Home › Nursing homes › Inspection results Nursing home groups: inspection results, citations and fines Medicare (CMS) records an affiliated entity (a group or chain) for 612 groups of two or more nursing homes. The 287 groups with ten or more homes are listed here; every group has its own page.
Groups with ten or more nursing homes Group Homes Level G+ Fines The Ensign Group 347 202 $6,500,986 Pacs Group 277 175 $8,659,163 Life Care Centers of America 194 102 $2,988,763 Genesis Healthcare 183 115 $7,301,726 Creative Solutions in Healthcare 150 108 $7,811,891 Trilogy Health Services 127 39 $454,902 Saber Healthcare Group 126 76 $3,068,752 Avir Health Group 118 87 $6,850,448 Communicare Health 109 70 $3,873,086 Pruitthealth 97 37 $1,305,175 Legacy Healthcare 96 73 $3,813,100 Good Samaritan Society 92 61 $2,273,948 American Senior Communities 90 28 $235,387 Marquis Health Services 90 56 $2,990,031 Complete Care 85 55 $1,891,872 Ciena Healthcare/Laurel Health Care 80 61 $2,968,972 Simcha Hyman & Naftali Zanziper 79 38 $1,690,973 National Healthcare Corporation 72 29 $1,069,173 Infinity Healthcare Consulting 70 39 $4,491,914 Opco Skilled Management 68 52 $3,450,191 Signature Healthcare 67 28 $937,609 Wellsential Health 67 47 $2,185,664 Fundamental Healthcare 66 45 $1,652,384 Foundations Health Solutions 64 19 $356,200 Lifeworks Rehab 64 44 $4,119,106 Autumn Lake Healthcare 59 32 $1,132,353 North Shore Healthcare 57 36 $1,168,320 James & Judy Lincoln 55 34 $1,768,656 Medilodge 53 40 $1,285,142 Nexion Health 51 33 $2,567,972 Aviata Health Group 50 30 $1,711,290 David Johnson 50 21 $863,176 Ethica Health 50 17 $266,933 Benjamin Landa 48 14 $1,006,965 The Beebe Family 48 22 $640,212 Cascadia Healthcare 47 26 $817,219 Monarch Healthcare Management 45 40 $1,447,477 Accura Healthcare 44 25 $515,534 Diversicare Healthcare 44 23 $578,032 Care Initiatives 43 24 $829,316 Evergreen Healthcare Group 43 39 $2,226,621 Hill Valley Healthcare 43 28 $1,481,282 Life Care Services 43 19 $880,721 NHS Management 43 8 $364,286 Sovereign Healthcare Holdings 43 15 $966,006 National Health Care Associates 42 23 $650,428 Corporate Interface Services 40 24 $1,287,329 Anthony & Bryan Adams 38 11 $345,403 Aston Health 38 12 $517,725 Avardis Health 38 26 $1,915,072 Central Arkansas Nursing Centers 38 11 $332,670 Longwood Management Corporation 38 27 $1,014,505 Priority Management 38 15 $721,178 Cantex Continuing Care 37 25 $1,326,827 Careone 37 16 $585,072 Liberty Senior Living 37 22 $908,353 Principle Long Term Care 37 24 $1,059,313 Centers Health Care 36 13 $591,403 Circle B Enterprises 36 17 $590,544 Gold Fl Trust II 36 17 $1,288,184 Optalis Health & Rehabilitation 36 31 $1,922,548 Aspen Skilled Healthcare 35 18 $698,122 Reliant Care Management 35 28 $5,290,161 Southern Administrative Services 35 13 $244,262 Carerite Centers 34 14 $669,516 Eduro Healthcare 34 26 $2,070,772 Journey Healthcare 34 16 $899,457 Aperion Care 33 25 $2,173,914 Bridges Health 33 11 $218,883 CCH Healthcare 33 24 $1,321,976 Embassy Healthcare 33 24 $1,762,253 Excelsior Care Group 33 14 $947,450 Cambridge Healthcare Services 32 13 $991,229 Links Healthcare Group 32 19 $473,790 HMG Healthcare 31 23 $1,342,710 Atlas Healthcare 30 16 $1,551,727 Venza Care Management 30 13 $830,393 Majestic Care 29 18 $680,707 Mission Health Communities 29 23 $479,223 Advanced Healthcare Solutions 28 17 $1,311,317 Lionstone Care 28 18 $787,554 Acts Retirement-Life Communities 27 3 $15,440 Avamere 27 19 $643,229 Generations Healthcare 27 8 $366,983 MGM Healthcare 27 21 $1,419,975 Recover-Care Healthcare 27 15 $655,685 Regency Pacific Management 27 15 $850,524 The Alden Network 27 26 $2,518,834 Advanced Health Care 26 7 $213,394 Atrium Centers 26 18 $578,767 The Springs Arkansas 26 9 $117,305 Arcadia Care 25 24 $5,146,010 Campbell Street Services 25 18 $569,507 Focused Post Acute Care Partners 25 21 $1,716,957 Touchstone Communities 25 17 $589,419 Stonegate Senior Living 24 19 $1,074,555 Tutera Senior Living & Health Care 24 22 $2,636,410 Americare Senior Living 23 10 $251,447 Benedictine Health System 23 20 $810,650 Brickyard Healthcare 23 8 $111,781 Champion Care 23 16 $1,359,228 The Blossoms Rehab & Nursing Center 23 7 $222,917 Altercare 22 13 $773,714 Ephram Lahasky 22 19 $1,717,675 Harborview Health Systems 22 13 $508,228 HCF Management 22 10 $140,683 Ignite Medical Resorts 22 16 $605,566 Solaris Healthcare 22 8 $271,756 Stern Consultants 22 13 $1,117,014 Summit Care 22 10 $567,704 The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers 22 18 $1,084,047 Vetter Senior Living 22 3 $28,087 Windsor 22 14 $484,622 Allaire Health Services 21 18 $2,053,356 Central Management Company 21 13 $828,384 Eden Senior Care 21 14 $1,346,972 Empire Care Centers 21 14 $610,392 Personal Healthcare Management 21 11 $504,320 Presbyterian Homes & Services 21 12 $195,980 Villa Healthcare 21 18 $1,580,044 Aom Healthcare 20 14 $726,634 Apple Rehab 20 13 $597,127 Gulf Coast LTC Partners 20 12 $431,666 Haven Health 20 10 $111,598 Nexcare Health Systems 20 12 $274,235 Otterbein Seniorlife 20 11 $168,595 TLC Management 20 6 $8,824 Abraham Bak & Menachem Gastwirth 19 12 $390,832 Athena Healthcare Systems 19 12 $1,035,440 Cardon & Associates 19 8 $212,172 Cascades Healthcare 19 18 $1,296,481 Citadel Healthcare 19 15 $653,713 Commcare Corporation 19 10 $676,414 Kalesta Healthcare Group 19 13 $648,403 Commonspirit Health 18 12 $1,118,169 Crowne Health Care 18 2 $42,884 Eastern Healthcare Group 18 15 $999,642 Future Care/Lifebridge Health 18 8 $83,586 Jonathan Bleier 18 13 $374,547 Medicalodges, Inc. 18 10 $634,085 Sanstone Health & Rehabilitation 18 8 $234,064 The Mandelbaum Family 18 7 $471,386 Trinity Health 18 6 $149,643 WLC Management Firm 18 13 $621,928 Center Management Group 17 6 $253,328 Community Eldercare Services 17 11 $552,865 Elderwood 17 9 $711,318 Erickson Senior Living 17 10 $445,949 Florida Institute for Long-Term Care 17 10 $1,158,135 Humangood 17 8 $239,528 Mariner Health Care 17 10 $222,000 Paradigm Healthcare 17 14 $1,391,043 Upstate Services Group 17 9 $600,847 Ahava Healthcare 16 6 $425,246 Ajc Healthcare 16 13 $926,185 Arbors at Ohio 16 13 $509,080 Aspire Senior Living 16 10 $270,445 Avalon Health Care 16 12 $308,524 Carespring 16 6 $117,055 Cassia 16 10 $126,805 Covenant Living 16 6 $21,158 Health Services Management 16 13 $413,044 Plantation Management Company 16 9 $775,397 The Grand Healthcare 16 10 $643,881 The Rosenberg Family 16 10 $262,089 Volare Health 16 12 $1,334,828 Allure Healthcare Services 15 13 $1,442,499 BGM Estate 15 10 $307,798 Bluegrass Health KY 15 6 $204,977 Healthpeak Properties, Inc. 15 5 $127,885 Heritage Hall 15 4 $91,963 Lifespace Communities 15 8 $202,441 Lme Family Holdings 15 12 $821,225 Marquis Companies 15 4 $55,844 Pacific Healthcare Holdings 15 9 $758,575 Pearl Healthcare 15 13 $1,171,791 Prestige Healthcare Administrative Services 15 8 $811,331 The Orchards Michigan 15 11 $249,854 Trend Consultants 15 5 $31,057 Vertical Health Services 15 11 $1,095,225 Adviniacare 14 13 $1,732,082 Aliya Healthcare 14 13 $1,948,567 Caring Healthcare Group 14 11 $562,446 Certus Healthcare 14 14 $952,810 Elevate Care 14 13 $2,037,437 Eliyahu Mirlis 14 8 $1,194,707 Emerald Healthcare 14 9 $799,504 Integritus Healthcare 14 7 $236,303 Kadima Healthcare Group 14 10 $531,767 Miller's Merry Manor 14 6 — Mission Point Healthcare Services 14 10 $548,314 Next Step Healthcare 14 10 $1,184,540 Palm Garden Health and Rehabilitation 14 10 $327,558 Paramount Healthcare Consultants 14 5 $286,086 Spyglass Healthcare 14 9 $422,780 St. Francis Health Services 14 12 $616,544 Ventura Services 14 6 $272,368 Wellington Health Care Services 14 10 $1,169,957 Yad Healthcare 14 11 $771,820 Alliance Health Group 13 10 $598,718 Ama Holdings 13 9 $471,110 Avera Health 13 8 $140,454 Cassena Care 13 5 $155,372 Continuum Healthcare 13 8 $201,549 Cypress Healthcare Group 13 7 $18,804 Envive Healthcare 13 5 $129,066 Helia Healthcare 13 11 $1,407,706 Hurlbut Care 13 5 $903,874 Lyon Healthcare 13 10 $277,658 Madison Creek Partners 13 7 $103,423 Preferred Care 13 7 $145,308 Presbyterian Manors of Mid-America 13 8 $156,024 Rightcare Health Services 13 7 $236,052 Vancrest Health Care Centers 13 5 — Veritas Management Group 13 5 $48,241 Wecare Centers 13 8 $659,440 Arabella Healthcare Management 12 5 $246,291 Ascension Living 12 11 $996,722 Atied Associates 12 12 $855,153 Brookdale Senior Living 12 6 $303,180 BVHC, LLC 12 6 $95,544 Carecore Health 12 8 $97,734 Commonwealth Care of Roanoke 12 6 $24,654 Continuing Healthcare Solutions 12 10 $390,160 Delmar Gardens 12 7 $175,215 Encore Health Partners 12 8 $176,414 Icare Health Network 12 6 $352,531 MB Healthcare 12 3 $61,183 Nahs 12 3 $110,170 Pointe Management 12 11 $1,052,250 Priority Healthcare Group 12 6 $307,579 Royal Health Group 12 8 $67,406 Skyblue Healthcare 12 8 $270,433 Sprenger Health Care Systems 12 5 $127,025 Stonebridge Senior Living 12 7 $58,400 Valley West Health 12 7 $225,912 Vivo Healthcare 12 6 $200,043 Avante Centers 11 5 $116,227 Aventura Health Group 11 10 $948,634 Avid Healthcare Group 11 9 $327,644 Ayden Healthcare 11 7 $35,483 Beacon Health Management 11 7 $36,617 Bradford Montgomery 11 7 $228,462 Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care 11 4 $153,627 Dove Healthcare 11 8 $235,290 Elmbrook Management Company 11 5 $88,244 First Atlantic Healthcare 11 7 $179,290 Goldwater Care 11 9 $2,238,881 Legacy Nursing & Rehabilitation 11 8 $1,516,034 Midwest Health 11 6 $54,103 Monument Health Group 11 10 $345,270 Ocean Healthcare 11 7 $222,741 Ohio Living Communities 11 4 $170,178 Onyx Health 11 0 $45,604 Paragon Healthnet 11 1 $45,812 Presbyterian Senior Living 11 8 $316,872 Progressive Quality Care 11 10 $377,111 Saba Healthcare 11 10 $2,625,339 Serrano Group 11 8 $709,207 The Mayer Family 11 5 $316,267 Twin Rivers Health & Rehabilitation 11 1 $13,870 Windsor House, Inc. 11 6 $222,701 Avina Healthcare 10 8 $499,568 Best Care Services 10 8 $279,155 Bria Health Services 10 10 $2,895,029 Crest Healthcare Consulting 10 9 $887,324 David Marx 10 7 $111,975 Exceptional Living Centers 10 6 $425,445 Fl SNF Trust 10 2 $64,251 Foursquare Healthcare 10 4 $129,090 Hamilton County Hospital District 10 9 $289,029 Haven Healthcare 10 10 $1,127,681 Health Dimensions Group 10 5 $265,228 Ide Management Group 10 1 $105,073 Legacy Health Services 10 6 $23,356 Noland Health 10 2 $17,345 Pacific Retirement Services 10 4 $10,033 Paramount Care Centers 10 3 $465,075 Quality Life Services 10 4 $366,589 Regalcare 10 6 $737,297 Rocky Mountain Care 10 10 $315,737 Shlomo Hoffman 10 6 $855,651 Southwest LTC 10 7 $446,268 The Peplinski Group 10 8 $399,271 Unlimited Development, Inc. 10 10 $768,028 VI Living 10 2 $15,945 Wesleylife 10 6 $146,769
How these numbers are made All values come from the Medicare (CMS) Provider Data Catalog files Health Deficiencies, Penalties, Provider Information and State US Averages (data updated October 1, 2026; penalties file updated October 1, 2026). A citation (deficiency) is counted once per tag and inspection. “Last three inspection cycles” are the cycles Medicare publishes; they cover about three years. Fines are the sum of the fine amounts in the Penalties file. Nothing is rated or ranked by us: the order is only the stated sort. A citation shows what inspectors found on the dates given; read each home’s page and the inspection reports on Medicare Care Compare before you decide.
Nursing homes