facebook tracking Nursing Home Chains: 612 Chains by CMS Rating (2026)
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Nursing home chains

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612 nursing home chains have two or more homes, according to CMS data as of October 2026. Together they account for 10,227 homes, and 70% of all 14,686 US nursing homes are affiliated with a chain. The largest is The Ensign Group, with 347 homes in 17 states.

Affiliation comes from CMS's affiliated-entity data; it doesn't mean the chain operates every home day to day. Average ratings are the plain average of each chain's homes' CMS overall star ratings (US: 3.1).

All nursing home chains

The Ensign Group 347 17 3.3 28 0
PACS Group 277 16 3.0 29 2
Life Care Centers of America 194 26 3.4 14 0
Genesis Healthcare 183 18 2.4 28 5
Creative Solutions In Healthcare 150 1 2.4 14 0
Trilogy Health Services 127 5 4.2 0 0
Saber Healthcare Group 126 6 3.0 13 0
Avir Health Group 118 1 2.3 17 0
Communicare Health 109 5 3.3 12 0
Pruitthealth 97 4 3.1 2 0
Legacy Healthcare 96 4 3.0 13 1
Good Samaritan Society 92 9 3.0 6 2
American Senior Communities 90 1 3.9 7 0
Marquis Health Services 90 9 3.0 11 0
Complete Care 85 8 3.3 6 0
Ciena Healthcare/Laurel Health Care 80 4 2.9 10 0
Simcha Hyman & Naftali Zanziper 79 6 2.8 4 0
National Healthcare Corporation 72 8 4.1 2 0
Infinity Healthcare Consulting 70 3 2.2 16 1
Opco Skilled Management 68 4 2.4 14 0
Signature Healthcare 67 5 3.1 3 0
Wellsential Health 67 1 2.8 6 0
Fundamental Healthcare 66 6 2.5 6 1
Foundations Health Solutions 64 1 4.2 0 0
Lifeworks Rehab 64 5 2.2 11 3
Autumn Lake Healthcare 59 5 2.9 5 0
North Shore Healthcare 57 4 2.8 2 0
James & Judy Lincoln 55 2 2.6 9 1
Medilodge 53 1 3.2 7 0
Nexion Health 51 3 2.3 5 1
Aviata Health Group 50 1 2.3 7 0
David Johnson 50 2 3.2 5 0
Ethica Health 50 1 3.5 3 0
Benjamin Landa 48 4 3.4 2 0
The Beebe Family 48 2 2.9 1 0
Cascadia Healthcare 47 5 3.2 2 1
Monarch Healthcare Management 45 1 2.1 6 0
Accura Healthcare 44 4 2.7 2 0
Diversicare Healthcare 44 5 2.7 1 0
Care Initiatives 43 1 3.0 1 0
Evergreen Healthcare Group 43 6 2.3 12 1
Hill Valley Healthcare 43 6 1.9 6 0
Life Care Services 43 18 4.2 0 0
Nhs Management 43 3 2.9 2 0
Sovereign Healthcare Holdings 43 3 3.8 2 0
National Health Care Associates 42 6 3.2 9 0
Corporate Interface Services 40 1 2.7 6 0
Anthony & Bryan Adams 38 2 3.9 2 0
Aston Health 38 1 2.7 1 0
Avardis Health 38 4 2.1 9 0
Central Arkansas Nursing Centers 38 2 3.6 1 0
Longwood Management Corporation 38 1 2.2 4 0
Priority Management 38 2 2.7 1 0
Cantex Continuing Care 37 1 3.3 2 0
Careone 37 4 3.5 1 0
Liberty Senior Living 37 2 2.9 1 0
Principle Long Term Care 37 2 3.0 3 0
Centers Health Care 36 2 2.3 7 0
Circle B Enterprises 36 2 2.6 5 0
Gold Fl Trust II 36 1 3.4 0 0
Optalis Health & Rehabilitation 36 2 2.5 8 0
Aspen Skilled Healthcare 35 2 3.7 2 0
Reliant Care Management 35 2 1.3 15 2
Southern Administrative Services 35 1 3.9 0 0
Carerite Centers 34 4 3.8 1 0
Eduro Healthcare 34 7 2.4 4 0
Journey Healthcare 34 4 1.8 2 2
Aperion Care 33 2 2.1 8 0
Bridges Health 33 1 3.4 0 0
Cch Healthcare 33 3 2.7 2 0
Embassy Healthcare 33 2 2.1 3 0
Excelsior Care Group 33 3 2.8 1 0
Cambridge Healthcare Services 32 1 2.6 1 1
Links Healthcare Group 32 2 3.1 2 0
Hmg Healthcare 31 2 3.2 3 0
Atlas Healthcare 30 4 3.5 0 0
Venza Care Management 30 8 2.4 0 0
Majestic Care 29 3 2.6 3 0
Mission Health Communities 29 3 3.0 2 0
Advanced Healthcare Solutions 28 1 3.0 1 0
Lionstone Care 28 1 2.8 1 0
Acts Retirement-Life Communities 27 9 4.9 0 0
Avamere 27 2 3.3 0 0
Generations Healthcare 27 2 4.2 3 0
Mgm Healthcare 27 2 2.4 3 0
Recover-Care Healthcare 27 3 2.6 1 0
Regency Pacific Management 27 3 4.0 3 0
The Alden Network 27 2 2.9 7 0
Advanced Health Care 26 11 4.7 1 0
Atrium Centers 26 4 2.9 4 0
The Springs Arkansas 26 1 3.5 1 0
Arcadia Care 25 2 1.7 10 2
Campbell Street Services 25 3 2.0 4 1
Focused Post Acute Care Partners 25 1 2.0 5 0
Touchstone Communities 25 1 2.8 1 0
Stonegate Senior Living 24 2 2.5 1 0
Tutera Senior Living & Health Care 24 5 2.3 10 0
Americare Senior Living 23 2 3.6 3 0
Benedictine Health System 23 4 2.8 3 0
Brickyard Healthcare 23 1 2.7 2 0
Champion Care 23 3 2.4 1 1
The Blossoms Rehab & Nursing Center 23 1 2.6 4 0
Altercare 22 1 3.2 1 0
Ephram Lahasky 22 9 1.8 3 2
Harborview Health Systems 22 3 2.1 2 1
Hcf Management 22 2 2.9 0 0
Ignite Medical Resorts 22 6 3.0 0 0
Solaris Healthcare 22 1 4.1 1 0
Stern Consultants 22 3 2.7 2 0
Summit Care 22 1 3.3 4 0
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers 22 3 1.8 9 1
Vetter Senior Living 22 2 4.1 0 0
Windsor 22 1 2.5 7 0
Allaire Health Services 21 4 2.8 4 2
Central Management Company 21 1 2.7 2 0
Eden Senior Care 21 3 2.5 2 0
Empire Care Centers 21 1 1.8 3 0
Personal Healthcare Management 21 2 2.9 0 0
Presbyterian Homes & Services 21 3 4.2 1 0
Villa Healthcare 21 2 2.6 3 0
Aom Healthcare 20 1 2.9 1 0
Apple Rehab 20 2 1.9 3 0
Gulf Coast Ltc Partners 20 1 2.4 0 0
Haven Health 20 1 2.9 9 0
Nexcare Health Systems 20 1 4.0 2 0
Otterbein Seniorlife 20 2 3.4 0 0
Tlc Management 20 3 3.9 1 0
Abraham Bak & Menachem Gastwirth 19 1 2.6 0 0
Athena Healthcare Systems 19 2 1.6 4 0
Cardon & Associates 19 1 3.7 0 0
Cascades Healthcare 19 4 2.1 4 0
Citadel Healthcare 19 2 3.2 1 0
Commcare Corporation 19 2 3.5 0 0
Kalesta Healthcare Group 19 3 2.6 4 0
Commonspirit Health 18 9 2.7 3 0
Crowne Health Care 18 1 4.2 1 0
Eastern Healthcare Group 18 1 1.5 5 0
Future Care/Lifebridge Health 18 1 3.9 1 0
Jonathan Bleier 18 4 2.4 5 0
Medicalodges, INC. 18 3 2.6 2 0
Sanstone Health & Rehabilitation 18 1 4.3 0 0
The Mandelbaum Family 18 2 3.2 2 0
Trinity Health 18 8 3.4 2 0
Wlc Management Firm 18 1 2.8 2 0
Center Management Group 17 4 3.4 0 0
Community Eldercare Services 17 2 2.1 2 1
Elderwood 17 3 2.2 4 0
Erickson Senior Living 17 10 4.4 0 0
Florida Institute For Long-Term Care 17 1 2.2 1 0
Humangood 17 7 4.5 1 0
Mariner Health Care 17 1 3.5 2 0
Paradigm Healthcare 17 2 2.1 4 3
Upstate Services Group 17 1 2.0 2 1
Ahava Healthcare 16 4 2.4 0 0
Ajc Healthcare 16 2 2.4 6 0
Arbors at Ohio 16 1 3.0 4 0
Aspire Senior Living 16 1 2.1 1 0
Avalon Health Care 16 5 3.6 0 0
Carespring 16 2 4.3 0 0
Cassia 16 4 4.5 0 0
Covenant Living 16 11 4.6 1 0
Health Services Management 16 2 3.1 3 0
Plantation Management Company 16 1 1.8 0 0
The Grand Healthcare 16 1 2.1 1 0
The Rosenberg Family 16 5 2.9 2 0
Volare Health 16 3 1.6 2 2
Allure Healthcare Services 15 1 2.7 5 0
Bgm Estate 15 1 1.9 1 0
Bluegrass Health Ky 15 1 3.1 0 0
Healthpeak Properties, INC. 15 6 3.8 0 0
Heritage Hall 15 1 4.0 0 0
Lifespace Communities 15 7 4.6 0 0
Lme Family Holdings 15 4 2.3 0 0
Marquis Companies 15 3 4.1 0 0
Pacific Healthcare Holdings 15 1 2.1 3 0
Pearl Healthcare 15 1 2.7 2 0
Prestige Healthcare Administrative Services 15 3 3.3 2 0
The Orchards Michigan 15 1 1.7 3 0
Trend Consultants 15 1 3.3 0 0
Vertical Health Services 15 3 2.1 3 0
Adviniacare 14 3 1.9 2 0
Aliya Healthcare 14 1 2.2 4 0
Caring Healthcare Group 14 1 2.8 0 0
Certus Healthcare 14 2 1.9 3 1
Elevate Care 14 2 2.3 5 0
Eliyahu Mirlis 14 3 1.9 2 0
Emerald Healthcare 14 3 1.3 2 1
Integritus Healthcare 14 1 2.9 0 0
Kadima Healthcare Group 14 1 2.0 4 1
Miller's Merry Manor 14 1 3.7 1 0
Mission Point Healthcare Services 14 1 3.0 1 0
Next Step Healthcare 14 1 1.7 0 0
Palm Garden Health and Rehabilitation 14 1 3.1 2 0
Paramount Healthcare Consultants 14 2 2.4 0 0
Spyglass Healthcare 14 1 3.1 3 0
St. Francis Health Services 14 1 2.9 2 0
Ventura Services 14 1 3.3 0 0
Wellington Health Care Services 14 4 1.9 1 0
Yad Healthcare 14 3 1.5 1 1
Alliance Health Group 13 1 1.9 2 0
Ama Holdings 13 1 1.9 2 0
Avera Health 13 3 4.1 1 0
Cassena Care 13 1 4.0 0 0
Continuum Healthcare 13 6 2.5 1 0
Cypress Healthcare Group 13 1 4.0 1 0
Envive Healthcare 13 1 2.3 0 0
Helia Healthcare 13 2 2.2 2 0
Hurlbut Care 13 1 3.9 0 1
Lyon Healthcare 13 3 1.6 1 0
Madison Creek Partners 13 2 3.2 1 0
Preferred Care 13 2 3.6 0 0
Presbyterian Manors of Mid-America 13 2 3.9 0 0
Rightcare Health Services 13 1 2.8 1 0
Vancrest Health Care Centers 13 1 4.1 0 0
Veritas Management Group 13 5 4.2 0 0
Wecare Centers 13 2 2.1 1 1
Arabella Healthcare Management 12 2 2.5 2 0
Ascension Living 12 8 2.9 1 0
Atied Associates 12 3 2.1 3 0
Brookdale Senior Living 12 8 3.6 1 0
Bvhc, LLC 12 1 3.4 1 0
Carecore Health 12 1 2.5 0 0
Commonwealth Care of Roanoke 12 1 3.9 1 0
Continuing Healthcare Solutions 12 1 2.3 1 0
Delmar Gardens 12 4 3.1 0 0
Encore Health Partners 12 1 3.6 0 0
Icare Health Network 12 3 3.1 4 0
Mb Healthcare 12 2 3.9 0 0
Nahs 12 1 4.0 1 0
Pointe Management 12 3 1.3 5 0
Priority Healthcare Group 12 3 3.0 2 0
Royal Health Group 12 2 3.2 0 0
Skyblue Healthcare 12 2 2.3 2 0
Sprenger Health Care Systems 12 2 3.6 0 0
Stonebridge Senior Living 12 1 3.4 0 0
Valley West Health 12 2 3.3 1 0
Vivo Healthcare 12 1 2.4 1 0
Avante Centers 11 1 2.4 0 0
Aventura Health Group 11 3 1.9 2 1
Avid Healthcare Group 11 1 1.9 0 0
Ayden Healthcare 11 1 2.4 0 0
Beacon Health Management 11 2 1.5 1 0
Bradford Montgomery 11 2 2.6 3 1
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care 11 2 2.6 0 0
Dove Healthcare 11 1 3.5 0 0
Elmbrook Management Company 11 1 3.6 1 0
First Atlantic Healthcare 11 1 3.4 0 0
Goldwater Care 11 1 1.3 6 0
Legacy Nursing & Rehabilitation 11 2 1.6 1 0
Midwest Health 11 2 3.7 0 0
Monument Health Group 11 1 3.1 2 0
Ocean Healthcare 11 1 3.0 1 0
Ohio Living Communities 11 1 4.0 0 0
Onyx Health 11 1 4.2 0 0
Paragon Healthnet 11 1 4.5 0 0
Presbyterian Senior Living 11 3 3.3 1 0
Progressive Quality Care 11 1 2.8 0 0
Saba Healthcare 11 1 1.8 5 0
Serrano Group 11 1 2.1 1 0
The Mayer Family 11 3 2.8 1 0
Twin Rivers Health & Rehabilitation 11 1 3.8 0 0
Windsor House, INC. 11 1 3.7 0 0
Avina Healthcare 10 1 2.2 2 0
Best Care Services 10 2 2.4 1 0
Bria Health Services 10 1 1.5 5 0
Crest Healthcare Consulting 10 1 2.4 1 0
David Marx 10 1 2.9 1 0
Exceptional Living Centers 10 3 3.3 0 0
Fl SNF Trust 10 1 3.5 1 0
Foursquare Healthcare 10 1 3.0 0 0
Hamilton County Hospital District 10 1 2.7 1 0
Haven Healthcare 10 1 1.3 4 0
Health Dimensions Group 10 6 3.3 2 0
Ide Management Group 10 1 3.0 1 0
Legacy Health Services 10 1 3.4 1 0
Noland Health 10 1 2.7 0 0
Pacific Retirement Services 10 5 4.6 0 0
Paramount Care Centers 10 2 3.4 0 0
Quality Life Services 10 1 2.8 3 0
Regalcare 10 1 1.6 0 0
Rocky Mountain Care 10 2 3.0 0 0
Shlomo Hoffman 10 2 2.3 3 0
Southwest Ltc 10 2 2.3 0 0
The Peplinski Group 10 1 2.3 1 0
Unlimited Development, INC. 10 2 2.1 7 0
Vi Living 10 6 4.5 0 0
Wesleylife 10 1 3.6 0 0
Adams County Memorial Hospital 9 1 2.9 0 0
Aristacare 9 2 2.9 1 0
Avon Healthcare 9 1 2.1 2 0
Azria Health 9 2 1.4 1 0
Ball Healthcare Services 9 1 2.2 1 0
Bedrock Healthcare 9 3 1.2 2 0
Bhi Senior Living 9 3 4.0 0 0
Carmelite Sisters For the Aged & Infirm 9 8 3.0 2 0
Cedar View Holdings 9 2 1.1 1 0
Century Healthcare 9 1 1.9 4 0
Coryell County Memorial Hospital Authority 9 1 2.6 2 0
Crown Healthcare Group 9 1 2.4 1 0
Crystal Solorzano 9 1 2.2 3 0
Divine Healthcare Management 9 1 2.3 1 1
Eva Care Group 9 1 3.3 2 1
Evercare Skilled Nursing 9 1 1.1 7 0
Extended Care Clinical 9 1 2.2 1 0
Family of Caring Healthcare 9 1 3.4 0 0
Front Porch 9 1 4.8 0 0
Frontline Management 9 2 3.1 1 0
Grace Team Services 9 1 2.9 1 0
Heritage Operations Group 9 1 2.1 3 0
Hillstone Healthcare 9 1 3.8 0 0
Imperial Healthcare Group 9 1 2.2 2 0
Jag Healthcare 9 1 3.6 0 0
Lutheran Services Carolinas 9 1 3.6 1 0
Mo Op Holdco, LLC 9 1 2.7 2 0
Momentum Skilled Services 9 1 2.1 2 0
North Country Associates 9 1 3.0 0 0
Pioneer Healthcare Management 9 1 2.3 1 1
Pivotal Health Care 9 3 4.1 0 0
Plainview Healthcare Partners 9 3 1.9 1 1
Prestige Administrative Services 9 2 2.4 1 0
Real Property Health Facilities 9 3 3.3 1 0
Rmg Capital Partners 9 1 2.6 2 1
Rural Health Development 9 2 3.7 0 0
Seky Holding Co. 9 1 2.4 0 0
Senior Living Communities 9 5 4.3 0 0
Shafiq Malik 9 1 3.5 0 0
Summit Healthcare Consulting 9 1 2.3 3 0
Texvet 9 1 3.1 3 0
Trio Healthcare 9 1 1.7 0 0
United Church Homes 9 1 4.0 0 0
Vantage Care 9 1 2.6 0 0
West Harbor Healthcare 9 1 3.4 1 0
Westminster Communities of Florida 9 1 4.2 1 0
Alaris Health 8 1 2.9 0 0
Alliance Health & Human Services 8 1 3.8 0 0
Axiom Healthcare 8 1 1.6 4 0
Banecare Management 8 1 4.0 0 0
Brighton Healthcare 8 2 1.3 3 0
Caraday Healthcare 8 1 3.0 0 0
Centennial Healthcare 8 1 2.8 5 0
Clear Choice Healthcare 8 2 3.8 0 0
Community Care Centers 8 1 2.8 1 0
Concordia Lutheran Ministries 8 2 3.9 0 0
Covenant Health 8 4 2.9 0 0
Cura 8 1 2.6 2 0
Excelcare 8 2 2.3 1 0
Green Tree Health Management 8 5 3.4 1 0
Hearthstone Senior Communities 8 1 1.9 1 1
Lifepoint Health 8 6 4.0 1 0
Long Peak Operating Company 8 1 2.6 3 0
Lorien Health Services 8 1 3.6 0 0
Optima Care 8 3 2.9 0 0
Paradigm Senior Management 8 1 3.6 0 0
Paramount Healthcare 8 1 2.8 0 0
Peak Resources, INC. 8 1 3.4 0 0
Providence Health & Services 8 3 2.9 1 0
Purehealth 8 2 3.3 2 0
Robert Schoenfeld 8 1 3.0 0 0
Rollins-Nelson Healthcare Management 8 1 2.6 2 0
Sapphire Care Group 8 1 2.5 0 0
Sapphire Health Services 8 1 2.4 2 0
Senior Health South 8 1 2.0 0 0
Sol Healthcare 8 1 2.8 1 0
Springpoint Senior Living 8 2 4.1 0 0
Sweetwater Care 8 2 2.4 2 1
The Goodman Group 8 4 3.6 0 0
The Wellbridge Group 8 1 4.0 1 0
603 Healthcare 7 2 3.6 0 0
Aaron Mayer 7 1 3.1 1 0
Abraham Smilow 7 1 1.6 2 0
Archcare 7 1 3.6 1 0
August Healthcare 7 2 3.1 0 0
Bayshire Senior Communities 7 1 3.7 0 0
Bedford Care Centers 7 1 2.6 1 0
Carlyle Senior Care 7 1 1.9 1 0
Casa Consulting 7 1 1.2 1 1
Century Care Management 7 1 4.4 0 0
Chambers County Public Hospital District No. 1 7 1 3.5 1 1
Colev Gestetner 7 4 4.4 0 0
Compass Health, INC. 7 1 5.0 0 0
Core Healthcare 7 1 2.1 2 0
Country Club Rehabilitation Campus 7 1 3.0 2 0
Covenant Care 7 2 2.7 0 0
David Oberlander 7 1 1.6 0 0
Eden Healthcare 7 2 3.1 0 0
Florida Department of Veterans' Affairs 7 1 4.0 0 0
Hawaii Health Systems Corporation 7 1 4.8 0 0
Icare Consulting Services 7 1 1.3 5 0
Infinite Care 7 2 2.0 1 0
Jenmax Group 7 1 1.1 2 0
Jericho Care Group 7 1 2.5 1 0
Key Health Management 7 1 1.3 3 1
Major Hospital 7 1 3.2 0 1
Maximus Healthcare Group 7 2 4.4 0 0
Michael Feist 7 3 3.4 0 0
Michael Slyk 7 1 3.1 0 0
Mission Health Services 7 2 3.7 1 0
Mordechai Weisz 7 3 2.4 0 0
Nationwide Healthcare Services 7 2 2.6 3 0
Oklahoma Nursing Homes, Ltd. 7 1 2.3 1 0
Pursue Health 7 2 2.3 0 0
Reliable Health Care Management 7 1 2.7 0 0
Residential Alternatives of Illinois 7 2 3.1 0 0
Ruby Healthcare 7 1 3.0 2 0
Ryders Health Management 7 1 1.9 1 0
Slp Operations 7 1 2.1 1 0
State of New York Comptroller's Office 7 1 4.4 1 0
Stellar Health Group 7 2 3.3 0 0
Stellar Senior Living 7 1 2.0 3 0
Symphony Care Network 7 2 2.1 2 0
The Loft Rehabilitation and Nursing 7 1 1.9 4 0
The Pavilion Group 7 3 2.7 0 0
The Sherman Family 7 2 2.7 2 0
Wisconsin Illinois Senior Housing, INC. 7 2 1.8 1 1
Wvu Medicine 7 2 4.4 0 0
Accolade Healthcare 6 1 2.7 0 0
Advanced Health Care Management 6 2 3.2 0 0
Advena Living Communities 6 1 1.0 0 0
Akiko Ike 6 2 3.5 0 0
Allure Group 6 1 4.0 0 0
American Baptist Homes of the Midwest 6 5 2.2 1 0
Ascent Healthcare Management 6 1 2.2 0 0
Atrium Health 6 1 4.0 0 0
Azure Healthcare 6 1 2.0 0 0
Briar Hill Management 6 1 3.7 0 0
Caldera Care 6 1 3.0 1 0
Care & Rehab 6 2 3.7 0 0
Carrolton Nursing Homes 6 1 2.3 1 0
Castle Healthcare 6 1 2.8 0 0
Catholic Charities New Hampshire 6 1 3.3 0 0
Charis Trust Dtd 12/22/16 6 1 3.2 0 0
Citizens Memorial Health Care 6 1 3.3 0 0
Civita Care Centers 6 1 2.3 3 0
Continuing Life 6 1 5.0 0 0
Corewell Health 6 1 4.5 0 0
Crestpark 6 1 3.7 0 0
Cross Healthcare Management 6 1 2.7 1 0
Crossroads Medical Management 6 1 3.2 0 0
Elder Services 6 1 2.0 0 0
Elevation Healthcare 6 2 1.7 0 0
Essentia Health 6 1 4.3 0 0
Essential Healthcare 6 1 2.8 2 0
Franciscan Communities 6 3 3.8 0 0
Garden Healthcare Group 6 1 2.3 0 0
Garden Springs Healthcare 6 1 2.5 0 0
Golden SNF Operations 6 1 2.3 0 0
Harmony Care Group 6 1 1.8 2 1
Hcf Management Indiana 6 1 3.5 0 0
Health Concepts, Ltd. 6 1 3.3 1 0
Highbridge Healthcare 6 3 2.7 2 0
Inspired Healthcare Management 6 1 1.7 0 0
Juckette Family Homes 6 1 2.2 2 0
Marsh Pointe Management 6 2 2.7 2 0
Methodist Retirement Communities 6 1 4.8 0 0
Ml Healthcare 6 1 1.8 2 0
Northwood Healthcare Group 6 1 2.7 1 0
O'neill Healthcare 6 1 4.3 0 0
Ohana Pacific Management Co. 6 1 3.5 0 0
Palladian Healthcare 6 2 1.7 2 0
Phoenix Healthcare 6 1 2.7 0 0
Pollak Holdings 6 2 1.4 4 1
Pratap Poddatoori 6 1 3.7 0 0
Rehabilitation Associates 6 1 3.8 0 0
Rennes Group 6 1 4.5 0 0
Riverside Health System 6 1 4.0 0 0
Sterling Care 6 1 4.2 0 0
The Mcguire Group 6 1 4.2 0 0
Transitions Healthcare 6 1 2.3 1 0
Upmc Senior Communities 6 1 3.2 2 0
Vanguard Healthcare 6 1 3.5 1 0
Vivage Senior Living 6 1 3.0 2 0
Volunteers of America Senior Living 6 3 3.6 1 1
Western Home Communities 6 1 4.0 0 0
Absolut Care 5 1 3.2 0 0
Adventist Health 5 1 4.0 0 0
Ahmc Healthcare 5 1 2.8 0 0
American Health Foundation 5 2 2.8 1 0
Asbury Communities 5 2 5.0 0 0
Bao Opco Holdings 5 2 1.6 1 0
Beaver Valley Hospital 5 1 2.6 1 0
Blue Sky Basin, LLC 5 1 1.4 1 0
Bonamour Health Group 5 1 2.8 0 0
Boncrest Resource Group 5 4 2.4 1 0
C. Ross Management 5 1 2.0 1 0
Cadia Healthcare 5 1 3.0 0 0
Caring Place Healthcare Group 5 1 4.2 0 0
Chelsea Jewish Lifecare 5 1 4.8 0 0
Citadel Care Centers 5 1 3.0 1 0
Citrus Wellness Centre 5 1 2.4 0 0
Conhold 5 1 4.0 1 0
Cypress Skilled Nursing 5 1 2.4 0 0
Dallas County Hospital District 5 1 3.4 1 0
David Vann & Boyd Wright 5 1 3.2 0 0
Diocesan Health Facilities 5 1 4.0 0 0
Ebenezer Senior Living 5 1 3.6 0 0
Ecumen 5 1 3.2 0 0
Edgewood Convalescent Home 5 1 4.4 0 0
Elder Outreach Nursing & Rehabilitation 5 1 3.4 0 0
Engage Healthcare 5 1 1.6 2 0
Epic Healthcare Management 5 1 3.8 0 0
Evertrue 5 1 4.4 0 0
Fannin County Hospital District 5 1 3.2 0 0
Friends Services For the Aging 5 1 4.6 0 0
Greencroft Communities 5 1 2.8 0 0
Ihs Management Consultants 5 1 2.0 1 0
Illuminus 5 1 2.0 0 0
Integrity Healthcare Communities 5 1 1.8 1 0
Kendal 5 3 4.6 0 0
Lantis Enterprises 5 2 1.4 1 0
Lecom Senior Living 5 1 4.0 0 0
Lineage Healthcare 5 1 1.8 3 0
Magnolia Manor Senior Living 5 1 3.0 0 0
Maine Veterans' Home 5 1 4.6 0 0
Mississippi Care Center 5 1 3.4 1 0
Neurorestorative 5 3 3.4 1 0
New York City Health + Hospitals 5 1 4.8 0 0
Nightingale 5 1 3.8 0 0
Oakbend Medical Center 5 1 3.2 0 0
Pavilion Healthcare 5 1 2.8 0 0
Presbyterian Communities of South Carolina 5 1 4.4 0 0
Presbyterian Seniorcare Network 5 1 3.4 2 0
Preston Health Services 5 1 3.2 0 0
Prime Health Care Enterprises 5 1 4.2 0 0
Progressive Health Care Centers 5 1 3.6 0 0
Pulaski Memorial Hospital 5 1 2.6 0 0
Regional Health Properties 5 3 1.6 1 0
Rehab Select 5 1 3.2 0 0
Riley Spence Senior Living 5 1 1.8 0 0
Rochester Regional Health 5 1 4.0 0 0
Rockwell Healthcare 5 1 4.0 0 0
Sante 5 2 4.4 0 0
Serenity Estates 5 2 2.4 0 0
Shimon Lefkowitz 5 3 2.5 0 1
Smp Health 5 1 3.8 2 0
Sterling Healthcare 5 1 3.2 0 0
Stonehenge of Utah 5 1 4.0 0 0
Synergy Senior Care 5 1 2.0 0 0
Tanabell Health Services 5 2 3.2 0 0
Tennessee State Veterans' Home 5 1 3.4 1 0
Traylor Porter Healthcare 5 1 3.0 0 0
Trinity Management, INC. 5 1 3.8 0 0
Vivie 5 1 3.4 0 0
Vrc Management 5 1 4.4 0 0
Wilson Senior Care 5 1 4.6 0 0
Wissati Irrevocable Trust 5 1 1.6 3 0
Witham Memorial Hospital 5 1 1.6 0 0
Accela Healthcare 4 2 2.0 0 0
Ambassador Health 4 2 4.3 0 0
Ark Post Acute Network 4 3 1.7 0 1
Bjc Healthcare 4 2 4.0 0 0
Cavalier Healthcare 4 3 2.5 0 0
Charleston Healthcare Group 4 2 2.3 0 0
Generations Healthcare Network 4 2 2.5 1 0
Green Tree Healthcare Management 4 2 2.3 1 0
Homewood Retirement Centers 4 2 4.8 0 0
Il & Joan Lee 4 2 3.8 0 0
Ivy Healthcare Group 4 3 1.8 1 0
Kindred Healthcare 4 4 3.3 0 0
Lifespark 4 2 1.0 0 0
Little Sisters of the Poor 4 4 5.0 0 0
Millennium Health Systems 4 2 4.0 1 0
Nursing Care Management of America 4 2 3.3 0 0
Prime Healthcare 4 2 4.5 0 0
Saint Therese Senior Communities 4 3 4.3 0 0
Sanford Health 4 3 3.3 0 0
Senior Lifestyle 4 3 3.5 0 0
Stein Ltc 4 2 4.5 0 0
Sunrise Senior Living 4 3 3.5 2 0
Sunterra Springs 4 2 4.0 0 0
The Carpenter Health Network 4 2 2.5 0 0
Yyam Holdings 4 2 2.3 1 0
Blue Ridge Healthcare 3 3 1.3 0 0
Carmelite Sisters For the Aged and Infirmed 3 2 3.7 0 0
Celebrate Senior Living 3 2 3.3 0 0
Ecc Trust 3 2 3.7 0 0
Episcopal Retirement Homes, INC. 3 2 4.7 0 0
Everyage Senior Living 3 2 4.7 0 0
Felician Services 3 3 3.7 0 0
Franciscan Sisters of Christian Charity 3 2 3.7 0 0
Hca Healthcare 3 2 5.0 0 0
Heritage Ministries 3 2 2.3 0 0
Huntsville Hospital Health System 3 2 3.0 1 0
Immanuel 3 2 4.3 0 0
Juniper Communities 3 2 4.0 0 0
Maple Springs Living 3 2 3.3 0 0
Mercyhealth System 3 2 4.7 0 0
Philosophy Care Centers 3 2 3.0 1 0
Premier Healthcare of Illinois 3 2 1.7 0 0
Prestige Care Center 3 2 1.0 0 0
Rhg Healthcare Services 3 2 1.0 0 0
Sandstone Healthcare Group 3 2 1.7 2 0
University of Vermont Health Network 3 2 3.0 1 0
Vibra Healthcare 3 3 3.7 0 0
Vierra Communities 3 2 3.7 0 0
Csj Initiatives 2 2 4.5 0 0
Greenbrier Senior Living 2 2 4.5 0 0
Guthrie 2 2 2.0 0 0
Ingleside Engaged Living 2 2 4.0 0 0
Justliving Communities 2 2 5.0 0 0
Kisco Senior Living 2 2 3.5 0 0
Mather Senior Living Communities 2 2 3.5 0 0
National Lutheran Communities & Services 2 2 4.5 0 0
Norbert Bennett & Donald Denz 2 2 2.0 0 0
North Mississippi Health Services 2 2 3.0 0 0
Osbycorp 2 2 2.0 1 0
Phoenix Senior Living 2 2 2.0 0 0
Promontory Healthcare Management 2 2 4.0 0 0
Regency Care 2 2 3.5 0 0
Ssm Health 2 2 3.0 0 0
The Christian and Missionary Alliance 2 2 4.5 0 0
The Orchards 2 2 4.0 0 0
United Methodist Homes 2 2 2.5 0 0

Abuse icon: homes CMS marks with its abuse icon. SFF: homes CMS lists as Special Focus Facilities (candidates not counted).

About this page

What counts as a nursing home chain here?
A group of two or more nursing homes that CMS lists under the same affiliated entity (chain). CMS assigns the chain name and ID; we group homes on that ID. Affiliation doesn't mean the chain operates every home day to day, and it isn't a statement about who owns a home.
How many nursing homes belong to a chain?
10,227 of 14,686 (70%) Medicare- or Medicaid-certified nursing homes are affiliated with a chain, according to CMS data as of October 2026.
What are the Special Focus Facility list and the abuse icon?
CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years.

Source: CMS Provider Data Catalog, nursing home provider information (affiliated entity) and penalties, October 2026. Nursing Homes In Each State is independent and not affiliated with CMS, Medicare or any chain. About the data.

https://www.nursinghomesineachstate.com/chains/ · Data: CMS, October 2026 ยท Nursing Homes In Each State, not affiliated with CMS or Medicare.