# US nursing homes: 14,686 facilities rated, page 14

Updated November 10, 2026.

Owners and managers with the most facilities, 1,301 to 1,400 of 2,237, in the same order as page 1.

## The full list

This record is a row of this list. Pay by card with no account. Prices exclude VAT. CSV and Excel files with the columns this page does not show (phone, name, CMS Certification Number, street address, city, ZIP code and 20 more), which open on your screen as soon as the payment clears and come by email.

- [Nursing homes in the United States](https://specstream.ai/data/nursing-homes): 14,686 rows, facilities as of October 1, 2026; fines and citations October 1, 2023 to October 1, 2026, $226.86, or the new rows each week for $19 a month. Buy: https://specstream.ai/data/nursing-homes

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

## Owners and managers with the most facilities, page 14

| Organization | Facilities | States | One star | Fine total |
| --- | --- | --- | --- | --- |
| [Rivers Edge Operations LLC](https://specstream.ai/data/nursing-homes/owner/rivers-edge-operations-llc-1e488f) | 5 | 1 | 2 | $157,816 |
| [Rivers Edge Partners LLC](https://specstream.ai/data/nursing-homes/owner/rivers-edge-partners-llc-277ba5) | 5 | 1 | 2 | $157,816 |
| [Riverside Integrated Services Inc](https://specstream.ai/data/nursing-homes/owner/riverside-integrated-services-inc-0c6abe) | 5 | 1 | 0 | $46,745 |
| [Rockwell Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/rockwell-healthcare-llc-be0fdf) | 5 | 1 | 0 | $32,459 |
| [Rubiweb Florida Services Group USA LLC](https://specstream.ai/data/nursing-homes/owner/rubiweb-florida-services-group-usa-llc-b02247) | 5 | 1 | 2 | $57,477 |
| [Ruchel Friedman Klavan Group a Business Assets Trust](https://specstream.ai/data/nursing-homes/owner/ruchel-friedman-klavan-group-a-business-assets-trust-e12263) | 5 | 1 | 2 | $115,616 |
| [S&D Investments](https://specstream.ai/data/nursing-homes/owner/s-d-investments-30e030) | 5 | 1 | 4 | $724,299 |
| [SE SNF Associates LLC](https://specstream.ai/data/nursing-homes/owner/se-snf-associates-llc-eed421) | 5 | 3 | 2 | $336,426 |
| [SE SNF Associates Trust](https://specstream.ai/data/nursing-homes/owner/se-snf-associates-trust-fc1aab) | 5 | 3 | 2 | $336,426 |
| [SE SNF Holdings LLC](https://specstream.ai/data/nursing-homes/owner/se-snf-holdings-llc-bcdbba) | 5 | 3 | 2 | $336,426 |
| [SE SNF Holdings Trust](https://specstream.ai/data/nursing-homes/owner/se-snf-holdings-trust-8f9e2c) | 5 | 3 | 2 | $336,426 |
| [SHNZ Holdings LLC](https://specstream.ai/data/nursing-homes/owner/shnz-holdings-llc-581adb) | 5 | 3 | 1 | $518,131 |
| [SK Acc II Holdings LLC](https://specstream.ai/data/nursing-homes/owner/sk-acc-ii-holdings-llc-230f02) | 5 | 1 | 0 | $16,452 |
| [SLM Investments LLC](https://specstream.ai/data/nursing-homes/owner/slm-investments-llc-c63492) | 5 | 1 | 1 | $217,449 |
| [SWC Ca OPCO, LLC](https://specstream.ai/data/nursing-homes/owner/swc-ca-opco-llc-df9274) | 5 | 1 | 0 | $0 |
| [Schmidt Wallace Healthcare Management Company Inc](https://specstream.ai/data/nursing-homes/owner/schmidt-wallace-healthcare-management-company-inc-ee981f) | 5 | 1 | 0 | $0 |
| [Selectis Health Inc](https://specstream.ai/data/nursing-homes/owner/selectis-health-inc-87711f) | 5 | 2 | 3 | $165,159 |
| [Selectis Management LLC](https://specstream.ai/data/nursing-homes/owner/selectis-management-llc-c17df5) | 5 | 2 | 3 | $165,159 |
| [Slattery & Holman P.C.](https://specstream.ai/data/nursing-homes/owner/slattery-holman-p-c-9ab766) | 5 | 3 | 3 | $173,311 |
| [Smithville Hospital Authority](https://specstream.ai/data/nursing-homes/owner/smithville-hospital-authority-2a81f0) | 5 | 1 | 1 | $154,918 |
| [Sprenger Enterprises, Inc](https://specstream.ai/data/nursing-homes/owner/sprenger-enterprises-inc-94d7c9) | 5 | 1 | 0 | $63,455 |
| [Spring Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/spring-holdings-llc-ed0136) | 5 | 2 | 1 | $143,947 |
| [Star Pa I Holdings LLC](https://specstream.ai/data/nursing-homes/owner/star-pa-i-holdings-llc-3a84b7) | 5 | 1 | 0 | $8,281 |
| [State of New York Comptrollers Office](https://specstream.ai/data/nursing-homes/owner/state-of-new-york-comptrollers-office-b0b8d8) | 5 | 1 | 0 | $0 |
| [Summit Care II Inc](https://specstream.ai/data/nursing-homes/owner/summit-care-ii-inc-876d5d) | 5 | 1 | 0 | $27,021 |
| [Syhehe Dotoa Trust](https://specstream.ai/data/nursing-homes/owner/syhehe-dotoa-trust-153c95) | 5 | 2 | 1 | $660,883 |
| [Sylvania Franciscan Health](https://specstream.ai/data/nursing-homes/owner/sylvania-franciscan-health-b1412c) | 5 | 4 | 3 | $854,512 |
| [Symphony of Michigan Holdings LLC](https://specstream.ai/data/nursing-homes/owner/symphony-of-michigan-holdings-llc-99be09) | 5 | 1 | 1 | $196,605 |
| [Tanabell Health Services, Inc.](https://specstream.ai/data/nursing-homes/owner/tanabell-health-services-inc-e98d0c) | 5 | 2 | 0 | $11,297 |
| [The Aldersgate Trust](https://specstream.ai/data/nursing-homes/owner/the-aldersgate-trust-eec484) | 5 | 1 | 0 | $62,686 |
| [The Northern Trust Company](https://specstream.ai/data/nursing-homes/owner/the-northern-trust-company-14ee32) | 5 | 4 | 3 | $809,262 |
| [Tide Health Group LLC](https://specstream.ai/data/nursing-homes/owner/tide-health-group-llc-b78942) | 5 | 1 | 3 | $59,852 |
| [Transitions Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/transitions-healthcare-llc-d47d00) | 5 | 1 | 1 | $239,678 |
| [Trilogy Property Holdings LLC](https://specstream.ai/data/nursing-homes/owner/trilogy-property-holdings-llc-82766a) | 5 | 1 | 0 | $47,405 |
| [Tryko Delta Holdings LLC](https://specstream.ai/data/nursing-homes/owner/tryko-delta-holdings-llc-0b24d2) | 5 | 3 | 1 | $511,797 |
| [US Healthcare Consulting Holdings LLC](https://specstream.ai/data/nursing-homes/owner/us-healthcare-consulting-holdings-llc-27ef2a) | 5 | 1 | 1 | $93,481 |
| [Uptown FS LLC](https://specstream.ai/data/nursing-homes/owner/uptown-fs-llc-bf0a85) | 5 | 1 | 0 | $57,525 |
| [VHS HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/vhs-holdco-llc-419167) | 5 | 2 | 1 | $363,344 |
| [VHS Ultimate Parent LLC](https://specstream.ai/data/nursing-homes/owner/vhs-ultimate-parent-llc-d2d496) | 5 | 2 | 1 | $363,344 |
| [Va 6 SNF Operations Holdings LLC](https://specstream.ai/data/nursing-homes/owner/va-6-snf-operations-holdings-llc-a9ca6a) | 5 | 1 | 2 | $123,135 |
| [Vanguard Healthcare, LLC](https://specstream.ai/data/nursing-homes/owner/vanguard-healthcare-llc-82d484) | 5 | 1 | 0 | $8,788 |
| [Ventas, Inc.](https://specstream.ai/data/nursing-homes/owner/ventas-inc-1ccf6a) | 5 | 4 | 1 | $82,716 |
| [Vertical Health Services LLC](https://specstream.ai/data/nursing-homes/owner/vertical-health-services-llc-36790b) | 5 | 2 | 1 | $363,344 |
| [WCC Third Blind Trust](https://specstream.ai/data/nursing-homes/owner/wcc-third-blind-trust-fed4fe) | 5 | 1 | 0 | $0 |
| [Wellington Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/wellington-healthcare-llc-42a80c) | 5 | 2 | 2 | $240,810 |
| [West NC Holdings LLC](https://specstream.ai/data/nursing-homes/owner/west-nc-holdings-llc-457d6f) | 5 | 2 | 3 | $646,924 |
| [Western Home Services Inc](https://specstream.ai/data/nursing-homes/owner/western-home-services-inc-82c362) | 5 | 1 | 0 | $70,962 |
| [Wildflower Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/wildflower-healthcare-llc-526ced) | 5 | 1 | 5 | $817,388 |
| [Wilhelm Legacy Trust](https://specstream.ai/data/nursing-homes/owner/wilhelm-legacy-trust-5cb394) | 5 | 1 | 4 | $724,299 |
| [Ycd Group, LLC](https://specstream.ai/data/nursing-homes/owner/ycd-group-llc-b5804b) | 5 | 1 | 4 | $724,299 |
| [Yyam Holdings LLC](https://specstream.ai/data/nursing-homes/owner/yyam-holdings-llc-1a7647) | 5 | 2 | 1 | $318,031 |
| [ZBL Panhandle 7 LLC](https://specstream.ai/data/nursing-homes/owner/zbl-panhandle-7-llc-2d4a66) | 5 | 1 | 0 | $0 |
| [Zadun Holdings LLC](https://specstream.ai/data/nursing-homes/owner/zadun-holdings-llc-fae6ab) | 5 | 1 | 0 | $51,577 |
| [Zadun II Holdings LLC](https://specstream.ai/data/nursing-homes/owner/zadun-ii-holdings-llc-b21f3a) | 5 | 1 | 0 | $29,018 |
| [1026 Enterprises II LLC](https://specstream.ai/data/nursing-homes/owner/1026-enterprises-ii-llc-f86c16) | 4 | 2 | 2 | $382,540 |
| [A&M Healthcare Investments LLC](https://specstream.ai/data/nursing-homes/owner/a-m-healthcare-investments-llc-f8f408) | 4 | 2 | 2 | $559,112 |
| [Accura Healthcare](https://specstream.ai/data/nursing-homes/owner/accura-healthcare-23e909) | 4 | 1 | 0 | $8,021 |
| [Advanced Healthcare Management, Inc](https://specstream.ai/data/nursing-homes/owner/advanced-healthcare-management-inc-8d0175) | 4 | 2 | 2 | $33,627 |
| [Adventist Health System/West](https://specstream.ai/data/nursing-homes/owner/adventist-health-system-west-5caa3e) | 4 | 1 | 0 | $0 |
| [Advocate Health Inc](https://specstream.ai/data/nursing-homes/owner/advocate-health-inc-5a5897) | 4 | 2 | 1 | $114,286 |
| [Afmzl, LLC](https://specstream.ai/data/nursing-homes/owner/afmzl-llc-4fbf2b) | 4 | 1 | 4 | $320,931 |
| [Alabama Seven SNF OPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/alabama-seven-snf-opco-holdings-llc-b06b32) | 4 | 1 | 1 | $93,481 |
| [Alhambra Hospital Medical Center, LP](https://specstream.ai/data/nursing-homes/owner/alhambra-hospital-medical-center-lp-a654f0) | 4 | 1 | 2 | $46,717 |
| [Aliya Five Member a LLC](https://specstream.ai/data/nursing-homes/owner/aliya-five-member-a-llc-fed3fe) | 4 | 1 | 3 | $976,967 |
| [Allred Jackson, P.C.](https://specstream.ai/data/nursing-homes/owner/allred-jackson-p-c-b14ca6) | 4 | 3 | 1 | $224,326 |
| [American Health Foundation , Inc.](https://specstream.ai/data/nursing-homes/owner/american-health-foundation-inc-7a25ea) | 4 | 2 | 0 | $0 |
| [American Healthcare REIT Holdings LP](https://specstream.ai/data/nursing-homes/owner/american-healthcare-reit-holdings-lp-42f315) | 4 | 1 | 0 | $21,645 |
| [American Healthcare REIT Inc](https://specstream.ai/data/nursing-homes/owner/american-healthcare-reit-inc-28e566) | 4 | 1 | 0 | $21,645 |
| [Amm Trust](https://specstream.ai/data/nursing-homes/owner/amm-trust-7751cf) | 4 | 1 | 0 | $17,261 |
| [Aop OPCO Manager LLC](https://specstream.ai/data/nursing-homes/owner/aop-opco-manager-llc-ac3e15) | 4 | 1 | 0 | $221,520 |
| [Aop SNF Operations Holdings LLC](https://specstream.ai/data/nursing-homes/owner/aop-snf-operations-holdings-llc-9c6df8) | 4 | 1 | 0 | $221,520 |
| [Aperion Indiana Investor Group, LLC](https://specstream.ai/data/nursing-homes/owner/aperion-indiana-investor-group-llc-b71a03) | 4 | 1 | 3 | $32,478 |
| [Apja OPCO LLC](https://specstream.ai/data/nursing-homes/owner/apja-opco-llc-1ba43f) | 4 | 1 | 0 | $168,712 |
| [Archdiocese of Miami Inc](https://specstream.ai/data/nursing-homes/owner/archdiocese-of-miami-inc-815eec) | 4 | 1 | 0 | $195,251 |
| [As Family SD Holdings LLC](https://specstream.ai/data/nursing-homes/owner/as-family-sd-holdings-llc-27ced2) | 4 | 1 | 1 | $8,021 |
| [Athena Health Care Systems Ma LLC](https://specstream.ai/data/nursing-homes/owner/athena-health-care-systems-ma-llc-d2f2c4) | 4 | 1 | 3 | $343,706 |
| [Atrium Health Inc](https://specstream.ai/data/nursing-homes/owner/atrium-health-inc-dff412) | 4 | 2 | 1 | $114,286 |
| [Atru LLC](https://specstream.ai/data/nursing-homes/owner/atru-llc-fbed2c) | 4 | 1 | 2 | $987,555 |
| [Avalon Va Management LLC](https://specstream.ai/data/nursing-homes/owner/avalon-va-management-llc-b68a95) | 4 | 1 | 0 | $20,641 |
| [Avalon Veterans Services, L.L.C.](https://specstream.ai/data/nursing-homes/owner/avalon-veterans-services-l-l-c-0dcc34) | 4 | 1 | 0 | $20,641 |
| [Axiom Consulting LLC](https://specstream.ai/data/nursing-homes/owner/axiom-consulting-llc-619f7f) | 4 | 1 | 0 | $8,827 |
| [Axiom Healthcare Alliance, LLC](https://specstream.ai/data/nursing-homes/owner/axiom-healthcare-alliance-llc-bbf4e1) | 4 | 1 | 0 | $8,827 |
| [Axiom Healthcare Services LLC](https://specstream.ai/data/nursing-homes/owner/axiom-healthcare-services-llc-8e2b3a) | 4 | 1 | 0 | $8,827 |
| [BV Operations LLC.](https://specstream.ai/data/nursing-homes/owner/bv-operations-llc-8e644a) | 4 | 2 | 0 | $57,743 |
| [BV Pac Holdings LLC](https://specstream.ai/data/nursing-homes/owner/bv-pac-holdings-llc-cb82ed) | 4 | 2 | 0 | $57,743 |
| [Babas 2013 LLC](https://specstream.ai/data/nursing-homes/owner/babas-2013-llc-a0a3e8) | 4 | 1 | 1 | $108,219 |
| [Ball Healthcare Service, Inc](https://specstream.ai/data/nursing-homes/owner/ball-healthcare-service-inc-e033ce) | 4 | 1 | 2 | $0 |
| [Ball Ventures LLC](https://specstream.ai/data/nursing-homes/owner/ball-ventures-llc-0dafec) | 4 | 2 | 0 | $57,743 |
| [Bank of Oklahoma](https://specstream.ai/data/nursing-homes/owner/bank-of-oklahoma-d61aed) | 4 | 1 | 3 | $122,020 |
| [Bao OPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/bao-opco-holdings-llc-d4a841) | 4 | 2 | 2 | $53,716 |
| [Baylor County Hospital District](https://specstream.ai/data/nursing-homes/owner/baylor-county-hospital-district-fe6400) | 4 | 1 | 0 | $45,634 |
| [Bayshire LLC](https://specstream.ai/data/nursing-homes/owner/bayshire-llc-0001be) | 4 | 1 | 1 | $171,286 |
| [Bedlam Properties Ho LLC](https://specstream.ai/data/nursing-homes/owner/bedlam-properties-ho-llc-ae90da) | 4 | 1 | 3 | $61,283 |
| [Bensenville Holdings LLC](https://specstream.ai/data/nursing-homes/owner/bensenville-holdings-llc-9d52a4) | 4 | 1 | 2 | $987,555 |
| [Bexar County Hospital District](https://specstream.ai/data/nursing-homes/owner/bexar-county-hospital-district-574971) | 4 | 1 | 0 | $31,230 |
| [Bgaf Holdings LLC](https://specstream.ai/data/nursing-homes/owner/bgaf-holdings-llc-d6b924) | 4 | 2 | 0 | $93,932 |
| [Bhi Retirement Communities Inc](https://specstream.ai/data/nursing-homes/owner/bhi-retirement-communities-inc-67f82a) | 4 | 3 | 1 | $0 |
| [Bhi Senior Living, Inc.](https://specstream.ai/data/nursing-homes/owner/bhi-senior-living-inc-c18013) | 4 | 1 | 0 | $0 |
| [Black Mountain II LLC](https://specstream.ai/data/nursing-homes/owner/black-mountain-ii-llc-df36a7) | 4 | 1 | 2 | $26,808 |
| [Blue River Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/blue-river-healthcare-llc-e4d502) | 4 | 1 | 0 | $0 |

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Source: [CMS Provider Data Catalog, nursing homes](https://data.cms.gov/provider-data/topics/nursing-homes). Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS.

Free to reuse with credit to SpecStream under [CC BY 4.0](https://creativecommons.org/licenses/by/4.0/).