Data / Environmental compliance / Nursing and Residential Care Facilities
Environmental compliance in Nursing and Residential Care Facilities: 49 facilities, $142,642 in penalties (2021 to 2026)
EPA's ECHO database lists 49 facilities in Nursing and Residential Care Facilities (NAICS 623) with a formal enforcement action, penalties of $5,000 or more, three or more quarters in significant noncompliance or a federal case in the five years to November 1, 2026: 82 formal actions, 220 informal actions and $142,642 in penalties.
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- Industry
- NAICS 623, Nursing and Residential Care Facilities
- Facilities
- 49
- Formal enforcement actions
- 82
- Informal actions
- 220
- Penalties
- $142,642 ($0 from federal cases)
- Facilities with three or more quarters in significant noncompliance
- 20
By state
| State | Facilities | Formal actions | Penalties |
|---|---|---|---|
| New Jersey | 9 | 9 | $36,075 |
| North Carolina | 11 | 49 | $32,647 |
| Kentucky | 7 | 7 | $28,000 |
| South Carolina | 2 | 1 | $17,000 |
| New York | 3 | 4 | $11,700 |
| Pennsylvania | 3 | 2 | $11,445 |
| Arkansas | 3 | 4 | $4,150 |
| Texas | 1 | 1 | $875 |
| Georgia | 2 | 2 | $750 |
| District of Columbia | 1 | 1 | $0 |
| Iowa | 1 | 0 | $0 |
| Illinois | 1 | 2 | $0 |
| Michigan | 1 | 0 | $0 |
| Mississippi | 3 | 0 | $0 |
| West Virginia | 1 | 0 | $0 |
Facilities with the largest penalties
Ranked by penalties of the last five years. Each row links to EPA's facility report.
| Facility | City | State | Formal actions | Penalties | Quarters in significant noncompliance | Latest penalty | Source |
|---|---|---|---|---|---|---|---|
| Commander Operator, LLC | Florence | SC | 1 | $17,000 | 7 | February 21, 2024 | echo.epa.gov |
| Lakeland Arbor Village | Benton | KY | 2 | $15,000 | 11 | August 4, 2023 | echo.epa.gov |
| Actors Fund Home | Englewood | NJ | 1 | $14,000 | 0 | November 5, 2025 | echo.epa.gov |
| Ellenville Residential Treatment Program | Ellenville | NY | 1 | $11,700 | 5 | March 10, 2025 | echo.epa.gov |
| Phillips Plating Company | Bridgeton | NC | 8 | $9,578 | 2 | August 25, 2026 | echo.epa.gov |
| Encompass Health Tinton | Tinton Falls | NJ | 1 | $9,400 | 0 | January 15, 2026 | echo.epa.gov |
| Hilltop Living Center WWTP | Linwood | NC | 7 | $8,987 | 1 | October 25, 2022 | echo.epa.gov |
| Belmont Center for Treatment | Philadelphia | PA | 1 | $8,445 | 0 | January 27, 2026 | echo.epa.gov |
| Central Care WWTP | Mount Airy | NC | 11 | $6,628 | 2 | September 4, 2024 | echo.epa.gov |
| Stewart Home School | Frankfort | KY | 2 | $4,000 | 2 | March 10, 2023 | echo.epa.gov |
| Dessie Scott Childrens Home | Pine Ridge | KY | 1 | $4,000 | 0 | September 28, 2023 | echo.epa.gov |
| Njdhs Hunterdon Developmental Center | Clinton | NJ | 1 | $3,800 | 0 | November 8, 2021 | echo.epa.gov |
| Youth Home, Inc. | Little Rock | AR | 2 | $3,650 | 6 | July 7, 2026 | echo.epa.gov |
| Henderson S Assisted Living | Hendersonville | NC | 4 | $3,560 | 5 | June 10, 2024 | echo.epa.gov |
| Shady Lawn Nursing & Rehabilitation Center | Cadiz | KY | 1 | $3,500 | 1 | July 8, 2024 | echo.epa.gov |
| Deer Meadows | Philadelphia | PA | 1 | $3,000 | 0 | February 12, 2024 | echo.epa.gov |
| Njdhs Woodbine Developmental Center | Woodbine | NJ | 1 | $3,000 | 0 | February 13, 2023 | echo.epa.gov |
| Mountain View Assisted Living | Hendersonville | NC | 11 | $1,718 | 4 | June 6, 2024 | echo.epa.gov |
| Egg Harbor Care Center | Egg Harbor, Township of | NJ | 1 | $1,600 | 0 | May 8, 2025 | echo.epa.gov |
| Masonic Home NJ | Burlington | NJ | 1 | $1,500 | 0 | October 16, 2025 | echo.epa.gov |
| Westcare Kentucky Inc | Ashcamp | KY | 1 | $1,500 | 0 | May 17, 2023 | echo.epa.gov |
| Bentley Senoir Living | Pennsauken | NJ | 1 | $1,100 | 0 | October 8, 2024 | echo.epa.gov |
| Brookdale of Wayne | Wayne | NJ | 1 | $975 | 0 | January 6, 2022 | echo.epa.gov |
| Britten Creek WWTP | Mill Spring | NC | 2 | $960 | 0 | July 12, 2024 | echo.epa.gov |
| Stone Creek Ranch | Fair Oaks Ranch | TX | 1 | $875 | 0 | June 3, 2025 | echo.epa.gov |
| Warren Haven Nursing Home | Oxford | NJ | 1 | $700 | 0 | May 23, 2025 | echo.epa.gov |
| Ensley Adult Care Home, Incorporated | Sylva | NC | 1 | $542 | 0 | July 1, 2024 | echo.epa.gov |
| North Highway 7 Operating LLC, Village Springs at the Blossoms | Hot Springs | AR | 1 | $500 | 5 | June 7, 2022 | echo.epa.gov |
| Blakelynn Homes LLC (oconee Health Care Center WPCP) | Oconee | GA | 1 | $500 | 0 | June 21, 2022 | echo.epa.gov |
| The Balsam Center for Hope & Recovery | Waynesville | NC | 1 | $414 | 0 | March 18, 2022 | echo.epa.gov |
| Hilltop Health and Rehabilitation | Rutherfordton | NC | 1 | $260 | 2 | May 4, 2026 | echo.epa.gov |
| Georgia Sheriffs? Boys Ranch WPCP | Hahira | GA | 1 | $250 | 0 | November 19, 2021 | echo.epa.gov |
| Valley View Center for Nursing & Rehabilitation | Goshen | NY | 3 | $0 | 2 | echo.epa.gov | |
| Wilmington Rehab WWTP | Castle Hayne | NC | 3 | $0 | 1 | echo.epa.gov | |
| Mount Saint Joseph Home STP | Lake Zurich | IL | 2 | $0 | 1 | echo.epa.gov | |
| Armed Forces Retirement Home | Washington | DC | 1 | $0 | 12 | echo.epa.gov | |
| Booneville Development Center | Booneville | AR | 1 | $0 | 0 | echo.epa.gov | |
| Golden Years Healthcare | Lackey | KY | 0 | $0 | 11 | echo.epa.gov | |
| Logan Center | Stollings | WV | 0 | $0 | 11 | echo.epa.gov | |
| Valley View Center | Goshen | NY | 0 | $0 | 10 | echo.epa.gov | |
| Palmer Home for Children, Miss Sheriffs Boy and Girls Ranch | Columbus | MS | 0 | $0 | 7 | echo.epa.gov | |
| Yc Holdings, Inc. | Orangeburg | SC | 0 | $0 | 7 | echo.epa.gov | |
| Montgomery Manor WWSL | Hudson | MI | 0 | $0 | 6 | echo.epa.gov | |
| Region 1 Mental Health Center, Fairland Center | Clarksdale | MS | 0 | $0 | 6 | echo.epa.gov | |
| Kensington Fort Madison, LLC | Fort Madison | IA | 0 | $0 | 5 | echo.epa.gov | |
| Bass Memorial Academy, Adventist Health Center | Lumberton | MS | 0 | $0 | 4 | echo.epa.gov | |
| Sugar Creek Rest Home STP | Worthington | PA | 0 | $0 | 4 | echo.epa.gov | |
| Jonesville Rest Home Inc | Jonesville | KY | 0 | $0 | 3 | echo.epa.gov | |
| Snug Harbor on Nelson Bay | Sea Level | NC | 0 | $0 | 3 | echo.epa.gov |
By program
| Program | Facilities | Formal actions | Informal actions | Penalties | Facilities with quarters in significant noncompliance |
|---|---|---|---|---|---|
| Clean Air Act | 12 | 11 | 4 | $33,520 | 1 |
| Clean Water Act | 39 | 54 | 172 | $95,122 | 27 |
| Hazardous waste (RCRA) | 10 | 1 | 3 | $14,000 | 0 |
| Drinking water (SDWA) | 8 | 14 | 41 | $0 | 0 |
Updated November 7, 2026. Read from US EPA, Enforcement and Compliance History Online (ECHO). Public domain (U.S. government work). Counts and penalties cover the five years to November 1, 2026 as ECHO publishes them in its exporter and case downloads, drawn from EPA's air, water, hazardous waste and drinking water systems and from the states that report to them. Records can be incomplete, late or corrected after this page was read. A federal case penalty that names several facilities is shown on each of them and counted once in industry, state and national totals. Each row links to EPA's own report. A quarter in significant noncompliance is EPA's term for a serious violation status in a program, not a finding of fault beyond that status. This page uses US EPA data and is not endorsed or certified by the US EPA. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.