Caregiver, Inc. (Daybreak, St. Giles, Unified Care Group): Ownership, Violations, and Lawsuits

Michael Hill and the team at Michael Hill Trial Law investigate abuse, neglect, and wrongful-death cases involving group homes and intermediate care facilities (ICF/IIDs), and we represent families nationwide. The firm focuses on neglect and abuse in group homes, ICF/IIDs, nursing homes, and assisted living facilities. Caregiver, Inc. is a Fort Worth, Texas company that operates group homes, intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs), host homes, and day programs for people with intellectual and developmental disabilities. Founded in 2015, it is privately held and has been controlled by the private-equity firm WindRose Health Investors since a July 2020 recapitalization.

If someone you love was injured or died in a group home or ICF operated by Caregiver, Inc. or one of its brands, you may have legal options, and time limits can be short. Case reviews are free and confidential. Start your case or call (800) 659-2712.

Last reviewed: November 12, 2026. Ownership and financial figures are drawn from public filings, state and federal records, and news reporting; regulatory and lawsuit items are from government records and court filings, each cited at the end of this page. Lawsuits and criminal charges are allegations unless a court has ruled; state findings may be appealed.

Group Home & ICF/IID Case Types We Handle

The injuries and neglect we investigate in group homes and intermediate care facilities.

Wrongful DeathPhysical & Sexual AssaultUnderstaffingChokingMedication ErrorsFalls & FracturesBedsores & Pressure InjuriesWandering & ElopementDehydrationMalnutritionBowel Obstruction & Fecal ImpactionInfections & SepsisGroup Homes & ICF/IID

What Group Homes and ICF/IIDs Are — and Why Harm Happens

A group home is a residential setting where a small number of people with intellectual or developmental disabilities (I/DD) live together with staff support. An intermediate care facility for individuals with intellectual disabilities (ICF/IID) is a federally certified, Medicaid-funded facility that must meet federal standards for active treatment, health care, and client protections. Many residents cannot fully protect themselves or reliably report what happens to them, which is exactly why staffing, supervision, and training decide whether people are safe.

The injuries that recur in these settings are rarely mysterious. They include falls and fractures; bedsores and pressure injuries; choking on the wrong diet texture; dehydration, malnutrition, and bowel obstruction and fecal impaction; medication errors; wandering and elopement; physical or sexual assault by staff or other residents; and, in the worst cases, wrongful death. The common thread is understaffing — a home that accepts residents it is not staffed or trained to care for makes the harm foreseeable.

Who Owns Caregiver, Inc.?

Caregiver, Inc. is privately held and controlled by private equity. Its audited parent company, Caregiver Acquisition, Inc. & Subsidiaries, is 100% owned by Caregiver Parent, LP. The private-equity firm WindRose Health Investors completed a recapitalization of the company on July 28, 2020, and still lists Caregiver among its current portfolio companies. Earlier investors Council Capital and DW Healthcare Partners invested in 2015 and sold most of their stakes in 2020, keeping a small holding.

Caregiver's FY2023 audited financial statements describe a related-party agreement under which WindRose receives a management fee equal to the greater of $500,000 or 2% of adjusted EBITDA. That fee was about $797,000 in 2023. WindRose funds also provided subordinated notes of up to $12 million in 2022 and $2.5 million in promissory notes in January 2024.

The FY2023 audit reports about $125.8 million in term loans outstanding at year-end 2023 and a June 2023 amendment that waived first-quarter 2023 financial-covenant defaults. The company refinanced with Oxford Finance LLC on July 1, 2024.

Revenue, Public Funding, and Finances

The most detailed public view of Caregiver's finances is its FY2023 audited financial statements, prepared by PwC (report dated July 11, 2024) and filed with the Tennessee Comptroller. They report revenue of about $266.8 million in 2023 and about $265.3 million in 2022, with net losses of about $47.0 million in 2023 and $44.9 million in 2022. About 93% of 2023 revenue came from state Medicaid programs. More recent financial statements were not located.

Caregiver, Inc. Leadership

Caregiver's leadership page lists CEO Scott Mahosky and President & CFO Judd Larson. As a for-profit private company, Caregiver does not file public executive-compensation disclosures.

Caregiver, Inc. Brand Names and the Entity on the License

The name on a state license, inspection report, or court filing is often a subsidiary or brand. Families searching state records should look for these names:

Where Caregiver, Inc. Operates

Caregiver is headquartered at 4150 International Plaza, Suite 820, Fort Worth, Texas. Its website lists services in Texas, Indiana, Ohio, Tennessee, and Georgia, and its Journeys brand operates in Idaho. As of October 2026, CMS certified 76 Caregiver-linked ICF/IIDs in Texas and 22 in Indiana, and Ohio's directory listed 19 CG-HHC homes. These counts are lower bounds, because waiver group homes and host homes in several states are not in downloadable directories.

Caregiver, Inc. Lawsuits, Government Findings, and Regulatory Record

Federal inspection reports posted by CMS show Caregiver-linked ICF/IIDs in Texas and Indiana received condition-level citations, the most serious federal finding, at about twice the national rate from 2021 through 2025 (150 condition-level citations, about 0.30 per facility per year versus 0.141 nationally). No federal civil money penalty exists for ICF/IIDs and no involuntary termination was found for any Caregiver-linked home. State inspection citations and penalties are agency findings, not court findings, and may be contested, appealed, or reduced in settlement.

This is not a complete litigation history, and the existence of a lawsuit or complaint is not proof of wrongdoing. A settlement is not an admission of liability. Findings by state agencies may be appealed.

Notable matters

• 2025 — State administrative penalties: Texas HHSC administrative penalties at Caregiver-licensed ICF/IIDs (FY2025). Texas HHSC annual reports list 13 administrative penalties totaling $286,925 in fiscal 2025 at ICF/IID homes now licensed to Caregiver entities (13 of 49 ICF/IID penalties statewide). The largest was a $77,775 penalty at the Choctaw Group Home in Tomball after a November 2024 inspection. The reports do not state whether a home had its current owner on the date of each penalty. Amount: $286,925. Source
• 2024 — State administrative penalties: Texas HHSC administrative penalties at Caregiver-licensed ICF/IIDs (FY2024). Texas HHSC listed 3 administrative penalties totaling $21,075 in fiscal 2024 at ICF/IID homes now licensed to Caregiver entities, plus a deny-renewal action involving a Daybreak home in Dallas; the outcome of that action could not be confirmed from public records. Amount: $21,075. Source
• 2020 — Allegation (outcome not confirmed): Daybreak sexual-assault suit (In re Daybreak Community Services Texas, LLC). A guardian alleges a non-verbal client was sexually assaulted by another client at a Daybreak day-habilitation facility on March 1, 2016. In a February 26, 2020 ruling, a Texas appeals court (10th District, No. 10-19-00395-CV) denied Daybreak's mandamus petition, allowing net-worth discovery toward a possible exemplary-damages claim. The allegations are not findings of fact, and the outcome of the underlying suit could not be confirmed. Source
• 2012 — Allegation (outcome not confirmed): St. Giles Living Centers wrongful-death suit (Jefferson County, Tex., No. A192-276). A wrongful-death suit filed in 2012 alleges a 60-year-old resident died on December 12, 2010 after staff failed to seek timely medical care. The death predates Caregiver's 2015 formation, so it occurred under a prior owner. The allegations are not findings of fact, and the outcome could not be confirmed. Source
• 2010 — Allegation (outcome not confirmed): Daybreak Community Services, Inc. v. Cartrite (Tex. App. Amarillo). The estate of a 23-year-old resident alleges she was found with her face underwater in a bathtub at Daybreak's Harvard House group home in Amarillo on September 23, 2006, after being allowed to bathe unsupervised, and died the next day. In an August 10, 2010 ruling the appeals court affirmed denial of Daybreak's motion to dismiss. The death predates Caregiver's 2015 formation. The allegations are not findings of fact, and the final outcome could not be confirmed. Source

Complaint and Harm Types in the Caregiver, Inc. Record

Across the public records reviewed, these are the kinds of harm that recur — the same kinds our firm investigates in group homes and ICF/IIDs. If your loved one experienced any of these, it may support a claim:

Who May Be Legally Responsible

Because Caregiver, Inc. operates through separate state entities and brands — and because the parent company, the licensed operator, the employer of the staff, and in some cases the property owner may be different companies — a lawsuit may need to name more than one defendant. Names that have appeared in records involving these homes include:

• Caregiver, Inc.
• Caregiver Acquisition, Inc.
• Daybreak, Inc.
• Daybreak Community Services, Inc.
• St. Giles Living Centers, Inc.
• St. Giles-Baytown, Inc.
• UCG Central Texas Holdings, LLC
• Southern Concepts, Inc.
• D&D Care Homes, Inc.
• Unified Care Group
• CG-DSA, LLC
• CG-HHC, LLC

What to Do If You Suspect Neglect or Abuse in a Group Home or ICF

• Get medical care. Call 911 or go to the hospital for any serious injury, sudden decline, or unexplained bruising, fracture, or weight loss.
• Report it. Notify the home’s administrator in writing, the state or county developmental disabilities agency that receives incident reports, adult protective services, and law enforcement for any suspected crime.
• Find the licensed entity. Ask for the license or check your state’s provider lookup; the company on the license is often a state subsidiary or brand name rather than the parent company.
• Document everything. Take photos, write down dates, times, and names, and save texts and emails.
• Request records. Ask for incident reports, the individual service or program plan, medication administration records, and staffing schedules. Guardians and authorized representatives usually have access rights.
• Be careful with statements and documents. Do not give recorded statements to insurers or sign releases or arbitration agreements before talking to a lawyer. Deadlines can be short.

Frequently Asked Questions About Caregiver, Inc.

Who owns Caregiver, Inc.?

Caregiver, Inc. is controlled by the private-equity firm WindRose Health Investors, which completed a recapitalization of the company on July 28, 2020. Its audited parent, Caregiver Acquisition, Inc. & Subsidiaries, is 100% owned by Caregiver Parent, LP. Earlier investors Council Capital and DW Healthcare Partners invested in 2015 and kept a small stake after 2020.

How big is Caregiver, Inc. and where does it operate?

Caregiver lists services in Texas, Indiana, Ohio, Tennessee, and Georgia, and its Journeys brand operates in Idaho. As of October 2026, CMS certified 76 Caregiver-linked ICF/IIDs in Texas and 22 in Indiana, and Ohio's directory listed 19 CG-HHC homes, for at least 117 residential sites. Those are lower bounds because waiver homes in several states are not in downloadable directories. The company reported about 800 properties in 2019.

Has Caregiver, Inc. faced lawsuits or government findings?

Yes. Texas HHSC reports list 13 administrative penalties totaling $286,925 in FY2025 and 3 totaling $21,075 in FY2024 at ICF/IIDs now licensed to Caregiver entities, and federal CMS inspections cite its homes at about twice the national rate for the most serious citations. Its Daybreak and St. Giles brands have faced wrongful-death and sexual-assault suits, several filed before Caregiver was formed in 2015; those are allegations and their outcomes could not be confirmed.

Is Caregiver, Inc. profitable?

According to its FY2023 audited financial statements, no. Caregiver reported revenue of about $266.8 million and a net loss of about $47.0 million in 2023, after a $44.9 million loss in 2022. About 93% of its revenue came from state Medicaid programs.

What brands and license names belong to Caregiver?

Families often see a brand or a licensed entity name rather than 'Caregiver, Inc.' Brands include Daybreak, St. Giles Living Centers, Unified Care Group, Southern Concepts, D&D Care, DSA Indiana (licensed as CG-DSA, LLC), HHC Ohio (CG-HHC, LLC), and Journeys. Texas homes may be licensed to Daybreak, Inc., St. Giles Living Centers, Inc., St. Giles-Baytown, Inc., UCG Central Texas Holdings, LLC, and others.

Can I sue a group home or ICF operator for neglect or abuse?

Generally, families may bring civil claims against a group home or ICF operator when neglect or abuse causes injury or death, and the parent company and the licensed entity may both be proper defendants. Deadlines, damage rules, and required pre-suit steps vary by state, and arbitration clauses and Medicaid liens can matter. A lawyer licensed in your state can explain your options. Michael Hill Trial Law offers free, confidential case reviews for families nationwide.

Who is legally responsible when someone is harmed in a group home?

Often more than one company. These operators frequently run each home through a separate local entity that holds the license, while the building may be owned by another company and staff employed by a third; for-profit owners and investors can sit above all of them. The right defendants depend on who held the license, who employed the staff, who managed care, and who owned the property at the time of the harm.

What if we signed an arbitration agreement?

Courts do not always enforce these arbitration clauses. Whether one applies depends on who signed it, the authority that person had, and the state's law. Keep a copy of everything you signed and have a lawyer review it before assuming you cannot bring a claim.

How do I check a group home or ICF's inspection and complaint record?

Group homes are licensed and inspected mainly by state developmental-disabilities and health agencies; ICF/IIDs are also certified and inspected under federal CMS rules. Use the state agency's provider lookup for the state where the home is located, and ask the agency for inspection reports and substantiated complaints.

About Michael Hill Trial Law

Michael Hill Trial Law represents families in group home, ICF/IID, nursing home, and assisted living abuse and neglect cases. The firm’s main office is in Cleveland, Ohio; it practices across the country, its attorneys are licensed in numerous states, and it works with affiliate firms throughout the United States. The firm has recovered hundreds of millions of dollars for clients, including a $26 million jury verdict for wrongful death, the highest nursing home verdict in Ohio history. Prior results do not guarantee a similar outcome. Learn more about group home and ICF/IID neglect cases, wrongful death, and physical and sexual assault, or meet our team.

Sources

Information on this page comes from government records, court filings, regulatory reports, company statements, and news reports, linked below. Lawsuits and criminal charges are allegations unless a court has ruled. Findings by state agencies may be subject to appeal.

1. Caregiver FY2023 PwC audit (Tennessee Comptroller filing)
2. WindRose Health Investors – Caregiver investment
3. Texas HHSC LTC Regulatory Services Annual Report 2026
4. Texas HHSC LTC Regulatory Services Annual Report 2025
5. CMS QCOR ICF/IID 2567 Reports
6. CMS Provider of Services file (Q3 2026)
7. In re Daybreak Community Services (Tex. App., No. 10-19-00395-CV)
8. Daybreak Community Services, Inc. v. Cartrite (CourtListener)
9. Southeast Texas Record – St. Giles wrongful-death suit
10. D Magazine – Caregiver acquires Mosaic's Texas operations
11. Austin American-Statesman – '70 Hours Awake'
12. PESP report on private equity in IDD services (2025)

This page provides general information about a company that operates group homes and intermediate care facilities. It is not legal advice and does not mean that any particular home or employee did anything wrong. Attorney advertising. Prior results do not guarantee a similar outcome. Last reviewed November 12, 2026.