The 30 Largest Nursing Home Chains - Michael Hill
Nursing home abuse and neglect put vulnerable residents at serious risk, leading to malnutrition, dehydration, infections, and preventable injuries. When facilities fail to provide adequate care, residents suffer, and families are left feeling helpless. Lack of supervision, improper medical treatment, and unsafe conditions can result in devastating harm. Understanding the warning signs, knowing your legal rights, and holding negligent facilities accountable are crucial steps in protecting your loved ones. Learn how to take action and seek justice.
The days of small, independent nursing homes are largely gone. In the past, a nurse or physician may expand their practice by purchasing a nursing home–or home for the aged, care homes, or convalescent homes–as they were often called. By operating a nursing home, they were able to care for a greater number of people. Those small, independent nursing homes have been replaced by large corporations funded by private equity firms.
There are more than 1.3 million residents living in the more than 15,000 nursing homes in the United States. 72% of nursing homes are now for-profit companies, and 66% of all nursing homes are now part of a corporate chain. The 10 largest chains own more than 10% of all nursing homes and operate in more than half the states. The top 30 nursing home chains account for more than 250,000 nursing home beds.
- On Rank 1, Genesis HealthCare Corp., with headquarters in Pennsylvania. Has 357 total nursing homes owned, 41,977 total nursing beds and operates in 26 states
- On Rank 2, The Ensign Group, with headquarters in California. Has 219 total nursing homes owned, 23,172 total nursing beds and operates in 13 states
- On Rank 3, Life Care Centers of America, with headquarters in Tennessee. Has 209 total nursing homes owned, 27,179 total nursing beds and operates in 28 states
- On Rank 4, ProMedica Senior Care, with headquarters in Ohio. Has 162 total nursing homes owned, 22,973 total nursing beds and operates in 17 states
- On Rank 5, The Evangelical Lutheran Good Samaritan Society, with headquarters in South Dakota. Has 156 total nursing homes owned, 10,504 total nursing beds and operates in 22 states
- On Rank 6, Consulate Health Care, with headquarters in Pennsylvania. Has 138 total nursing homes owned, 15,603 total nursing beds and operates in 6 states
- On Rank 7, Saber Healthcare Group, with headquarters in Ohio. Has 122 total nursing homes owned, Unreported total nursing beds and operates in 7 states
- On Rank 8, Sava SeniorCare, with headquarters in Georgia. Has 121 total nursing homes owned, 19,347 total nursing beds and operates in 20 states
- On Rank 9, Trilogy Health Services, with headquarters in Kentucky. Has 116 total nursing homes owned, 7,773 total nursing beds and operates in 4 states
- On Rank 10, Signature HealthCARE, with headquarters in Kentucky. Has 108 total nursing homes owned, 12,480 total nursing beds and operates in 10 states
- On Rank 11, PruittHealth, with headquarters in Georgia. Has 98 total nursing homes owned, 10,283 total nursing beds and operates in 4 states
- On Rank 12, Fundamental, with headquarters in Maryland. Has 83 total nursing homes owned, 9,743 total nursing beds and operates in 8 states
- On Rank 13, The Ciena Group / Laurel Health Care Co., with headquarters in Michigan. Has 80 total nursing homes owned, 9,079 total nursing beds and operates in 5 states
- On Rank 14, American Senior Communities, with headquarters in Indiana. Has 78 total nursing homes owned, 8,746 total nursing beds and operates in 1 states
- On Rank 15, National Healthcare Corp., with headquarters in Tennessee. Has 75 total nursing homes owned, 9,463 total nursing beds and operates in 9 states
- On Rank 16, Infinity Health Care Management, with headquarters in Illinois. Has 69 total nursing homes owned, 9,641 total nursing beds and operates in 8 states
- On Rank 17, CommuniCare Health, with headquarters in Ohio. Has 66 total nursing homes owned and operates in 7 states
- On Rank 18, Diversicare Healthcare Services, with headquarters in Tennessee. Has 62 total nursing homes owned, 7,329 total nursing beds and operates in 9 states
- On Rank 19, North Shore Healthcare, with headquarters in Wisconsin. Has 59 total nursing homes owned, 4,489 total nursing beds and operates in 4 states
- On Rank 20, EmpRes Healthcare Management, with headquarters in Washington. Has 55 total nursing homes owned, 4,834 total nursing beds and operates in 8 states
- On Rank 21, Foundations Health Solutions, with headquarters in Ohio. Has 55 total nursing homes owned, 5,623 total nursing beds and operates in 1 states
- On Rank 22, Mission Health, with headquarters in Florida. Has 51 total nursing homes owned, 4,196 total nursing beds and operates in 8 states
- On Rank 23, Nexion Health, with headquarters in Maryland. Has 50 total nursing homes owned and operates in 4 states
- On Rank 24, Athena Health Care, with headquarters in Connecticut. Has 46 total nursing homes owned and operates in 3 states
- On Rank 25, Avalon Health Care Group, with headquarters in Utah. Has 45 total nursing homes owned, 4,905 total nursing beds and operates in 6 states
- On Rank 26, Care Initiatives, with headquarters in Iowa. Has 44 total nursing homes owned, 2,967 total nursing beds and operates in 1 states
- On Rank 27, Prestige Care, with headquarters in Oregon. Has 44 total nursing homes owned, 3,397 total nursing beds and operates in 5 states
- On Rank 28, Five Star Senior Living, with headquarters in Massachusetts. Has 42 total nursing homes owned, 3,397 total nursing beds and operates in 31 states
- On Rank 29, Guardian Healthcare, with headquarters in Pennsylvania. Has 40 total nursing homes owned, 5,364 total nursing beds and operates in 2 states
- On Rank 30, National Health Care Associates, with headquarters in New York. Has 38 total nursing homes owned, 5,101 total nursing beds and operates in 6 states
Nursing home corporations often go to great lengths to maintain the image of small, local facilities. They have charming names like The Gardens of …., [insert quant name], [local name] Manor, The Falls at [you name it], and so on. These are all designed at creating the impression that each nursing home is its own independent entity that is closely connected to the community. In reality, the overwhelming majority of these nursing homes are nothing more than a label applied by the corporation’s marketing team.
Questions About A Potential Nursing Home or Assisted Living Facility Lawsuit?
The trial attorneys of Michael Hill Trial Law are nationally recognized and handle exclusively cases against long term care facilities. Michael and his firm, Michael Hill Trial Law, handle cases across the country. If you have any questions about cases involving Communicare or any other nursing homes, assisted living facilities, or group homes, you can contact Michael Hill Trial Law at www.protectseniors.com, by sending an email to info@protectseniors.com, or by calling (800) 659-2712.
