1).

These are counts of public records, not a safety score. Each facility's own page shows its inspection history with the official source linked.

Linked nursing homes