Largest nursing-home companies in the US — and where the money goes

Insights

Most nursing homes belong to a chain, and the chain — not the single building — often sets staffing budgets and where the money goes. A whole portfolio that rates below average, or one moving large sums to related companies, is a pattern worth researching that no single facility page reveals.

We roll every CMS nursing-home record up to the operator level. 591 chains of 3 or more homes are profiled here, covering 10,144 homes. Each chain page shows its average rating, how many of its homes carry immediate-jeopardy or Special Focus flags, aggregate finances including related-party payments, and every home it runs.

Why this matters. Consumer directories stop at the single building. But research into nursing-home quality keeps coming back to who owns the operator — especially private-equity and REIT chains that can route money to affiliated landlords and management companies. CMS under-reports those ties, so treat every count here as a floor.

Largest chains

The operators running the most homes, by facility count. Size isn’t good or bad on its own — it’s the reach of any pattern, good or bad, across the portfolio.

#	Chain	Homes	Beds	States	Avg CMS rating	Flags	Revenue	Related-party $	% of opex	Operating margin
1	THE ENSIGN GROUP	344	37,581	17	3.2★	89 IJ (26%) · 32 abuse (9%)	$4.2B	$404.1M	0%	+7.2%
2	PACS GROUP	275	31,274	16	2.9★	67 IJ (24%) · 2 SFF (1%) · 29 abuse (11%)	$3.9B	$276.3M	0%	+5.3%
3	LIFE CARE CENTERS OF AMERICA	194	25,340	26	3.4★	26 IJ (13%) · 15 abuse (8%)	$2.2B	$439.5M	0%	-1.3%
4	GENESIS HEALTHCARE	184	21,582	18	2.3★	70 IJ (38%) · 4 SFF (2%) · 28 abuse (15%)	$2.5B	$388.8M	0%	+1.0%
5	CREATIVE SOLUTIONS IN HEALTHCARE	149	17,670	1	2.1★	76 IJ (51%) · 19 abuse (13%)	$822.3M	$9.7M	0%	-12.3%
6	TRILOGY HEALTH SERVICES PE 4/127	127	8,453	5	4.2★	4 IJ (3%)	$1.3B	$170.9M	0%	+3.6%
7	SABER HEALTHCARE GROUP	126	13,568	6	2.9★	27 IJ (21%) · 12 abuse (10%)	$1.3B	$180.8M	0%	+2.3%
8	AVIR HEALTH GROUP REIT 1/118	118	12,935	1	2.3★	70 IJ (59%) · 17 abuse (14%)	$675.7M	$7.7M	0%	+3.5%
9	COMMUNICARE HEALTH	110	11,954	5	3.2★	37 IJ (34%) · 14 abuse (13%)	$1.3B	$221.8M	0%	+3.0%
10	PRUITTHEALTH	96	10,457	4	3.0★	23 IJ (24%) · 2 abuse (2%)	$907.4M	$217.8M	0%	-4.4%
11	LEGACY HEALTHCARE REIT 1/95	95	11,889	4	2.9★	20 IJ (21%) · 1 SFF (1%) · 14 abuse (15%)	$1.0B	$114.6M	0%	-4.3%
12	GOOD SAMARITAN SOCIETY	92	5,883	9	3.1★	17 IJ (18%) · 2 SFF (2%) · 5 abuse (5%)	$639.7M	$103.9M	0%	-6.0%
13	AMERICAN SENIOR COMMUNITIES	90	8,948	1	3.9★	2 IJ (2%) · 5 abuse (6%)	$801.7M	$112.2M	0%	-2.6%
14	MARQUIS HEALTH SERVICES	90	12,504	9	3.1★	24 IJ (27%) · 11 abuse (12%)	$1.4B	$217.6M	0%	-1.1%
15	COMPLETE CARE	85	12,081	8	3.2★	33 IJ (39%) · 6 abuse (7%)	$1.2B	$145.5M	0%	-3.0%
16	CIENA HEALTHCARE/LAUREL HEALTH CARE	81	9,350	4	2.8★	12 IJ (15%) · 9 abuse (11%)	$996.5M	$136.2M	0%	-4.6%
17	SIMCHA HYMAN & NAFTALI ZANZIPER	79	7,985	6	2.7★	24 IJ (30%) · 4 abuse (5%)	$747.4M	$174.2M	0%	+3.0%
18	NATIONAL HEALTHCARE CORPORATION	71	8,891	8	4.0★	12 IJ (17%) · 3 abuse (4%)	$900.1M	$76.1M	0%	-1.6%
19	INFINITY HEALTHCARE CONSULTING	70	8,723	3	2.1★	17 IJ (24%) · 1 SFF (1%) · 16 abuse (23%)	$620.9M	$90.9M	0%	-2.3%
20	OPCO SKILLED MANAGEMENT	68	8,166	4	2.3★	36 IJ (53%) · 15 abuse (22%)	$581.6M	$87.5M	0%	-8.1%
21	SIGNATURE HEALTHCARE REIT 1/67	67	7,618	5	3.1★	15 IJ (22%) · 2 abuse (3%)	$677.0M	$86.6M	0%	-4.4%
22	WELLSENTIAL HEALTH	67	8,695	1	2.7★	29 IJ (43%) · 6 abuse (9%)	$533.6M	$1.0M	0%	-7.4%
23	FUNDAMENTAL HEALTHCARE	66	7,905	6	2.5★	29 IJ (44%) · 1 SFF (2%) · 6 abuse (9%)	$572.7M	$31.4M	0%	-4.8%
24	FOUNDATIONS HEALTH SOLUTIONS	64	6,198	1	4.2★	5 IJ (8%)	$634.8M	$68.4M	0%	+7.6%
25	LIFEWORKS REHAB	64	8,716	5	2.1★	26 IJ (41%) · 3 SFF (5%) · 13 abuse (20%)	$1.1B	$156.4M	0%	+4.3%
26	AUTUMN LAKE HEALTHCARE	59	8,005	5	2.9★	11 IJ (19%) · 5 abuse (8%)	$949.6M	$151.4M	0%	+0.2%
27	NORTH SHORE HEALTHCARE	59	3,888	4	2.7★	23 IJ (39%) · 2 abuse (3%)	$323.2M	$16.6M	0%	+3.3%
28	JAMES & JUDY LINCOLN	56	5,545	2	2.5★	12 IJ (21%) · 1 SFF (2%) · 8 abuse (14%)	$251.2M	$75.3M	0%	-13.2%
29	MEDILODGE	53	5,646	1	3.1★	8 IJ (15%) · 7 abuse (13%)	$518.8M	$77.1M	0%	-4.4%
30	NEXION HEALTH	51	5,386	3	2.2★	19 IJ (37%) · 1 SFF (2%) · 5 abuse (10%)	$391.1M	$16.7M	0%	-0.6%
31	AVIATA HEALTH GROUP	50	6,045	1	2.4★	16 IJ (32%) · 7 abuse (14%)	$236.1M	$18.5M	0%	-18.0%
32	ETHICA HEALTH	50	4,822	1	3.5★	6 IJ (12%) · 4 abuse (8%)	$358.7M	$78.7M	0%	-6.1%
33	BENJAMIN LANDA	48	6,352	4	3.4★	9 IJ (19%) · 2 abuse (4%)	$727.7M	$109.7M	0%	-6.0%
34	DAVID JOHNSON	48	5,210	2	3.3★	8 IJ (17%) · 6 abuse (12%)	$718.1M	$61.0M	0%	-0.9%
35	THE BEEBE FAMILY	48	4,931	2	2.8★	8 IJ (17%) · 2 abuse (4%)	$443.0M	$40.6M	0%	+3.9%
36	CASCADIA HEALTHCARE	47	3,848	5	3.1★	6 IJ (13%) · 1 SFF (2%) · 2 abuse (4%)	$389.1M	$27.5M	0%	+1.4%
37	MONARCH HEALTHCARE MANAGEMENT	45	3,423	1	2.2★	14 IJ (31%) · 6 abuse (13%)	$366.0M	$45.1M	0%	+0.2%
38	DIVERSICARE HEALTHCARE	44	4,744	5	2.5★	11 IJ (25%) · 1 abuse (2%)	$378.6M	$30.7M	0%	+5.5%
39	CARE INITIATIVES	43	2,764	1	2.9★	10 IJ (23%) · 1 abuse (2%)	$236.7M	$21.7M	0%	+4.2%
40	EVERGREEN HEALTHCARE GROUP REIT 2/43	43	4,078	6	2.4★	9 IJ (21%) · 1 SFF (2%) · 11 abuse (26%)	$262.7M	$8.3M	0%	-4.5%
41	HILL VALLEY HEALTHCARE	43	5,452	6	1.7★	15 IJ (35%) · 7 abuse (16%)	$557.2M	$56.6M	0%	-1.5%
42	LIFE CARE SERVICES REIT 1/43	43	2,901	18	4.0★	5 IJ (12%)	$705.3M	$10.0M	0%	-22.8%
43	NHS MANAGEMENT	43	5,530	3	2.9★	5 IJ (12%) · 2 abuse (5%)	$522.2M	$196.1M	0%	-0.5%
44	SOVEREIGN HEALTHCARE HOLDINGS	43	5,407	3	3.7★	7 IJ (16%) · 3 abuse (7%)	$567.8M	$32.2M	0%	+2.8%
45	NATIONAL HEALTH CARE ASSOCIATES	42	5,506	6	3.2★	5 IJ (12%) · 8 abuse (19%)	$733.4M	$160.5M	0%	-3.9%
46	ACCURA HEALTHCARE	41	2,141	4	2.5★	12 IJ (29%) · 2 abuse (5%)	$180.8M	$8.7M	0%	-5.2%
47	CORPORATE INTERFACE SERVICES	40	3,844	1	2.5★	8 IJ (20%) · 6 abuse (15%)	$405.3M	$38.8M	0%	-5.8%
48	PRINCIPLE LONG TERM CARE	40	5,238	3	3.0★	3 IJ (8%) · 4 abuse (10%)	$448.0M	$100.2M	0%	-0.5%
49	ANTHONY & BRYAN ADAMS	38	4,103	2	3.7★	4 IJ (11%) · 1 abuse (3%)	$335.6M	$64.4M	0%	+9.1%
50	ASTON HEALTH	38	5,023	1	2.7★	5 IJ (13%) · 1 abuse (3%)	$473.8M	$74.8M	0%	+6.7%
51	AVARDIS HEALTH	38	3,968	4	2.0★	14 IJ (37%) · 1 SFF (3%) · 9 abuse (24%)	$365.1M	$18.9M	0%	+1.1%
52	CENTRAL ARKANSAS NURSING CENTERS	38	4,145	2	3.6★	7 IJ (18%) · 1 abuse (3%)	$371.9M	$70.2M	0%	+7.9%
53	LONGWOOD MANAGEMENT CORPORATION	38	4,420	1	2.1★	13 IJ (34%) · 3 abuse (8%)	$559.0M	$54.7M	0%	-0.4%
54	PRIORITY MANAGEMENT	38	5,051	2	2.9★	10 IJ (26%) · 3 abuse (8%)	$415.3M	$57.4M	0%	-4.0%
55	CANTEX CONTINUING CARE	37	4,399	1	3.1★	16 IJ (43%) · 2 abuse (5%)	$287.4M	$10	0%	-5.2%
56	CAREONE	37	5,217	4	3.4★	3 IJ (8%) · 1 abuse (3%)	$675.3M	$103.6M	0%	-4.2%
57	LIBERTY SENIOR LIVING REIT 2/37	37	3,898	2	2.8★	10 IJ (27%) · 1 abuse (3%)	$393.0M	$94.1M	0%	-5.1%
58	CENTERS HEALTH CARE	36	6,455	2	2.2★	4 IJ (11%) · 6 abuse (17%)	$934.5M	$92.7M	0%	-1.2%
59	CIRCLE B ENTERPRISES	36	3,549	2	2.5★	6 IJ (17%) · 3 abuse (8%)	$173.0M	$44.5M	0%	+0.1%
60	GOLD FL TRUST II	36	4,377	1	3.4★	11 IJ (31%)	$507.9M	$4.9M	0%	+1.8%

Large chains rating furthest below their own states

Chains of 10 or more homes whose portfolio rates furthest below the average of the states they operate in. Two corrections a raw “lowest average” ranking gets wrong. Where they operate: CMS ranks the health-inspection star within each state, so a chain concentrated in a low-rating state is not thereby a worse operator — each is measured against its own states’ average, which is why a 2-star chain in a 3.5-star state outranks a 2-star chain in a 2-star state here. How many homes they run: a 10-home average is roughly three times noisier than a 200-home one, so smaller chains are pulled toward that local expectation before ranking. The average shown is always the raw observed one, with a ±95% interval. What survives both corrections is the investigative lede: a portfolio rating below its own states’ norm, across many homes, points at the operator and not at one unlucky building.

HILL VALLEY HEALTHCARE

43 homes · 6 states · avg 1.7★ ±0.3 · vs ~3.0 avg in its states · 15 IJ (35% of homes) · 7 abuse (16% of homes)

RELIANT CARE MANAGEMENT

34 homes · 2 states · avg 1.2★ ±0.2 · vs ~2.5 avg in its states · 18 IJ (53% of homes) · 2 SFF (6% of homes) · 13 abuse (38% of homes)

ATHENA HEALTHCARE SYSTEMS

19 homes · 2 states · avg 1.6★ ±0.4 · vs ~3.0 avg in its states · 1 IJ (5% of homes) · 4 abuse (21% of homes)

EASTERN HEALTHCARE GROUP

18 homes · 1 state · avg 1.5★ ±0.3 · vs ~3.0 avg in its states · 7 IJ (39% of homes) · 5 abuse (28% of homes)

EPHRAM LAHASKY

22 homes · 9 states · avg 1.7★ ±0.4 · vs ~3.1 avg in its states · 11 IJ (50% of homes) · 2 SFF (9% of homes) · 3 abuse (14% of homes)

CERTUS HEALTHCARE

14 homes · 2 states · avg 1.6★ ±0.4 · vs ~3.2 avg in its states · 6 IJ (43% of homes) · 1 SFF (7% of homes) · 4 abuse (29% of homes)

THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS

20 homes · 3 states · avg 1.7★ ±0.5 · vs ~3.1 avg in its states · 9 IJ (45% of homes) · 1 SFF (5% of homes) · 8 abuse (40% of homes)

ARCADIA CARE

25 homes · 2 states · avg 1.4★ ±0.3 · vs ~2.6 avg in its states · 15 IJ (60% of homes) · 2 SFF (8% of homes) · 11 abuse (44% of homes)

LONGWOOD MANAGEMENT CORPORATION

38 homes · 1 state · avg 2.1★ ±0.4 · vs ~3.2 avg in its states · 13 IJ (34% of homes) · 3 abuse (8% of homes)

MONARCH HEALTHCARE MANAGEMENT

45 homes · 1 state · avg 2.2★ ±0.3 · vs ~3.2 avg in its states · 14 IJ (31% of homes) · 6 abuse (13% of homes)

EMERALD HEALTHCARE

14 homes · 3 states · avg 1.3★ ±0.3 · vs ~2.7 avg in its states · 8 IJ (57% of homes) · 1 SFF (7% of homes) · 2 abuse (14% of homes)

INFINITY HEALTHCARE CONSULTING

70 homes · 3 states · avg 2.1★ ±0.3 · vs ~3.0 avg in its states · 17 IJ (24% of homes) · 1 SFF (1% of homes) · 16 abuse (23% of homes)

ALLIANCE HEALTH GROUP

13 homes · 1 state · avg 1.5★ ±0.4 · vs ~2.9 avg in its states · 6 IJ (46% of homes) · 2 abuse (15% of homes)

LIFEWORKS REHAB

64 homes · 5 states · avg 2.1★ ±0.3 · vs ~3.0 avg in its states · 26 IJ (41% of homes) · 3 SFF (5% of homes) · 13 abuse (20% of homes)

NEXT STEP HEALTHCARE

14 homes · 1 state · avg 1.7★ ±0.6 · vs ~3.0 avg in its states · 2 IJ (14% of homes) · 1 abuse (7% of homes)

CASCADES HEALTHCARE

19 homes · 4 states · avg 2.0★ ±0.4 · vs ~3.2 avg in its states · 7 IJ (37% of homes) · 4 abuse (21% of homes)

AVENTURA HEALTH GROUP

11 homes · 3 states · avg 1.6★ ±0.5 · vs ~3.1 avg in its states · 6 IJ (55% of homes) · 1 SFF (9% of homes) · 2 abuse (18% of homes)

THE GRAND HEALTHCARE

16 homes · 1 state · avg 1.8★ ±0.5 · vs ~3.0 avg in its states · 7 IJ (44% of homes) · 1 abuse (6% of homes)

PACIFIC HEALTHCARE HOLDINGS

15 homes · 1 state · avg 1.9★ ±0.6 · vs ~3.2 avg in its states · 5 IJ (33% of homes) · 3 abuse (20% of homes)

AVARDIS HEALTH

38 homes · 4 states · avg 2.0★ ±0.4 · vs ~2.9 avg in its states · 14 IJ (37% of homes) · 1 SFF (3% of homes) · 9 abuse (24% of homes)

POINTE MANAGEMENT

12 homes · 3 states · avg 1.2★ ±0.4 · vs ~2.6 avg in its states · 3 IJ (25% of homes) · 5 abuse (42% of homes)

AVIATA HEALTH GROUP

50 homes · 1 state · avg 2.4★ ±0.3 · vs ~3.3 avg in its states · 16 IJ (32% of homes) · 7 abuse (14% of homes)

THE ORCHARDS MICHIGAN

15 homes · 1 state · avg 1.9★ ±0.7 · vs ~3.1 avg in its states · 2 IJ (13% of homes) · 3 abuse (20% of homes)

VOLARE HEALTH

16 homes · 3 states · avg 1.8★ ±0.6 · vs ~3.0 avg in its states · 5 IJ (31% of homes) · 2 SFF (12% of homes) · 2 abuse (12% of homes)

CAMPBELL STREET SERVICES PE ties at 2 of 24

24 homes · 3 states · avg 2.1★ ±0.5 · vs ~3.1 avg in its states · 8 IJ (33% of homes) · 1 SFF (4% of homes) · 4 abuse (17% of homes)

YAD HEALTHCARE

13 homes · 3 states · avg 1.7★ ±0.6 · vs ~2.9 avg in its states · 6 IJ (46% of homes) · 1 SFF (8% of homes) · 2 abuse (15% of homes)

FLORIDA INSTITUTE FOR LONG-TERM CARE

17 homes · 1 state · avg 2.2★ ±0.5 · vs ~3.3 avg in its states · 7 IJ (41% of homes) · 1 abuse (6% of homes)

LYON HEALTHCARE

12 homes · 2 states · avg 1.8★ ±0.4 · vs ~3.0 avg in its states · 7 IJ (58% of homes) · 1 abuse (8% of homes)

ADVINIACARE

14 homes · 3 states · avg 1.9★ ±0.5 · vs ~3.0 avg in its states · 8 IJ (57% of homes) · 2 abuse (14% of homes)

GENESIS HEALTHCARE

184 homes · 18 states · avg 2.3★ ±0.2 · vs ~3.0 avg in its states · 70 IJ (38% of homes) · 4 SFF (2% of homes) · 28 abuse (15% of homes)

JOURNEY HEALTHCARE REIT ties at 3 of 33

33 homes · 4 states · avg 1.9★ ±0.4 · vs ~2.8 avg in its states · 7 IJ (21% of homes) · 1 SFF (3% of homes) · 1 abuse (3% of homes)

ELIYAHU MIRLIS

14 homes · 3 states · avg 2.1★ ±0.7 · vs ~3.2 avg in its states · 6 IJ (43% of homes) · 2 abuse (14% of homes)

UPSTATE SERVICES GROUP

17 homes · 1 state · avg 2.0★ ±0.6 · vs ~3.0 avg in its states · 3 IJ (18% of homes) · 1 SFF (6% of homes) · 2 abuse (12% of homes)

CENTERS HEALTH CARE

36 homes · 2 states · avg 2.2★ ±0.4 · vs ~3.1 avg in its states · 4 IJ (11% of homes) · 6 abuse (17% of homes)

EMPIRE CARE CENTERS

21 homes · 1 state · avg 1.8★ ±0.4 · vs ~2.7 avg in its states · 6 IJ (29% of homes) · 3 abuse (14% of homes)

GOLDWATER CARE

11 homes · 1 state · avg 1.4★ ±0.5 · vs ~2.5 avg in its states · 6 IJ (55% of homes) · 4 abuse (36% of homes)

SERRANO GROUP

11 homes · 1 state · avg 2.0★ ±0.6 · vs ~3.2 avg in its states · 5 IJ (45% of homes) · 3 abuse (27% of homes)

BEACON HEALTH MANAGEMENT

11 homes · 2 states · avg 1.5★ ±0.5 · vs ~2.7 avg in its states · 3 IJ (27% of homes) · 1 abuse (9% of homes)

HARBORVIEW HEALTH SYSTEMS

22 homes · 3 states · avg 2.0★ ±0.3 · vs ~2.9 avg in its states · 6 IJ (27% of homes) · 1 SFF (5% of homes) · 2 abuse (9% of homes)

KADIMA HEALTHCARE GROUP

14 homes · 1 state · avg 1.9★ ±0.7 · vs ~3.0 avg in its states · 6 IJ (43% of homes) · 1 SFF (7% of homes) · 2 abuse (14% of homes)

AVID HEALTHCARE GROUP

11 homes · 1 state · avg 1.6★ ±0.4 · vs ~2.8 avg in its states · 7 IJ (64% of homes)

LEGACY NURSING & REHABILITATION

11 homes · 2 states · avg 1.5★ ±0.4 · vs ~2.6 avg in its states · 4 IJ (36% of homes) · 3 abuse (27% of homes)

WECARE CENTERS PE ties at 9 of 13

13 homes · 2 states · avg 1.9★ ±0.7 · vs ~3.0 avg in its states · 5 IJ (38% of homes) · 1 SFF (8% of homes) · 2 abuse (15% of homes)

APERION CARE

33 homes · 2 states · avg 2.0★ ±0.4 · vs ~2.8 avg in its states · 7 IJ (21% of homes) · 10 abuse (30% of homes)

BRIA HEALTH SERVICES

10 homes · 1 state · avg 1.4★ ±0.4 · vs ~2.5 avg in its states · 6 IJ (60% of homes) · 5 abuse (50% of homes)

OPTALIS HEALTH & REHABILITATION

36 homes · 2 states · avg 2.4★ ±0.4 · vs ~3.1 avg in its states · 11 IJ (31% of homes) · 9 abuse (25% of homes)

MAJESTIC CARE

26 homes · 3 states · avg 2.4★ ±0.5 · vs ~3.2 avg in its states · 5 IJ (19% of homes) · 2 abuse (8% of homes)

LME FAMILY HOLDINGS

15 homes · 4 states · avg 2.1★ ±0.6 · vs ~3.0 avg in its states · 8 IJ (53% of homes)

KALESTA HEALTHCARE GROUP

19 homes · 3 states · avg 2.4★ ±0.7 · vs ~3.2 avg in its states · 6 IJ (32% of homes) · 2 abuse (11% of homes)

THE BLOSSOMS REHAB & NURSING CENTER

23 homes · 1 state · avg 2.7★ ±0.6 · vs ~3.4 avg in its states · 2 IJ (9% of homes) · 3 abuse (13% of homes)

Every chain, A–Z

All 591 chains of three or more homes, alphabetically — the rankings above show only the largest and the lowest-rated.

# · A · B · C · D · E · F · G · H · I · J · K · L · M · N · O · P · Q · R · S · T · U · V · W · Y

#

603 HEALTHCARE 7 homes

A

AARON MAYER 7 homes
ABRAHAM BAK & MENACHEM GASTWIRTH 19 homes
ABRAHAM SMILOW 7 homes
ABSOLUT CARE 5 homes
ACCELA HEALTHCARE 4 homes
ACCOLADE HEALTHCARE 6 homes
ACCURA HEALTHCARE 41 homes
ACTS RETIREMENT-LIFE COMMUNITIES 27 homes
ADAMS COUNTY MEMORIAL HOSPITAL 9 homes
ADVANCED HEALTH CARE 26 homes
ADVANCED HEALTH CARE MANAGEMENT 6 homes
ADVANCED HEALTHCARE SOLUTIONS 28 homes
ADVENA LIVING COMMUNITIES 6 homes
ADVENTIST HEALTH 5 homes
ADVINIACARE 14 homes
AHAVA HEALTHCARE 16 homes
AHMC HEALTHCARE 5 homes
AJC HEALTHCARE 14 homes
AKIKO IKE 6 homes
ALARIS HEALTH 8 homes
ALIYA HEALTHCARE 14 homes
ALLAIRE HEALTH SERVICES 21 homes
ALLIANCE HEALTH & HUMAN SERVICES 8 homes
ALLIANCE HEALTH GROUP 13 homes
ALLURE GROUP 6 homes
ALLURE HEALTHCARE SERVICES 15 homes
ALTERCARE 22 homes
AMA HOLDINGS 13 homes
AMBASSADOR HEALTH 4 homes
AMERICAN BAPTIST HOMES OF THE MIDWEST 6 homes
AMERICAN HEALTH FOUNDATION 5 homes
AMERICAN SENIOR COMMUNITIES 90 homes
AMERICARE SENIOR LIVING 23 homes
ANTHONY & BRYAN ADAMS 38 homes
AOM HEALTHCARE 20 homes
APERION CARE 33 homes
APPLE REHAB 20 homes
ARABELLA HEALTHCARE MANAGEMENT 12 homes
ARBORS AT OHIO 16 homes
ARCADIA CARE 25 homes
ARCHCARE 7 homes
ARISTACARE 9 homes
ARK POST ACUTE NETWORK 4 homes
ASBURY COMMUNITIES 5 homes
ASCENSION LIVING 12 homes
ASCENT HEALTHCARE MANAGEMENT 6 homes
ASPEN SKILLED HEALTHCARE 35 homes
ASPIRE SENIOR LIVING 16 homes
ASTON HEALTH 38 homes
ATHENA HEALTHCARE SYSTEMS 19 homes
ATIED ASSOCIATES 12 homes
ATLAS HEALTHCARE 30 homes
ATRIUM CENTERS 26 homes
ATRIUM HEALTH 5 homes
AUGUST HEALTHCARE 6 homes
AUTUMN LAKE HEALTHCARE 59 homes
AVALON HEALTH CARE 16 homes
AVAMERE 27 homes
AVANTE CENTERS 11 homes
AVARDIS HEALTH 38 homes
AVENTURA HEALTH GROUP 11 homes
AVERA HEALTH 13 homes
AVIATA HEALTH GROUP 50 homes
AVID HEALTHCARE GROUP 11 homes
AVINA HEALTHCARE 9 homes
AVIR HEALTH GROUP 118 homes
AVON HEALTHCARE 9 homes
AXIOM HEALTHCARE 8 homes
AYDEN HEALTHCARE 11 homes
AZRIA HEALTH 9 homes
AZURE HEALTHCARE 6 homes

B

C

C. ROSS MANAGEMENT 5 homes
CADIA HEALTHCARE 5 homes
CALDERA CARE 6 homes
CAMBRIDGE HEALTHCARE SERVICES 32 homes
CAMPBELL STREET SERVICES 24 homes
CANTEX CONTINUING CARE 37 homes
CARADAY HEALTHCARE 8 homes
CARDON & ASSOCIATES 19 homes
CARE & REHAB 6 homes
CARE INITIATIVES 43 homes
CARECORE HEALTH 12 homes
CAREONE 37 homes
CARERITE CENTERS 34 homes
CARESPRING 16 homes
CARING HEALTHCARE GROUP 14 homes
CARING PLACE HEALTHCARE GROUP 5 homes
CARLYLE SENIOR CARE 7 homes
CARMELITE SISTERS FOR THE AGED & INFIRM 9 homes
CARMELITE SISTERS FOR THE AGED AND INFIRMED 3 homes
CARROLTON NURSING HOMES 6 homes
CASA CONSULTING 7 homes
CASCADES HEALTHCARE 19 homes
CASCADIA HEALTHCARE 47 homes
CASSENA CARE 13 homes
CASSIA 16 homes
CASTLE HEALTHCARE 6 homes
CATHOLIC CHARITIES NEW HAMPSHIRE 6 homes
CAVALIER HEALTHCARE 4 homes
CCH HEALTHCARE 33 homes
CEDAR VIEW HOLDINGS 9 homes
CELEBRATE SENIOR LIVING 3 homes
CENTENNIAL HEALTHCARE 8 homes
CENTER MANAGEMENT GROUP 17 homes
CENTERS HEALTH CARE 36 homes
CENTRAL ARKANSAS NURSING CENTERS 38 homes
CENTRAL MANAGEMENT COMPANY 21 homes
CENTURY CARE MANAGEMENT 7 homes
CENTURY HEALTHCARE 9 homes
CERTUS HEALTHCARE 14 homes
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 7 homes
CHAMPION CARE 22 homes
CHARIS TRUST DTD 12/22/16 6 homes
CHARLESTON HEALTHCARE GROUP 4 homes
CHELSEA JEWISH LIFECARE 5 homes
CIENA HEALTHCARE/LAUREL HEALTH CARE 81 homes
CIRCLE B ENTERPRISES 36 homes
CITADEL CARE CENTERS 5 homes
CITADEL HEALTHCARE 16 homes
CITIZENS MEMORIAL HEALTH CARE 6 homes
CITRUS WELLNESS CENTRE 5 homes
CIVITA CARE CENTERS 6 homes
CLEAR CHOICE HEALTHCARE 8 homes
COLEV GESTETNER 7 homes
COMMCARE CORPORATION 19 homes
COMMONSPIRIT HEALTH 18 homes
COMMONWEALTH CARE OF ROANOKE 12 homes
COMMUNICARE HEALTH 110 homes
COMMUNITY CARE CENTERS 8 homes
COMMUNITY ELDERCARE SERVICES 17 homes
COMPASS HEALTH, INC. 7 homes
COMPLETE CARE 85 homes
CONCORDIA LUTHERAN MINISTRIES 8 homes
CONHOLD 5 homes
CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE 11 homes
CONTINUING HEALTHCARE SOLUTIONS 12 homes
CONTINUING LIFE 6 homes
CONTINUUM HEALTHCARE 13 homes
CORE HEALTHCARE 7 homes
COREWELL HEALTH 6 homes
CORPORATE INTERFACE SERVICES 40 homes
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY 9 homes
COUNTRY CLUB REHABILITATION CAMPUS 7 homes
COVENANT CARE 11 homes
COVENANT HEALTH 8 homes
COVENANT LIVING 15 homes
CREATIVE SOLUTIONS IN HEALTHCARE 149 homes
CREST HEALTHCARE CONSULTING 11 homes
CRESTPARK 6 homes
CROSS HEALTHCARE MANAGEMENT 6 homes
CROSSROADS MEDICAL MANAGEMENT 6 homes
CROWN HEALTHCARE GROUP 9 homes
CROWNE HEALTH CARE 18 homes
CRYSTAL SOLORZANO 9 homes
CURA 8 homes
CYPRESS HEALTHCARE GROUP 13 homes
CYPRESS SKILLED NURSING 5 homes

D

J

K

L

LANTIS ENTERPRISES 5 homes
LECOM SENIOR LIVING 5 homes
LEGACY HEALTH SERVICES 10 homes
LEGACY HEALTHCARE 95 homes
LEGACY NURSING & REHABILITATION 11 homes
LIBERTY SENIOR LIVING 37 homes
LIFE CARE CENTERS OF AMERICA 194 homes
LIFE CARE SERVICES 43 homes
LIFEPOINT HEALTH 8 homes
LIFESPACE COMMUNITIES 15 homes
LIFESPARK 4 homes
LIFEWORKS REHAB 64 homes
LINEAGE HEALTHCARE 5 homes
LINKS HEALTHCARE GROUP 32 homes
LIONSTONE CARE 24 homes
LITTLE SISTERS OF THE POOR 4 homes
LME FAMILY HOLDINGS 15 homes
LONG PEAK OPERATING COMPANY 8 homes
LONGWOOD MANAGEMENT CORPORATION 38 homes
LORIEN HEALTH SERVICES 8 homes
LUTHERAN SERVICES CAROLINAS 9 homes
LYON HEALTHCARE 12 homes

M

MADISON CREEK PARTNERS 13 homes
MAGNOLIA MANOR SENIOR LIVING 5 homes
MAINE VETERANS' HOME 5 homes
MAJESTIC CARE 26 homes
MAJOR HOSPITAL 7 homes
MAPLE SPRINGS LIVING 3 homes
MARINER HEALTH CARE 17 homes
MARQUIS COMPANIES 15 homes
MARQUIS HEALTH SERVICES 90 homes
MARSH POINTE MANAGEMENT 6 homes
MAXIMUS HEALTHCARE GROUP 7 homes
MB HEALTHCARE 12 homes
MEDICALODGES, INC. 18 homes
MEDILODGE 53 homes
MERCYHEALTH SYSTEM 3 homes
METHODIST RETIREMENT COMMUNITIES 6 homes
MGM HEALTHCARE 27 homes
MICHAEL FEIST 7 homes
MICHAEL SLYK 7 homes
MIDWEST HEALTH 11 homes
MILLENNIUM HEALTH SYSTEMS 4 homes
MILLER'S MERRY MANOR 14 homes
MISSION HEALTH COMMUNITIES 29 homes
MISSION HEALTH SERVICES 7 homes
MISSION POINT HEALTHCARE SERVICES 14 homes
MISSISSIPPI CARE CENTER 5 homes
ML HEALTHCARE 6 homes
MO OP HOLDCO, LLC 9 homes
MOMENTUM SKILLED SERVICES 9 homes
MONARCH HEALTHCARE MANAGEMENT 45 homes
MONUMENT HEALTH GROUP 11 homes
MORDECHAI WEISZ 7 homes

N

NAHS 12 homes
NATIONAL HEALTH CARE ASSOCIATES 42 homes
NATIONAL HEALTHCARE CORPORATION 71 homes
NATIONWIDE HEALTHCARE SERVICES 7 homes
NEURORESTORATIVE 5 homes
NEW YORK CITY HEALTH + HOSPITALS 5 homes
NEXCARE HEALTH SYSTEMS 20 homes
NEXION HEALTH 51 homes
NEXT STEP HEALTHCARE 14 homes
NHS MANAGEMENT 43 homes
NIGHTINGALE 5 homes
NOLAND HEALTH 10 homes
NORTH COUNTRY ASSOCIATES 9 homes
NORTH SHORE HEALTHCARE 59 homes
NORTHWOOD HEALTHCARE GROUP 6 homes
NURSING CARE MANAGEMENT OF AMERICA 4 homes

O

O'NEILL HEALTHCARE 6 homes
OAKBEND MEDICAL CENTER 5 homes
OCEAN HEALTHCARE 11 homes
OHANA PACIFIC MANAGEMENT CO. 6 homes
OHIO LIVING COMMUNITIES 11 homes
OKLAHOMA NURSING HOMES, LTD. 7 homes
ONYX HEALTH 11 homes
OPCO SKILLED MANAGEMENT 68 homes
OPTALIS HEALTH & REHABILITATION 36 homes
OPTIMA CARE 8 homes
OTTERBEIN SENIORLIFE 20 homes

P

PACIFIC HEALTHCARE HOLDINGS 15 homes
PACIFIC RETIREMENT SERVICES 10 homes
PACS GROUP 275 homes
PALLADIAN HEALTHCARE 6 homes
PALM GARDEN HEALTH AND REHABILITATION 14 homes
PARADIGM HEALTHCARE 17 homes
PARADIGM SENIOR MANAGEMENT 8 homes
PARAGON HEALTHNET 11 homes
PARAMOUNT CARE CENTERS 10 homes
PARAMOUNT HEALTHCARE 8 homes
PARAMOUNT HEALTHCARE CONSULTANTS 14 homes
PAVILION HEALTHCARE 5 homes
PEAK RESOURCES, INC. 8 homes
PEARL HEALTHCARE 15 homes
PERSONAL HEALTHCARE MANAGEMENT 21 homes
PHILOSOPHY CARE CENTERS 3 homes
PHOENIX HEALTHCARE 6 homes
PIONEER HEALTHCARE MANAGEMENT 9 homes
PIVOTAL HEALTH CARE 9 homes
PLAINVIEW HEALTHCARE PARTNERS 9 homes
PLANTATION MANAGEMENT COMPANY 16 homes
POINTE MANAGEMENT 12 homes
POLLAK HOLDINGS 6 homes
PRATAP PODDATOORI 6 homes
PREFERRED CARE 13 homes
PREMIER HEALTHCARE OF ILLINOIS 3 homes
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA 5 homes
PRESBYTERIAN HOMES & SERVICES 21 homes
PRESBYTERIAN MANORS OF MID-AMERICA 13 homes
PRESBYTERIAN SENIOR LIVING 11 homes
PRESBYTERIAN SENIORCARE NETWORK 5 homes
PRESTIGE ADMINISTRATIVE SERVICES 9 homes
PRESTIGE CARE CENTER 3 homes
PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES 15 homes
PRESTON HEALTH SERVICES 5 homes
PRIME HEALTH CARE ENTERPRISES 5 homes
PRIME HEALTHCARE 4 homes
PRINCIPLE LONG TERM CARE 40 homes
PRIORITY HEALTHCARE GROUP 12 homes
PRIORITY MANAGEMENT 38 homes
PROGRESSIVE HEALTH CARE CENTERS 5 homes
PROGRESSIVE QUALITY CARE 11 homes
PROVIDENCE HEALTH & SERVICES 8 homes
PRUITTHEALTH 96 homes
PUREHEALTH 8 homes
PURSUE HEALTH 7 homes

Q

QUALITY LIFE SERVICES 10 homes

R

REAL PROPERTY HEALTH FACILITIES 9 homes
RECOVER-CARE HEALTHCARE 27 homes
REGALCARE 9 homes
REGENCY PACIFIC MANAGEMENT 27 homes
REGIONAL HEALTH PROPERTIES 5 homes
REHAB SELECT 5 homes
REHABILITATION ASSOCIATES 6 homes
RELIABLE HEALTH CARE MANAGEMENT 6 homes
RELIANT CARE MANAGEMENT 34 homes
RENNES GROUP 6 homes
RESIDENTIAL ALTERNATIVES OF ILLINOIS 7 homes
RIGHTCARE HEALTH SERVICES 13 homes
RILEY SPENCE SENIOR LIVING 5 homes
RIVERSIDE HEALTH SYSTEM 6 homes
RMG CAPITAL PARTNERS 9 homes
ROBERT SCHOENFELD 8 homes
ROCHESTER REGIONAL HEALTH 5 homes
ROCKWELL HEALTHCARE 5 homes
ROCKY MOUNTAIN CARE 10 homes
ROLLINS-NELSON HEALTHCARE MANAGEMENT 8 homes
ROYAL HEALTH GROUP 12 homes
RUBY HEALTHCARE 7 homes
RURAL HEALTH DEVELOPMENT 9 homes
RYDERS HEALTH MANAGEMENT 7 homes

S

SABA HEALTHCARE 11 homes
SABER HEALTHCARE GROUP 126 homes
SAINT THERESE SENIOR COMMUNITIES 4 homes
SANDSTONE HEALTHCARE GROUP 3 homes
SANFORD HEALTH 4 homes
SANSTONE HEALTH & REHABILITATION 18 homes
SANTE 5 homes
SAPPHIRE CARE GROUP 8 homes
SAPPHIRE HEALTH SERVICES 8 homes
SEKY HOLDING CO. 9 homes
SENIOR HEALTH SOUTH 8 homes
SENIOR LIFESTYLE 4 homes
SENIOR LIVING COMMUNITIES 9 homes
SERENITY ESTATES 5 homes
SERRANO GROUP 11 homes
SHAFIQ MALIK 9 homes
SHIMON LEFKOWITZ 5 homes
SHLOMO HOFFMAN 10 homes
SIGNATURE HEALTHCARE 67 homes
SIMCHA HYMAN & NAFTALI ZANZIPER 79 homes
SKYBLUE HEALTHCARE 12 homes
SLP OPERATIONS 7 homes
SMP HEALTH 5 homes
SOL HEALTHCARE 8 homes
SOLARIS HEALTHCARE 22 homes
SOUTHERN ADMINISTRATIVE SERVICES 35 homes
SOUTHWEST LTC 10 homes
SOVEREIGN HEALTHCARE HOLDINGS 43 homes
SPRENGER HEALTH CARE SYSTEMS 12 homes
SPRINGPOINT SENIOR LIVING 8 homes
SPYGLASS HEALTHCARE 10 homes
ST. FRANCIS HEALTH SERVICES 14 homes
STATE OF NEW YORK COMPTROLLER'S OFFICE 7 homes
STEIN LTC 4 homes
STELLAR HEALTH GROUP 7 homes
STELLAR SENIOR LIVING 7 homes
STERLING CARE 6 homes
STERLING HEALTHCARE 5 homes
STERN CONSULTANTS 22 homes
STONEBRIDGE SENIOR LIVING 12 homes
STONEGATE SENIOR LIVING 24 homes
STONEHENGE OF UTAH 5 homes
SUMMIT CARE 22 homes
SUMMIT HEALTHCARE CONSULTING 9 homes
SUNRISE SENIOR LIVING 4 homes
SUNTERRA SPRINGS 4 homes
SWEETWATER CARE 8 homes
SYMPHONY CARE NETWORK 7 homes
SYNERGY SENIOR CARE 5 homes

T

TANABELL HEALTH SERVICES 5 homes
TENNESSEE STATE VETERANS' HOME 5 homes
TEXVET 9 homes
THE ALDEN NETWORK 27 homes
THE BEEBE FAMILY 48 homes
THE BLOSSOMS REHAB & NURSING CENTER 23 homes
THE CARPENTER HEALTH NETWORK 4 homes
THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS 20 homes
THE ENSIGN GROUP 344 homes
THE GOODMAN GROUP 9 homes
THE GRAND HEALTHCARE 16 homes
THE LOFT REHABILITATION AND NURSING 7 homes
THE MANDELBAUM FAMILY 18 homes
THE MAYER FAMILY 11 homes
THE MCGUIRE GROUP 6 homes
THE ORCHARDS MICHIGAN 15 homes
THE PAVILION GROUP 6 homes
THE PEPLINSKI GROUP 10 homes
THE ROSENBERG FAMILY 16 homes
THE SHERMAN FAMILY 7 homes
THE SPRINGS ARKANSAS 26 homes
THE WELLBRIDGE GROUP 8 homes
TLC MANAGEMENT 20 homes
TOUCHSTONE COMMUNITIES 25 homes
TRANSITIONS HEALTHCARE 6 homes
TRAYLOR PORTER HEALTHCARE 5 homes
TREND CONSULTANTS 15 homes
TRILOGY HEALTH SERVICES 127 homes
TRINITY HEALTH 19 homes
TRINITY MANAGEMENT, INC. 5 homes
TRIO HEALTHCARE 9 homes
TUTERA SENIOR LIVING & HEALTH CARE 25 homes
TWIN RIVERS HEALTH & REHABILITATION 11 homes

U

UNITED CHURCH HOMES 9 homes
UNIVERSITY OF VERMONT HEALTH NETWORK 3 homes
UNLIMITED DEVELOPMENT, INC. 10 homes
UPMC SENIOR COMMUNITIES 6 homes
UPSTATE SERVICES GROUP 17 homes

V

VALLEY WEST HEALTH 12 homes
VANCREST HEALTH CARE CENTERS 13 homes
VANGUARD HEALTHCARE 6 homes
VANTAGE CARE 10 homes
VENTURA SERVICES 14 homes
VENZA CARE MANAGEMENT 26 homes
VERITAS MANAGEMENT GROUP 13 homes
VERTICAL HEALTH SERVICES 15 homes
VETTER SENIOR LIVING 22 homes
VI LIVING 10 homes
VIBRA HEALTHCARE 3 homes
VIERRA COMMUNITIES 3 homes
VILLA HEALTHCARE 21 homes
VIVAGE SENIOR LIVING 6 homes
VIVIE 5 homes
VIVO HEALTHCARE 12 homes
VOLARE HEALTH 16 homes
VOLUNTEERS OF AMERICA SENIOR LIVING 6 homes
VRC MANAGEMENT 5 homes

W

WECARE CENTERS 13 homes
WELLINGTON HEALTH CARE SERVICES 14 homes
WELLSENTIAL HEALTH 67 homes
WESLEYLIFE 10 homes
WEST HARBOR HEALTHCARE 9 homes
WESTERN HOME COMMUNITIES 6 homes
WESTMINSTER COMMUNITIES OF FLORIDA 9 homes
WILSON SENIOR CARE 5 homes
WINDSOR 22 homes
WINDSOR HOUSE, INC. 11 homes
WISCONSIN ILLINOIS SENIOR HOUSING, INC. 7 homes
WISSATI IRREVOCABLE TRUST 5 homes
WITHAM MEMORIAL HOSPITAL 5 homes
WLC MANAGEMENT FIRM 18 homes
WVU MEDICINE 7 homes

Y

YAD HEALTHCARE 13 homes
YYAM HOLDINGS 4 homes

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 11 October 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.