OPCO Skilled Management Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is OPCO Skilled Management?

OPCO Skilled Management is an operator of skilled nursing and rehabilitation facilities in the Southwest and Midwest, with homes in Texas, New Mexico, Missouri, and Arizona. The company has grown in part through acquisitions of existing facilities.^[6]

By number of CMS-affiliated skilled nursing facilities, OPCO is the twentieth-largest nursing home chain in the United States. Its founding date and founders are not publicly detailed in the sources reviewed for this page.^[3]

What Kind of Chain Is OPCO Skilled Management?

OPCO is a skilled nursing facility (SNF) chain. Skilled nursing facilities care for patients who need 24-hour nursing care, often after a hospital stay, and are rated on the federal CMS five-star scale.^[1]

Who Owns OPCO Skilled Management?

Within the CMS data, the OPCO-affiliated facilities are operated as for-profit entities grouped under chain ID 773.^[1] The specific companies that own, lease, operate, and manage the individual facilities are not consolidated under a single publicly named parent in the sources reviewed; families should confirm the specific owning, operating, and management entities for any individual facility.^[1]

How Big Is the OPCO Skilled Management Nursing Home Chain?

OPCO Skilled Management by the Numbers

Federal CMS data describes the operation's scale:

Facility, state, and bed counts are from the CMS Nursing Home Chain Performance Measures dataset (most recent 2026 release).^[3]

• The most recent federal CMS chain-level data affiliates 68 nursing homes across Arizona, Missouri, New Mexico, and Texas with the chain (CMS chain ID 773) — ranking it #20 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 8,166 certified beds.^[3]

OPCO Skilled Management CMS Ratings and Staffing Data

The figures below are reported by CMS for the chain in the most recent CMS Nursing Home Chain Performance Measures release. CMS five-star ratings are relative, point-in-time measures calculated against other facilities nationally; they do not guarantee the quality of care any individual resident receives, and serious harm can occur at a facility regardless of its rating.

• The chain-average overall star rating was about 2.3 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 2.3 for health inspections, 1.7 for staffing, and 4.2 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 21 of 68 facilities (30.9%) with a one-star ("much below average") overall rating (national rate 20.5%) and 15 facilities (22.1%) carrying a CMS abuse icon (national rate 9.7%).^[3]
• Average total nurse staffing was about 3.1 hours per resident per day (national 3.9), and reported nursing-staff turnover was about 54.5% (national 45.8%).^[3]
• CMS records show 94 fines totaling about $3.50 million and 17 Medicare payment denials across the chain in the most recent three-year window.^[3][2]

These chain-level averages describe the group as a whole and say nothing about any specific facility or any specific resident's experience. Conditions and ratings vary from home to home and change over time.

OPCO Skilled Management Nursing Home Facilities

The table below is the complete roster of the OPCO Skilled Management-affiliated nursing facilities (CMS chain ID 773) in the federal CMS Provider Information dataset (May 2026 release), which listed 64 facilities. It lists each facility's name, city and state, street address, and phone number, along with any current CMS quality flag. The chain-level totals cited above reflect the most recent CMS Nursing Home Chain Performance Measures release; this per-facility roster is the May 2026 provider-level snapshot and will be refreshed when CMS posts the corresponding provider-level file.^[1]

The "CMS Flag" column marks homes that CMS has identified as a Special Focus Facility, a Special Focus Facility Candidate, behind on inspections ("Delayed inspection"), or carrying an abuse icon. Rows shaded gold indicate a current Special Focus designation or candidacy.^[1]

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to OPCO Skilled Management, chain ID 773. Inclusion on this list reflects CMS chain-affiliation data and does not by itself indicate that any particular facility committed wrongdoing.^[1]

Special Focus Facilities and SFF Candidates in OPCO Skilled Management

The Special Focus Facility (SFF) program is run by CMS to identify nursing homes with a history of serious quality problems; CMS describes these facilities as among the poorest-performing nursing homes in the country. A "Special Focus Facility Candidate" is a home with a history of serious quality issues that has not yet been formally placed in the program.^[4]

According to the most recent CMS Nursing Home Chain Performance Measures release, OPCO Skilled Management had 0 Special Focus Facilities and 2 Special Focus Facility Candidates at the chain level.^[3] The CMS Provider Information dataset (May 2026 release) flagged 4 facilities with a Special Focus designation or candidacy and 14 facilities carrying an abuse icon at that point in time; these designations are reassessed by CMS monthly and can change.^[1]

OPCO Skilled Management Special Focus Facility Candidates (May 2026)

• Plainfield Health Care Center — Plainfield, IN
• Willowcreek Wellness & Rehabilitation — Florissant, MO
• Los Alamos Wellness & Rehabilitation — Los Alamos, NM
• Casa Maria Healthcare — Roswell, NM

OPCO Skilled Management Facilities With a CMS Abuse Icon (May 2026)

• Prescott Valley Nursing & Rehabilitation — Prescott Valley, AZ
• Blue Springs Wellness & Rehabilitation — Blue Springs, MO
• Willowcreek Wellness & Rehabilitation — Florissant, MO
• Rehabilitation Center of Independence, the — Independence, MO
• Magnolia Wellness Center — Saint Louis, MO
• Aztec Healthcare — Aztec, NM
• White Sands Healthcare — Hobbs, NM
• Las Cruces Village Nursing & Rehabilitation LLC — Las Cruces, NM
• Los Alamos Wellness & Rehabilitation — Los Alamos, NM
• Sunset Villa Healthcare — Roswell, NM
• Skyline Nursing Center — Dallas, TX
• Arbor Lake Nursing & Rehabilitation, LLC — Fort Worth, TX
• Willow Ridge Wellness & Rehabilitation — Fort Worth, TX
• West Side Campus of Care — White Settlement, TX

OPCO Skilled Management Facilities With a Delayed CMS Inspection (May 2026)

• Quiburi Mission Nursing & Rehabilitation — Benson, AZ
• Prescott Valley Nursing & Rehabilitation — Prescott Valley, AZ
• Magnolia Wellness Center — Saint Louis, MO
• Pine Grove Manor — Saint Louis, MO

OPCO Skilled Management Fines, Lawsuits, and Regulatory Record

The items below are drawn from federal CMS enforcement data.

Federal Civil Money Penalties and Payment Denials

CMS enforcement records show that, across the chain, CMS imposed 94 fines totaling about $3.50 million and 17 Medicare payment denials in the most recent three-year window reflected in the data.^[2][3]

Litigation

As with any large nursing home operator, individual OPCO facilities have been named in civil lawsuits alleging resident injury or neglect. The resolution of any individual case depends on its own facts, and the existence of a lawsuit is not a finding of liability. The sources reviewed for this page do not reflect a major federal False Claims Act settlement against the company; this statement is limited to the sources cited here.^[1]

How Michael Hill Trial Law Investigates Claims Against OPCO Skilled Management

Michael Hill Trial Law focuses exclusively on nursing home abuse and neglect. The firm has handled more than 1,000 cases against nursing home operators and has recovered hundreds of millions of dollars for clients, including a $26 million verdict in Ohio.^[5]

Thin staffing and high staff turnover are among the conditions that can contribute to preventable harm in a nursing home, because residents depend on consistent, adequate staffing for basic care. A facility's overall CMS rating does not determine whether a particular resident was harmed, and serious injuries can occur at facilities with average or above-average ratings. When we investigate a claim against a OPCO Skilled Management facility, we identify the specific entities that owned, operated, and managed the home, compare the home's CMS staffing and inspection history against what happened to the resident, and obtain the facility's care records and any available documentation. The kinds of injuries and claims our firm investigates include:

• Bedsores and pressure injuries
• Falls and fractures
• Malnutrition and dehydration
• Infections and sepsis
• Medication errors
• Elopement (wandering away from a facility)
• Understaffing and neglect
• Physical or sexual assault
• Wrongful death

We are investigating claims against facilities operated under the OPCO Skilled Management name. If your loved one was injured or died in a OPCO Skilled Management nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About OPCO Skilled Management

Who owns OPCO Skilled Management?

OPCO Skilled Management is a privately held operator. In the CMS data its facilities are grouped under chain ID 773 and operated as for-profit entities. Its founding and the specific owning entities are not publicly detailed in the sources reviewed, so families should confirm the owning, operating, and management entities for any individual facility.

How many nursing homes does OPCO Skilled Management operate?

Federal CMS data affiliates about 68 skilled nursing facilities with OPCO across Texas, New Mexico, Missouri, and Arizona, ranking it the twentieth-largest nursing home chain in the United States by number of facilities.

How is OPCO Skilled Management rated by Medicare?

According to the most recent CMS chain data, its average overall star rating is about 2.3 of 5 (national average 3.0), with staffing rated 1.7 of 5. About 30.9% of its facilities carry a one-star overall rating and 22.1% carry a CMS abuse icon. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Has OPCO Skilled Management been fined?

CMS enforcement records show 94 fines totaling about $3.50 million and 17 Medicare payment denials across the chain in the most recent three-year window. The sources reviewed for this page do not reflect a major federal False Claims Act settlement against the company.

What should I do if a loved one was harmed at an OPCO facility?

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including OPCO Skilled Management facilities. You can contact the firm for a confidential review of your situation.

Sources

1. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to OPCO Skilled Management, chain ID 773 (facility counts, addresses, phone numbers, bed counts, ownership type, star ratings, abuse icons, Special Focus status, delayed inspections). https://data.cms.gov/provider-data/dataset/4pq5-n9py
2. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Penalties" file (May 2026 release) (fine amounts and payment denials). https://data.cms.gov/provider-data/
3. Centers for Medicare & Medicaid Services, Provider Data Catalog / data.gov, "Nursing Home Chain Performance Measures" (Affiliated Entity Performance Measures) dataset, most recent 2026 release, filtered to OPCO Skilled Management (CMS chain ID 773): affiliated-facility count, states, bed count, chain-average star ratings, one-star share, abuse-icon share, Special Focus Facilities and candidates, fines, payment denials, staffing hours, and turnover. https://data.cms.gov/provider-data/ ; dataset listing: https://catalog.data.gov/dataset/nursing-home-chain-performance-measures
4. Centers for Medicare & Medicaid Services, "Special Focus Facility (SFF) Program" overview and monthly candidate/participant lists. https://www.cms.gov/medicare/health-safety-standards/certification-compliance/special-focus-facility
5. Michael Hill Trial Law. https://protectseniors.com/
6. Reporting and public records on OPCO Skilled Management acquisitions and operations in the Southwest and Midwest (e.g., coverage of its purchase of New Mexico facilities). https://ladailypost.com/

This page is for general informational purposes and is not legal advice. It is attorney advertising. Ratings, fines, and Special Focus data are from federal CMS records and reflect inspection findings and regulatory penalties, not court judgments. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives. Facility data and corporate ownership change over time; verify current details before relying on them. Last reviewed: October 26, 2026.