IMHO if you are starting a home plus (how it's known in KS and some other states - basically a residential house outfitted for senior care) there just isn't much scale there unless you want to be there 24/7.   

Other markets have like 1 or 2 & some random small potato outfits.

. -- This is probably not answering your question clearly, but my approach was (after realizing that turnkey was the way for me) - Find the best turnkey provider that sells in my budget, confirm the area / state is OK, confirm that they are a reputable outfit and commit.Hope some of it helps.

@Nicholas Seaver Feel free to connect with me or DM, I work with an Austin outfit that's kind of a "one stop shop" for all REI legal needs(advice, paperwork, etc).

They are a smaller outfit than WM, Rumpke and such.

Be wary of outfits that offer to help you improve your credit for a fee.

Only outfits making huge margin (read expensive) or desperate people would spend 4 hours for free.

You have to be prepared to outfit the place if it isn't already etc etc.

If they are a one man outfit, they may appear to be cheaper, but will likely not finish on time or at all.

I eliminated the big outfits like Bordner, that's not my cuppa, and it's amazing how just listening to them talk reveals their personality.