Nursing Home Penalty Ledger

Chains

611 chains, and the 10,184 homes CMS lists under them in its provider file of 2026-09-01. Listed alphabetically and not ranked: a total is not a rate, and a chain with more homes has more of everything.

These are the homes CMS lists under each chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against each chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.

ChainHomesHomes penalised
603 Healthcare74
Aaron Mayer77
Abraham Bak & Menachem Gastwirth1917
Abraham Smilow77
Absolut Care53
Accela Healthcare44
Accolade Healthcare66
Accura Healthcare4136
Acts Retirement-life Communities2727
Adams County Memorial Hospital98
Advanced Health Care2623
Advanced Health Care Management65
Advanced Healthcare Solutions2827
Advena Living Communities66
Adventist Health53
Adviniacare1414
Ahava Healthcare1614
Ahmc Healthcare54
Ajc Healthcare1413
Akiko Ike66
Alaris Health85
Aliya Healthcare1414
Allaire Health Services2120
Alliance Health & Human Services86
Alliance Health Group1313
Allure Group61
Allure Healthcare Services1514
Altercare2218
Ama Holdings1313
Ambassador Health43
American Baptist Homes of the Midwest66
American Health Foundation55
American Senior Communities9074
Americare Senior Living2320
Anthony & Bryan Adams3831
Aom Healthcare2019
Aperion Care3332
Apple Rehab2020
Arabella Healthcare Management1211
Arbors at Ohio1616
Arcadia Care2525
Archcare74
Aristacare99
Ark Post Acute Network44
Asbury Communities54
Ascension Living1212
Ascent Healthcare Management66
Aspen Skilled Healthcare3534
Aspire Senior Living1615
Aston Health3834
Athena Healthcare Systems1919
Atied Associates1211
Atlas Healthcare3029
Atrium Centers2625
Atrium Health55
August Healthcare66
Autumn Lake Healthcare5954
Avalon Health Care1615
Avamere2727
Avante Centers119
Avardis Health3834
Aventura Health Group1111
Avera Health1311
Aviata Health Group5050
Avid Healthcare Group1111
Avina Healthcare99
Avir Health Group118110
Avon Healthcare99
Axiom Healthcare88
Ayden Healthcare1111
Azria Health99
Azure Healthcare66
Ball Healthcare Services98
Banecare Management76
Bao Opco Holdings55
Bayshire Senior Communities77
Beacon Health Management1110
Beaver Valley Hospital55
Bedford Care Centers77
Bedrock Healthcare99
Benedictine Health System2321
Benjamin Landa4837
Best Care Services1010
Bgm Estate1515
Bhi Senior Living98
Bjc Healthcare43
Blue Ridge Healthcare33
Blue Sky Basin, LLC54
Bluegrass Health Ky1512
Bonamour Health Group55
Boncrest Resource Group55
Bradford Montgomery1111
Bria Health Services1010
Briar Hill Management65
Brickyard Healthcare2321
Bridges Health3332
Brighton Healthcare88
Brookdale Senior Living1211
Bvhc, LLC1212
C. Ross Management55
Cadia Healthcare55
Caldera Care65
Cambridge Healthcare Services3230
Campbell Street Services2424
Cantex Continuing Care3734
Caraday Healthcare87
Cardon & Associates1916
Care & Rehab64
Care Initiatives4339
Carecore Health1210
Careone3730
Carerite Centers3428
Carespring1611
Caring Healthcare Group1414
Caring Place Healthcare Group54
Carlyle Senior Care76
Carmelite Sisters for the Aged & Infirm99
Carmelite Sisters for the Aged and Infirmed32
Carrolton Nursing Homes66
Casa Consulting77
Cascades Healthcare1919
Cascadia Healthcare4745
Cassena Care1310
Cassia1615
Castle Healthcare66
Catholic Charities New Hampshire65
Cavalier Healthcare44
Cch Healthcare3331
Cedar View Holdings99
Celebrate Senior Living33
Centennial Healthcare88
Center Management Group1713
Centers Health Care3628
Central Arkansas Nursing Centers3830
Central Management Company2119
Century Care Management77
Century Healthcare99
Certus Healthcare1414
Chambers County Public Hospital District No. 177
Champion Care2222
Charis Trust Dtd 12/22/1666
Charleston Healthcare Group44
Chelsea Jewish Lifecare55
Ciena Healthcare/laurel Health Care8173
Circle B Enterprises3627
Citadel Care Centers53
Citadel Healthcare1614
Citizens Memorial Health Care63
Citrus Wellness Centre55
Civita Care Centers66
Clear Choice Healthcare88
Colev Gestetner74
Commcare Corporation1917
Commonspirit Health1817
Commonwealth Care of Roanoke126
Communicare Health110100
Community Care Centers86
Community Eldercare Services1715
Compass Health, Inc.73
Complete Care8580
Concordia Lutheran Ministries88
Conhold55
Consulate Health Care/independence Living Centers/nspire Healthcare/raydiant Health Care1110
Continuing Healthcare Solutions1212
Continuing Life66
Continuum Healthcare1313
Core Healthcare75
Corewell Health63
Corporate Interface Services4040
Coryell County Memorial Hospital Authority99
Country Club Rehabilitation Campus76
Covenant Care1110
Covenant Health87
Covenant Living1512
Creative Solutions in Healthcare149145
Crest Healthcare Consulting1111
Crestpark65
Cross Healthcare Management65
Crossroads Medical Management65
Crown Healthcare Group99
Crowne Health Care189
Crystal Solorzano99
Csj Initiatives21
Cura88
Cypress Healthcare Group1312
Cypress Skilled Nursing54
Dallas County Hospital District55
David Johnson4836
David Marx108
David Oberlander77
Delmar Gardens1211
Diocesan Health Facilities55
Diversicare Healthcare4439
Divine Healthcare Management99
Dove Healthcare119
Eastern Healthcare Group1818
Ebenezer Senior Living66
Ecc Trust33
Ecumen55
Eden Healthcare77
Eden Senior Care2118
Edgewood Convalescent Home53
Eduro Healthcare3433
Elder Outreach Nursing & Rehabilitation54
Elder Services66
Elderwood1715
Elevate Care1414
Elevation Healthcare66
Eliyahu Mirlis1413
Elmbrook Management Company119
Embassy Healthcare3333
Emerald Healthcare1413
Empire Care Centers2120
Encore Health Partners1211
Engage Healthcare54
Envive Healthcare1310
Ephram Lahasky2221
Epic Healthcare Management52
Episcopal Retirement Homes, Inc.33
Erickson Senior Living1716
Essentia Health66
Essential Healthcare66
Ethica Health5034
Eva Care Group99
Evercare Skilled Nursing99
Evergreen Healthcare Group4343
Evertrue52
Everyage Senior Living32
Excelcare88
Excelsior Care Group3329
Exceptional Living Centers109
Extended Care Clinical99
Family of Caring Healthcare88
Fannin County Hospital District55
Felician Services33
First Atlantic Healthcare109
Fl Snf Trust109
Florida Department of Veterans' Affairs75
Florida Institute for Long-term Care1715
Focused Post Acute Care Partners2525
Foundations Health Solutions6446
Foursquare Healthcare109
Franciscan Communities66
Franciscan Sisters of Christian Charity31
Friends Services for the Aging54
Front Porch98
Frontline Management99
Fundamental Healthcare6664
Future Care/lifebridge Health1815
Garden Healthcare Group66
Garden Springs Healthcare66
Generations Healthcare2718
Generations Healthcare Network44
Genesis Healthcare184158
Gold Fl Trust II3633
Golden Snf Operations77
Goldwater Care1111
Good Samaritan Society9281
Grace Team Services98
Green Tree Health Management88
Green Tree Healthcare Management44
Greenbrier Senior Living21
Greencroft Communities55
Gulf Coast Ltc Partners2020
Guthrie22
Hamilton County Hospital District109
Harborview Health Systems2221
Harmony Care Group66
Haven Health2018
Haven Healthcare88
Hawaii Health Systems Corporation76
Hca Healthcare31
Hcf Management2217
Hcf Management Indiana64
Health Care Facility Management, LLC55
Health Dimensions Group108
Health Services Management1615
Healthpeak Properties, Inc.1514
Hearthstone Senior Communities88
Helia Healthcare1311
Heritage Hall1510
Heritage Ministries33
Heritage Operations Group99
Highbridge Healthcare65
Hill Valley Healthcare4340
Hillstone Healthcare97
Hmg Healthcare3129
Homewood Retirement Centers44
Humangood1717
Huntsville Hospital Health System32
Hurlbut Care136
Icare Consulting Services77
Icare Health Network1210
Ide Management Group1010
Ignite Medical Resorts2218
Ihs Management Consultants55
Il & Joan Lee44
Illuminus55
Immanuel31
Imperial Healthcare Group99
Infinite Care88
Infinity Healthcare Consulting7062
Ingleside Engaged Living22
Inspired Healthcare Management65
Integritus Healthcare1414
Integrity Healthcare Communities54
Ivy Healthcare Group44
Jag Healthcare98
James & Judy Lincoln5641
Jenmax Group77
Jericho Care Group76
Jonathan Bleier1815
Journey Healthcare3330
Juckette Family Homes65
Juniper Communities33
Justliving Communities21
Kadima Healthcare Group1414
Kalesta Healthcare Group1919
Kendal54
Key Health Management77
Kindred Healthcare44
Kingston Healthcare21
Kisco Senior Living21
Lantis Enterprises55
Lecom Senior Living55
Legacy Health Services1010
Legacy Healthcare9582
Legacy Nursing & Rehabilitation1111
Liberty Senior Living3736
Life Care Centers of America194173
Life Care Services4332
Lifepoint Health86
Lifespace Communities1514
Lifespark44
Lifeworks Rehab6456
Lineage Healthcare55
Links Healthcare Group3228
Lionstone Care2423
Little Sisters of the Poor44
Lme Family Holdings1515
Long Peak Operating Company88
Longwood Management Corporation3838
Lorien Health Services87
Lutheran Services Carolinas98
Lyon Healthcare1212
Madison Creek Partners1313
Magnolia Manor Senior Living54
Maine Veterans' Home53
Majestic Care2626
Major Hospital75
Maple Springs Living33
Mariner Health Care1717
Marquis Companies1514
Marquis Health Services9081
Marsh Pointe Management66
Mather Senior Living Communities22
Maximus Healthcare Group77
Mb Healthcare1212
Medicalodges, Inc.1817
Medilodge5351
Mercyhealth System32
Methodist Retirement Communities66
Mgm Healthcare2726
Michael Feist76
Michael Slyk77
Midwest Health118
Millennium Health Systems43
Miller's Merry Manor149
Mission Health Communities2928
Mission Health Services76
Mission Point Healthcare Services1414
Mississippi Care Center54
Ml Healthcare66
Mo Op Holdco, LLC97
Momentum Skilled Services98
Monarch Healthcare Management4542
Monument Health Group1111
Mordechai Weisz76
Nahs1210
National Health Care Associates4237
National Healthcare Corporation7155
National Lutheran Communities & Services22
Nationwide Healthcare Services77
Neurorestorative54
New York City Health + Hospitals54
Nexcare Health Systems2018
Nexion Health5147
Next Step Healthcare1414
Nhs Management4323
Nightingale55
Noland Health107
Norbert Bennett & Donald Denz22
North Country Associates96
North Mississippi Health Services21
North Shore Healthcare5956
Northwood Healthcare Group66
Nursing Care Management of America43
O'neill Healthcare64
Oakbend Medical Center55
Ocean Healthcare1111
Ohana Pacific Management Co.65
Ohio Living Communities1110
Oklahoma Nursing Homes, Ltd.77
Onyx Health1110
Opco Skilled Management6867
Optalis Health & Rehabilitation3636
Optima Care88
Osbycorp22
Otterbein Seniorlife2017
Pacific Healthcare Holdings1515
Pacific Retirement Services1010
Pacs Group275256
Palladian Healthcare66
Palm Garden Health and Rehabilitation1414
Paradigm Healthcare1716
Paradigm Senior Management83
Paragon Healthnet1110
Paramount Care Centers109
Paramount Healthcare88
Paramount Healthcare Consultants1412
Pavilion Healthcare55
Peak Resources, Inc.88
Pearl Healthcare1515
Personal Healthcare Management2117
Philosophy Care Centers33
Phoenix Healthcare66
Phoenix Senior Living22
Pioneer Healthcare Management99
Pivotal Health Care96
Plainview Healthcare Partners99
Plantation Management Company1615
Pointe Management1212
Pollak Holdings66
Pratap Poddatoori66
Preferred Care1313
Premier Healthcare of Illinois33
Presbyterian Communities of South Carolina51
Presbyterian Homes & Services2115
Presbyterian Manors of Mid-america1312
Presbyterian Senior Living1110
Presbyterian Seniorcare Network55
Prestige Administrative Services99
Prestige Care Center33
Prestige Healthcare Administrative Services1510
Preston Health Services52
Prime Health Care Enterprises53
Prime Healthcare43
Principle Long Term Care4037
Priority Healthcare Group1210
Priority Management3835
Progressive Health Care Centers52
Progressive Quality Care1111
Promontory Healthcare Management22
Providence Health & Services88
Pruitthealth9673
Purehealth88
Pursue Health77
Quality Life Services109
Real Property Health Facilities96
Recover-care Healthcare2725
Regalcare98
Regency Care22
Regency Pacific Management2725
Regional Health Properties55
Rehab Select52
Rehabilitation Associates65
Reliable Health Care Management65
Reliant Care Management3434
Rennes Group64
Residential Alternatives of Illinois76
Rhg Healthcare Services22
Rightcare Health Services1311
Riley Spence Senior Living55
Riverside Health System64
Rmg Capital Partners99
Robert Schoenfeld88
Rochester Regional Health51
Rockwell Healthcare55
Rocky Mountain Care1010
Rollins-nelson Healthcare Management88
Royal Health Group1212
Ruby Healthcare77
Rural Health Development97
Ryders Health Management77
Saba Healthcare1111
Saber Healthcare Group126111
Saint Therese Senior Communities42
Sandstone Healthcare Group33
Sanford Health44
Sanstone Health & Rehabilitation1817
Sante55
Sapphire Care Group88
Sapphire Health Services88
Seky Holding Co.98
Senior Health South86
Senior Lifestyle43
Senior Living Communities99
Serenity Estates55
Serrano Group1111
Shafiq Malik99
Shimon Lefkowitz55
Shlomo Hoffman1010
Signature Healthcare6754
Simcha Hyman & Naftali Zanziper7970
Skyblue Healthcare1211
Slp Operations77
Smp Health55
Sol Healthcare86
Solaris Healthcare2219
Southern Administrative Services3533
Southwest Ltc109
Sovereign Healthcare Holdings4334
Sprenger Health Care Systems129
Springpoint Senior Living87
Spyglass Healthcare1010
Ssm Health21
St. Francis Health Services1414
State of New York Comptroller's Office74
Stein Ltc44
Stellar Health Group77
Stellar Senior Living77
Sterling Care66
Sterling Healthcare55
Stern Consultants2222
Stonebridge Senior Living128
Stonegate Senior Living2423
Stonehenge of Utah55
Summit Care2220
Summit Healthcare Consulting99
Sunrise Senior Living44
Sunterra Springs44
Sweetwater Care88
Symphony Care Network77
Synergy Senior Care55
Tanabell Health Services54
Tennessee State Veterans' Home53
Texvet99
The Alden Network2724
The Beebe Family4845
The Blossoms Rehab & Nursing Center2321
The Carpenter Health Network44
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers2019
The Christian and Missionary Alliance21
The Ensign Group344314
The Goodman Group98
The Grand Healthcare1616
The Loft Rehabilitation and Nursing77
The Mandelbaum Family1816
The Mayer Family119
The Mcguire Group64
The Orchards22
The Orchards Michigan1515
The Pavilion Group66
The Peplinski Group109
The Rosenberg Family1613
The Sherman Family76
The Springs Arkansas2626
The Wellbridge Group88
Tlc Management2018
Touchstone Communities2521
Transitions Healthcare66
Traylor Porter Healthcare53
Trend Consultants1512
Trilogy Health Services127119
Trinity Health1916
Trinity Management, Inc.52
Trio Healthcare99
Tutera Senior Living & Health Care2524
Twin Rivers Health & Rehabilitation113
United Church Homes97
United Methodist Homes22
University of Vermont Health Network33
Unlimited Development, Inc.1010
Upmc Senior Communities66
Upstate Services Group1713
Valley West Health129
Vancrest Health Care Centers1312
Vanguard Healthcare62
Vantage Care1010
Ventura Services1414
Venza Care Management2620
Veritas Management Group1312
Vertical Health Services1515
Vetter Senior Living2214
Vi Living108
Vibra Healthcare33
Vierra Communities32
Villa Healthcare2121
Vivage Senior Living66
Vivie55
Vivo Healthcare1212
Volare Health1615
Volunteers of America Senior Living66
Vrc Management54
Wecare Centers1313
Wellington Health Care Services1414
Wellsential Health6765
Wesleylife108
West Harbor Healthcare99
Western Home Communities65
Westminster Communities of Florida99
Wilson Senior Care53
Windsor2221
Windsor House, Inc.118
Wisconsin Illinois Senior Housing, Inc.77
Wissati Irrevocable Trust55
Witham Memorial Hospital55
Wlc Management Firm1817
Wvu Medicine75
Yad Healthcare1313
Yyam Holdings44

This page states records; it is not legal advice and makes no finding about the care at any home or the conduct of any company. Sources, all public domain: CMS Provider Information (chain names), CMS's monthly archive of the Provider Data Catalog (penalties), and Skilled Nursing Facility Change of Ownership (owner dates). Found an error? Open an issue at the repository; every figure is checked against the CMS edition it comes from and corrected there.