Facility Chains

Nursing Home Chains

PACS Group

CaliforniaArizona

Legal representation for nursing home abuse and neglect victims at PACS Group facilities across CA and AZ.

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Ciena Healthcare / Laurel Health Care

MichiganOhioNorth CarolinaVirginiaIndiana

Ciena Healthcare and Laurel Health Care Company run 83 nursing homes in 5 states. Learn the chain's size, ownership, CMS record, Special Focus candidates & lawsuits.

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CommuniCare Health Services

OhioWest VirginiaIndianaMarylandVirginiaPennsylvania

CommuniCare Health Services runs 122 nursing homes in 6 states. Learn the chain's size, ownership, CMS record, Special Focus candidates, fines & lawsuits.

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The Ensign Group

AlaskaAlabamaArizonaCaliforniaColoradoIowaIdahoKansasNebraskaNevadaOregonSouth CarolinaTennesseeTexasUtahWashingtonWisconsin

The Ensign Group is the largest U.S. nursing home chain. Learn its size, senior living and assisted living portfolio, ownership, revenue, lawsuits, and settlements.

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Life Care Centers of America

ArizonaColoradoFloridaGeorgiaHawaiiIdahoIndianaKansasKentuckyMassachusettsMichiganMissouriNebraskaNevadaNew MexicoNorth CarolinaOhioOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVirginiaWashingtonWyoming

Life Care Centers of America is the 3rd-largest U.S. nursing home chain. Learn its size, ownership, quality record, and the 2016 $145M federal settlement.

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Creative Solutions in Healthcare

Texas

Creative Solutions in Healthcare is the largest nursing home operator in Texas and 5th-largest U.S. chain. See its size, ownership, CMS quality record, and fines.

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Trilogy Health Services

IndianaKentuckyMichiganOhioWisconsin

Trilogy Health Services is the 6th-largest U.S. nursing home chain, operating senior living campuses across the Midwest. See its size, ownership, and CMS record.

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Saber Healthcare Group

DelawareIndianaNorth CarolinaOhioPennsylvaniaVirginia

Saber Healthcare Group is the 7th-largest U.S. nursing home chain, based in Ohio. See its size, ownership, CMS quality record, fines, and the 2020 $10M settlement.

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Avir Health Group

Texas

Avir Health Group is the 8th-largest U.S. nursing home chain, operating in Texas. See its size, layered ownership, CMS quality record, and federal fines.

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PruittHealth

FloridaGeorgiaNorth CarolinaSouth Carolina

PruittHealth is the 10th-largest U.S. nursing home chain, operating in FL, GA, NC & SC. See its size, family ownership, CMS quality record, fines & settlement.

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Legacy Healthcare

IllinoisIowaSouth Dakota

Legacy Healthcare is the 11th-largest U.S. nursing home chain, operating in the Midwest. See its size, ownership, CMS quality record, and federal fines.

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Good Samaritan Society

ColoradoFloridaHawaiiIowaKansasMinnesotaNebraskaNorth DakotaSouth DakotaTennessee

Good Samaritan Society is the 12th-largest U.S. nursing home chain, a nonprofit affiliated with Sanford Health. See its size, CMS quality record, and fines.

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Marquis Health Services

FloridaIllinoisMarylandMassachusettsNew HampshireNew JerseyPennsylvaniaRhode IslandVirginia

Marquis Health Services, the healthcare affiliate of Tryko Partners, is a top-15 U.S. nursing home chain. See its size, ownership, CMS quality record, and fines.

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American Senior Communities

Indiana

American Senior Communities is among Indiana's largest nursing home operators. See its size, ownership, CMS quality record, fines, and a former-executive fraud case.

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Complete Care

ConnecticutDelawareIllinoisMarylandNew JerseyPennsylvaniaWest VirginiaWisconsin

Complete Care is the 15th-largest U.S. nursing home chain, concentrated in New Jersey. See its size, ownership, 2022 Hackensack Meridian deal, CMS record, and fines.

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Portopiccolo Group

FloridaKentuckyNorth CarolinaOhioTennesseeVirginia

The Portopiccolo Group (Hyman and Zanziper) is a top-20 U.S. nursing home chain. See its size, layered ownership, CMS quality record, fines, and press scrutiny.

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National HealthCare Corporation (NHC)

AlabamaGeorgiaKentuckyMissouriNorth CarolinaSouth CarolinaTennesseeVirginia

NHC is a publicly traded, top-20 U.S. nursing home chain based in Tennessee. See its size, ownership, CMS quality record, and federal fines.

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Infinity Healthcare Consulting

IllinoisIndianaOklahomaTennessee

Infinity Healthcare Consulting is a top-20 U.S. nursing home group in IN, IL, and TN. See its size, ownership structure, CMS quality record, and federal fines.

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OPCO Skilled Management

ArizonaIndianaMissouriNew MexicoTexas

OPCO Skilled Management is a top-20 U.S. nursing home chain in TX, NM, MO, and AZ. See its size, ownership, CMS quality record, and federal fines.

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Signature HealthCARE

IndianaKentuckyNorth CarolinaOhioTennesseeVirginia

Signature HealthCARE is a Kentucky-based top-25 U.S. nursing home chain. See its size, ownership, CMS quality record, fines, and a 2018 $30M False Claims Act settlement.

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Wellsential Health

Texas

Wellsential Health, formerly Regency Integrated Health Services, is a top-25 U.S. nursing home chain in Texas. See its size, layered ownership, CMS record, and fines.

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Fundamental Healthcare

IndianaMarylandNevadaNew MexicoSouth CarolinaTexasWisconsin

Fundamental Healthcare is a top-25 U.S. nursing home group in TX, SC and nearby states. See its size, ownership, CMS quality record, fines, and a 2016 FCA settlement.

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Foundations Health Solutions

Ohio

Foundations Health Solutions is a top-25 U.S. nursing home chain in Ohio. See its size, ownership, CMS quality record, fines, and a 2017 $19.5M FCA settlement.

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Lifeworks Rehab

DelawareMarylandNorth CarolinaPennsylvaniaVirginia

Lifeworks Rehab is a top-25 U.S. nursing home group in VA, NC and nearby states. See its size, ownership structure, CMS quality record, and federal fines.

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