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, Pacs Holdings, LLC has the largest stored CMS fine total in period 2026-08-01 at $5,609,950 across 204 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 (2026-08-01).

Unit: Total fines

Largest CMS fine totals by parent organization
Label	Total fines
Pacs Holdings, LLC	$5,609,950
The Ensign Group INC	$4,649,247
Arcadia Care Management LLC	$4,437,023
Genesis Healthcare LLC	$4,427,289
Atied Associates LLC	$4,305,179
Reliant Care Management Company LLC	$3,600,299
Life Care Centers of America, INC.	$3,464,555
Legacy Healthcare Financial Services LLC	$3,184,677
Pacs Group, INC.	$2,705,253
Marquis Limited LLC	$2,674,080
Gubin Enterprises Limited Partnership	$2,338,441
Wissati Irrevocable Trust	$2,311,580
Ensign Services INC	$2,278,775
The Alden Group, LTD.	$2,248,403
Creative Solutions in Healthcare INC	$2,195,627

Data table

CMS fine totals by parent organization (2026-08-01)
Parent organization	Facilities	Total fines	CMS PE	CMS REIT
Pacs Holdings, LLC	204	$5,609,950	N	N
The Ensign Group INC	271	$4,649,247	N	N
Arcadia Care Management LLC	23	$4,437,023	N	N
Genesis Healthcare LLC	92	$4,427,289	N	N
Atied Associates LLC	26	$4,305,179	N	N
Reliant Care Management Company LLC	18	$3,600,299	N	N
Life Care Centers of America, INC.	193	$3,464,555	N	N
Legacy Healthcare Financial Services LLC	76	$3,184,677	N	N
Pacs Group, INC.	55	$2,705,253	N	N
Marquis Limited LLC	73	$2,674,080	N	N
Gubin Enterprises Limited Partnership	28	$2,338,441	N	N
Wissati Irrevocable Trust	12	$2,311,580	N	N
Ensign Services INC	65	$2,278,775	N	N
The Alden Group, LTD.	25	$2,248,403	N	N
Creative Solutions in Healthcare INC	45	$2,195,627	N	N
Sanford	88	$2,168,437	N	N
Eu SNF Holdings LLC	7	$2,006,669	N	N
Goldwater Care Management LLC	11	$1,935,421	N	N
Walnut Creek Management Company LLC	11	$1,854,634	N	N
Ciena Healthcare Management INC	43	$1,822,648	N	N
Elevate Care INC	12	$1,779,566	N	N
Nexion Health of Ohi INC	31	$1,765,312	N	N
Aperion Care INC	19	$1,747,610	N	N
Saber Healthcare Holdings LLC	79	$1,704,706	N	N
Volare Health LLC	16	$1,561,816	N	N
North Shore Healthcare LLC	55	$1,490,835	N	N
Legacy Management Group, LLC	7	$1,483,277	N	N
Aliya Five Holdings LLC	7	$1,459,319	N	N
Heritage Operations Group, LLC	9	$1,387,058	N	N
Reliant Care Group LLC	14	$1,291,562	N	N
Laurel Health Care Holdings, INC.	37	$1,253,220	N	N
Gold FL Trust II	29	$1,225,494	N	N
Commonspirit Health	18	$1,218,755	N	N
Longwood Management LLC	36	$1,147,777	N	N
Corporate Interface Services LLC	33	$1,132,445	N	N
Maze Family Limited Partnership	19	$1,123,718	N	N
LTC Management Services LLC	37	$1,123,572	N	N
Bedrock HC Wi LLC	7	$1,117,798	N	N
Ascension Health Senior Care	12	$1,097,427	N	N
Stonegate Senior Living, LP	23	$1,093,267	N	N
Tlco Holdings LLC	15	$1,087,599	N	N
Cambridge Healthcare Services LLC	29	$1,075,912	N	N
GPN Family Trust U/A/D 4/28/08	13	$1,049,310	N	Y
Signature Healthcare LLC	61	$1,047,093	N	N
Pruitthealth INC	66	$1,028,746	N	N
Eduro Healthcare LLC	14	$1,021,310	N	N
Principle Long Term Care, INC.	41	$1,019,343	N	N
Ydi Eastern Holdco LLC	16	$1,016,962	N	N
Wellington Healthcare Services LP	10	$998,372	N	N
National Healthcare Corporation	60	$991,868	N	N

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Source: CMS Nursing Home Penalties, 2026-08-01, 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 2026-08-01Source: 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: the ElderCareCosts provider, organization, quality, and inspection records behind this site (placeholder rows excluded).

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