Foundations Health Solutions Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is Foundations Health Solutions?

Foundations Health Solutions is an Ohio-based operator of skilled nursing and rehabilitation facilities; all of its CMS-affiliated facilities are in Ohio. A Foundations-affiliated facility website has described the company as operating 57 skilled nursing facilities.^[6]

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

What Kind of Chain Is Foundations Health Solutions?

Foundations is a skilled nursing facility (SNF) chain operating in Ohio. 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 Foundations Health Solutions?

Within the CMS data, the Foundations-affiliated facilities are operated as for-profit entities grouped under chain ID 225.^[1] The company has been associated in federal records with Brian Colleran, as described in the regulatory-record section below.^[7] Families should confirm the specific owning, operating, and management entities for any individual facility.^[1]

How Big Is the Foundations Health Solutions Nursing Home Chain?

Foundations Health Solutions 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 64 nursing homes, all in Ohio with the chain (CMS chain ID 225) — ranking it #24 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 6,198 certified beds.^[3]

Foundations Health Solutions 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 4.2 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 4.1 for health inspections, 2.3 for staffing, and 4.3 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 0 of 60 facilities (0.0%) with a one-star ("much below average") overall rating (national rate 20.5%) and 0 facilities (0.0%) 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 40.0% (national 45.8%).^[3]
• CMS records show 23 fines totaling $374,548 and 1 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.

Foundations Health Solutions Nursing Home Facilities

The table below is the complete roster of the Foundations Health Solutions-affiliated nursing facilities (CMS chain ID 225) in the federal CMS Provider Information dataset (May 2026 release), which listed 63 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 Foundations Health Solutions, chain ID 225. 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 Foundations Health Solutions

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, Foundations Health Solutions 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 no facilities with a Special Focus designation or candidacy and no facilities carrying an abuse icon at that point in time; these designations are reassessed by CMS monthly and can change.^[1]

Foundations Health Solutions Facilities With a Delayed CMS Inspection (May 2026)

• Carington Park — Ashtabula, OH
• Woods on French Creek Nursing & Rehab Center the — Avon, OH
• Brunswick Pointe Transitional Care — Brunswick, OH
• Maria Joseph Living Care Center — Dayton, OH
• Pine Grove Healthcare Center — Geneva, OH
• Keystone Pointe Health and Rehabilitation — Lagrange, OH
• Scenic Pointe Nursing and Rehab Ctr — Millersburg, OH
• Huntington Woods Care & Rehab Center — Westlake, OH

Foundations Health Solutions 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 23 fines totaling about $374,548 and 1 Medicare payment denial in the most recent three-year window reflected in the data.^[2][3]

2017 False Claims Act Settlement ($19.5 Million)

In July 2017, Foundations Health Solutions Inc. and two related companies — Olympia Therapy Inc. and Tridia Hospice Care Inc. — together with executives Brian Colleran and Daniel Parker, agreed to pay approximately $19.5 million to resolve allegations under the federal False Claims Act. According to the U.S. Department of Justice, the government alleged that the companies submitted claims for medically unnecessary rehabilitation therapy and for hospice services to ineligible patients, and that Colleran and Parker solicited and received kickbacks for patient referrals. Foundations and Colleran entered a five-year Corporate Integrity Agreement with the HHS Office of Inspector General.^[7]

The Department of Justice stated: “The claims resolved by the settlement are allegations only, and there has been no determination of liability.”^[7]

Other Litigation

As with any nursing home operator, individual Foundations facilities have also been named in civil lawsuits alleging resident injury or neglect. The resolution of any individual case depends on its own facts, and the existence of a lawsuit is not a finding of liability.^[1]

How Michael Hill Trial Law Investigates Claims Against Foundations Health Solutions

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 Foundations Health Solutions 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 Foundations Health Solutions name. If your loved one was injured or died in a Foundations Health Solutions nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About Foundations Health Solutions

Who owns Foundations Health Solutions?

Foundations Health Solutions is a privately held Ohio company. In the CMS data its facilities are grouped under chain ID 225 and operated as for-profit entities. The company has been associated in federal records with Brian Colleran. Families should confirm the owning, operating, and management entities for any individual facility.

How many nursing homes does Foundations Health Solutions operate?

Federal CMS data affiliates about 64 skilled nursing facilities with the company, all in Ohio, tying it as the twenty-fourth-largest nursing home chain in the United States by number of facilities.

How is Foundations Health Solutions rated by Medicare?

According to the most recent CMS chain data, its average overall star rating is about 4.2 of 5 (national average 3.0), with health inspections rated 4.1 of 5 and staffing rated 2.3 of 5. None of its facilities carried a one-star overall rating or a CMS abuse icon in this release. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Has Foundations Health Solutions been sued or fined?

CMS enforcement records show 23 fines totaling about $374,548 in the most recent three-year window. Separately, in 2017 Foundations Health Solutions and two related companies, with executives Brian Colleran and Daniel Parker, paid about $19.5 million to resolve federal False Claims Act allegations involving medically unnecessary therapy and hospice services and kickbacks. The Department of Justice stated the claims were allegations only, with no determination of liability.

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

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including Foundations Health Solutions 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 Foundations Health Solutions, chain ID 225 (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 Foundations Health Solutions (CMS chain ID 225): 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. Foundations Health Solutions corporate and facility information (Ohio skilled nursing operations; a Foundations-affiliated facility website describing the company as operating 57 skilled nursing facilities). https://www.foundationshealth.com/
7. U.S. Department of Justice, "Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services" (July 17, 2017): settlement by Foundations Health Solutions Inc., Olympia Therapy Inc., and Tridia Hospice Care Inc., and executives Brian Colleran and Daniel Parker; "The claims resolved by the settlement are allegations only, and there has been no determination of liability." https://www.justice.gov/opa/pr/three-companies-and-their-executives-pay-195-million-resolve-false-claims-act-allegations

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. The 2017 False Claims Act settlement resolved allegations only, with no determination of liability. 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.