American Senior Communities Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is American Senior Communities?

American Senior Communities (ASC) is an Indiana-based operator and manager of skilled nursing and senior-living facilities and is among the largest nursing home operators in Indiana. All of its CMS-affiliated skilled nursing facilities are in Indiana. Some facilities are operated under management arrangements, including with public hospital authorities such as the Health and Hospital Corporation of Marion County.^[6]

By number of CMS-affiliated skilled nursing facilities, ASC is tied as the thirteenth-largest nursing home chain in the United States.^[3]

What Kind of Chain Is American Senior Communities?

ASC is a skilled nursing facility (SNF) chain operating in Indiana. Skilled nursing facilities care for patients who need 24-hour nursing care, often after a hospital stay, and are rated on the federal CMS five-star scale.^[1]

Who Owns American Senior Communities?

Within the CMS data, the ASC-affiliated facilities are operated as for-profit entities grouped under chain ID 33.^[1] ASC is a privately held Indiana company. A number of its facilities are owned by public or nonprofit entities and operated or managed by ASC under contract; families should confirm the specific owning, operating, and management entities for any individual facility.^[1]

How Big Is the American Senior Communities Nursing Home Chain?

American Senior Communities by the Numbers

Federal CMS data describes the operation's scale:

Facility, state, and bed counts are from the CMS Nursing Home Chain Performance Measures dataset (most recent 2026 release).^[3]

• The most recent federal CMS chain-level data affiliates 90 nursing homes, all in Indiana with the chain (CMS chain ID 33) — ranking it #13 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 8,948 certified beds.^[3]

American Senior Communities CMS Ratings and Staffing Data

The figures below are reported by CMS for the chain in the most recent CMS Nursing Home Chain Performance Measures release. CMS five-star ratings are relative, point-in-time measures calculated against other facilities nationally; they do not guarantee the quality of care any individual resident receives, and serious harm can occur at a facility regardless of its rating.

• The chain-average overall star rating was about 3.9 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 3.4 for health inspections, 2.3 for staffing, and 4.7 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 2 of 90 facilities (2.2%) with a one-star ("much below average") overall rating (national rate 20.5%) and 5 facilities (5.6%) carrying a CMS abuse icon (national rate 9.7%).^[3]
• Average total nurse staffing was about 3.5 hours per resident per day (national 3.9), and reported nursing-staff turnover was about 44.0% (national 45.8%).^[3]
• CMS records show 11 fines totaling $235,387 and 2 Medicare payment denials across the chain in the most recent three-year window.^[3][2]

These chain-level averages describe the group as a whole and say nothing about any specific facility or any specific resident's experience. Conditions and ratings vary from home to home and change over time.

American Senior Communities Nursing Home Facilities

The table below is the complete roster of the American Senior Communities-affiliated nursing facilities (CMS chain ID 33) in the federal CMS Provider Information dataset (May 2026 release), which listed 91 facilities. It lists each facility's name, city and state, street address, and phone number, along with any current CMS quality flag. The chain-level totals cited above reflect the most recent CMS Nursing Home Chain Performance Measures release; this per-facility roster is the May 2026 provider-level snapshot and will be refreshed when CMS posts the corresponding provider-level file.^[1]

The "CMS Flag" column marks homes that CMS has identified as a Special Focus Facility, a Special Focus Facility Candidate, behind on inspections ("Delayed inspection"), or carrying an abuse icon. Rows shaded gold indicate a current Special Focus designation or candidacy.^[1]

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to American Senior Communities, chain ID 33. Inclusion on this list reflects CMS chain-affiliation data and does not by itself indicate that any particular facility committed wrongdoing.^[1]

Special Focus Facilities and SFF Candidates in American Senior Communities

The Special Focus Facility (SFF) program is run by CMS to identify nursing homes with a history of serious quality problems; CMS describes these facilities as among the poorest-performing nursing homes in the country. A "Special Focus Facility Candidate" is a home with a history of serious quality issues that has not yet been formally placed in the program.^[4]

According to the most recent CMS Nursing Home Chain Performance Measures release, American Senior Communities had 0 Special Focus Facilities and 0 Special Focus Facility Candidates at the chain level.^[3] The CMS Provider Information dataset (May 2026 release) flagged 1 facility with a Special Focus designation or candidacy and 2 facilities carrying an abuse icon at that point in time; these designations are reassessed by CMS monthly and can change.^[1]

American Senior Communities Special Focus Facility Candidate (May 2026)

• Community Nursing and Rehabilitation Center — Indianapolis, IN

American Senior Communities Facilities With a CMS Abuse Icon (May 2026)

• Seymour Crossing — Seymour, IN
• University Nursing Center — Upland, IN

American Senior Communities Fines, Lawsuits, and Regulatory Record

The items below are drawn from federal CMS enforcement data and from the U.S. Department of Justice.

Federal Civil Money Penalties and Payment Denials

CMS enforcement records show that, across the chain, CMS imposed 11 fines totaling about $235,387 and 2 Medicare payment denials in the most recent three-year window reflected in the data.^[2][3]

Criminal Prosecution of Former Executives (2016–2018)

Between 2016 and 2018, several former American Senior Communities executives were criminally prosecuted by the U.S. Department of Justice in connection with a fraud and kickback scheme. The company's former chief executive officer, James Burkhart, pleaded guilty to federal fraud, anti-kickback, and money-laundering conspiracy charges and, in 2018, was sentenced to nine and a half years in federal prison. The former chief operating officer, Daniel Benson, and other individuals were also charged. According to the Department of Justice, the scheme moved roughly $19 million through fraudulent invoices, shell companies, and kickbacks over about six years, and the funds came largely from the Health and Hospital Corporation of Marion County and from federal health programs.^[7]

The prosecution was directed at these individuals, not at American Senior Communities as a company; the company itself was not charged. In December 2024, Burkhart's prison sentence was commuted as part of a broad grant of presidential clemency.^[8] We note this public record for completeness; it concerns the conduct of former executives and does not, by itself, establish anything about the care provided at any individual ASC facility.

How Michael Hill Trial Law Investigates Claims Against American Senior Communities

Michael Hill Trial Law focuses exclusively on nursing home abuse and neglect. The firm has handled more than 1,000 cases against nursing home operators and has recovered hundreds of millions of dollars for clients, including a $26 million verdict in Ohio.^[5]

Thin staffing and high staff turnover are among the conditions that can contribute to preventable harm in a nursing home, because residents depend on consistent, adequate staffing for basic care. A facility's overall CMS rating does not determine whether a particular resident was harmed, and serious injuries can occur at facilities with average or above-average ratings. When we investigate a claim against a American Senior Communities facility, we identify the specific entities that owned, operated, and managed the home, compare the home's CMS staffing and inspection history against what happened to the resident, and obtain the facility's care records and any available documentation. The kinds of injuries and claims our firm investigates include:

• Bedsores and pressure injuries
• Falls and fractures
• Malnutrition and dehydration
• Infections and sepsis
• Medication errors
• Elopement (wandering away from a facility)
• Understaffing and neglect
• Physical or sexual assault
• Wrongful death

We are investigating claims against facilities operated under the American Senior Communities name. If your loved one was injured or died in a American Senior Communities nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About American Senior Communities

Who owns American Senior Communities?

American Senior Communities is a privately held Indiana company. In the CMS data its facilities are grouped under chain ID 33 and operated as for-profit entities. A number of facilities are owned by public or nonprofit entities and operated or managed by ASC under contract, so families should confirm the owning, operating, and management entities for any individual facility.

How many nursing homes does American Senior Communities operate?

Federal CMS data affiliates about 90 skilled nursing facilities with ASC, all in Indiana, tying it as the thirteenth-largest nursing home chain in the United States by number of facilities.

How is American Senior Communities rated by Medicare?

According to the most recent CMS chain data, ASC's average overall star rating is about 3.9 of 5 (national average 3.0). About 2.2% of its facilities carry a one-star overall rating and 5.6% carry a CMS abuse icon. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Was American Senior Communities involved in a fraud case?

Former ASC executives, including the former CEO, were criminally prosecuted and convicted in a federal fraud and kickback scheme involving roughly $19 million, with sentencing in 2018. The prosecution was directed at those individuals; the company itself was not charged. In December 2024 the former CEO's sentence was commuted as part of a broad presidential clemency grant.

What should I do if a loved one was harmed at an ASC facility?

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including American Senior Communities facilities. You can contact the firm for a confidential review of your situation.

Sources

1. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to American Senior Communities, chain ID 33 (facility counts, addresses, phone numbers, bed counts, ownership type, star ratings, abuse icons, Special Focus status, delayed inspections). https://data.cms.gov/provider-data/dataset/4pq5-n9py
2. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Penalties" file (May 2026 release) (fine amounts and payment denials). https://data.cms.gov/provider-data/
3. Centers for Medicare & Medicaid Services, Provider Data Catalog / data.gov, "Nursing Home Chain Performance Measures" (Affiliated Entity Performance Measures) dataset, most recent 2026 release, filtered to American Senior Communities (CMS chain ID 33): affiliated-facility count, states, bed count, chain-average star ratings, one-star share, abuse-icon share, Special Focus Facilities and candidates, fines, payment denials, staffing hours, and turnover. https://data.cms.gov/provider-data/ ; dataset listing: https://catalog.data.gov/dataset/nursing-home-chain-performance-measures
4. Centers for Medicare & Medicaid Services, "Special Focus Facility (SFF) Program" overview and monthly candidate/participant lists. https://www.cms.gov/medicare/health-safety-standards/certification-compliance/special-focus-facility
5. Michael Hill Trial Law. https://protectseniors.com/
6. American Senior Communities corporate information and Indiana operations. https://www.asccare.com/
7. U.S. Department of Justice, U.S. Attorney's Office, Southern District of Indiana, "Former Health Care Chief Executive Sentenced to 9.5 Years in Federal Prison" and related releases (James Burkhart, former ASC CEO, and co-defendants; roughly $19 million fraud and kickback scheme; funds largely from the Health and Hospital Corporation of Marion County and federal health programs). https://www.justice.gov/usao-sdin/pr/former-health-care-chief-executive-sentenced-95-years-federal-prison
8. Reporting on the December 2024 commutation of James Burkhart's sentence as part of a broad presidential clemency action (McKnight's Long-Term Care News). https://www.mcknights.com/news/former-american-senior-communities-ceo-james-burkhart-granted-clemency-by-president/

This page is for general informational purposes and is not legal advice. It is attorney advertising. Ratings, fines, and Special Focus data are from federal CMS records and reflect inspection findings and regulatory penalties, not court judgments. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives. Facility data and corporate ownership change over time; verify current details before relying on them. Last reviewed: October 26, 2026.