ElderCareCosts Research

https://www.eldercarecosts.com/press/data/fines-by-chain/

DATA AS OF 2026-06-01

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Data journalism · Fines · ElderCareCosts Research

Nursing Home CMS Fine Totals by Ownership Chain

Name: Nursing home CMS fine totals by ownership chain
Creator: ElderCareCosts Research
License: https://www.eldercarecosts.com/editorial-standards/

Among parent organizations linked to at least 3 nursing homes, West Wharton County Hospital District has the largest stored CMS fine total in period 2026-06-01 at $6,151,865 across 87 facilities.

EDITORIAL STANDARDS

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What the numbers mean

Chain means the selected CMS parent organization on the provider row, not every owner in a complex ownership tree.

PE/REIT columns are CMS structured disclosures on that parent organization only.

Organizations with fewer than 3 linked nursing homes are omitted.

Chart

Largest CMS fine totals by parent organization

Top parent orgs with 3+ linked nursing homes (2026-06-01).

Unit: Total fines

Largest CMS fine totals by parent organization
Label	Total fines
West Wharton County Hospital District	$6,151,865
Yosef Meystel Delta Trust	$4,700,395
Providence Group Nh, LLC	$4,555,427
Atied Associates LLC	$4,444,600
Winnie-Stowell Hospital District	$3,748,842
Chaim Rajchenbach Descendants Tr Ua 04282008	$3,336,971
Genesis Healthcare LLC	$2,899,835
Life Care Centers Of America, INC.	$2,867,992
Fannin County Hospital Authority	$2,618,854
Chambers County Public Hospital District No. 1	$2,403,174
Honor X Enterprises, LLC	$2,248,293
Liberty County Hospital District No. 1	$2,191,103
Reliant Care Management Company LLC	$2,028,196
The Alden Group, Ltd.	$1,974,303
Hamilton County Hospital District	$1,967,919

Data table

CMS fine totals by parent organization (2026-06-01)
Parent organization	Facilities	Total fines	CMS PE	CMS REIT
West Wharton County Hospital District	87	$6,151,865	N	N
Yosef Meystel Delta Trust	23	$4,700,395	N	N
Providence Group Nh, LLC	118	$4,555,427	N	N
Atied Associates LLC	29	$4,444,600	N	N
Winnie-Stowell Hospital District	66	$3,748,842	N	N
Chaim Rajchenbach Descendants Tr Ua 04282008	62	$3,336,971	N	Y
Genesis Healthcare LLC	67	$2,899,835	N	N
Life Care Centers Of America, INC.	146	$2,867,992	N	N
Fannin County Hospital Authority	53	$2,618,854	N	N
Chambers County Public Hospital District No. 1	19	$2,403,174	N	N
Honor X Enterprises, LLC	40	$2,248,293	N	N
Liberty County Hospital District No. 1	35	$2,191,103	N	N
Reliant Care Management Company LLC	9	$2,028,196	N	N
The Alden Group, Ltd.	21	$1,974,303	N	N
Hamilton County Hospital District	51	$1,967,919	N	N
Gubin Enterprises Limited Partnership	29	$1,953,031	N	N
Sanford	66	$1,792,808	N	N
Wissati Irrevocable Trust	12	$1,783,614	N	N
Dallas County Hospital District	37	$1,741,650	N	N
Frio Hospital District	22	$1,675,057	N	N
Eastland Memorial Hospital District	33	$1,622,486	N	N
Oakbend Medical Center	30	$1,601,184	N	N
Uvalde County Hospital Authority	38	$1,544,301	N	N
Walnut Creek Management Company LLC	11	$1,534,355	N	N
Coryell County Memorial Hospital Authority	22	$1,498,969	N	N
Aliya Five Holdings LLC	7	$1,467,249	N	N
Eu Snf Holdings LLC	5	$1,457,074	N	N
Nexion Health Of Ohi INC	30	$1,451,687	N	N
Reliant Care Group LLC	16	$1,420,320	N	N
D & N LLC	8	$1,160,246	N	N
Quinto Nexgen LLC	30	$1,141,291	N	N
Rockport Administrative Services, LLC	36	$1,137,310	N	N
Ascension Health Senior Care	13	$1,105,733	N	N
Wellington Healthcare Services LP	10	$1,083,299	N	N
National Healthcare Corporation	53	$1,082,126	N	N
Eduro Healthcare LLC	13	$1,062,902	N	N
Principle Long Term Care, INC.	40	$1,061,634	N	N
Crest Illinois Holdco II LLC	4	$1,010,755	N	N
Tlco Holdings LLC	11	$1,001,386	N	N
Yosef Meystel Declaration Of Tr Of Yosef Meystel Ttee	8	$1,000,027	N	N
Omnia Opco Holdings LLC	16	$998,292	N	N
Arcadia Care Management LLC	8	$979,453	N	N
Guadalupe County Hospital Board	24	$978,483	N	N
Stratford Hospital District	28	$973,448	N	N
Wheat Chaff LP	6	$972,666	N	N
Snf Mgr LLC	19	$964,169	N	N
Care Initiatives	43	$926,951	N	N
Beaver Valley Hospital	29	$912,486	N	N
Saber Healthcare Holdings LLC	57	$896,817	N	N
Mission Point Metro Holding LLC	7	$896,301	N	N

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Source: CMS Nursing Home Penalties, 2026-06-01, cms-nursing-homes:ownership. Live figures on the data journalism hub.

Methodology

Group nursing homes by providers.parent_org_id.

Require at least 3 linked facilities. Sum total_fines_usd for the current quality period.

Source: CMS Nursing Home Penalties · Updated 2026-06-01Source: CMS Nursing Home Penalties · Updated cms-nursing-homes:ownership

Limits

Chain here means the selected CMS parent organization, not every owner entity.

Facilities without a linked parent are excluded from chain totals.

Sources

CMS Nursing Home Penalties: Fine amounts rolled into provider_quality.total_fines_usd
CMS Skilled Nursing Facility All Owners: PE and REIT structured ownership disclosures and parent organization links
CMS Skilled Nursing Facility Enrollments: Enrollment ID to CCN join used to attach owners to facilities
Queryable cut: ElderCareCosts Neon tables providers, organizations, provider_quality, provider_inspections (is_demo = false).

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