# US nursing homes: 14,686 facilities rated, page 22

Updated November 10, 2026.

Owners and managers with the most facilities, 2,101 to 2,200 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 22

| Organization | Facilities | States | One star | Fine total |
| --- | --- | --- | --- | --- |
| [Pointe Woods Investment LLC](https://specstream.ai/data/nursing-homes/owner/pointe-woods-investment-llc-2c9f89) | 3 | 1 | 1 | $144,478 |
| [Pollak Holdings LLC](https://specstream.ai/data/nursing-homes/owner/pollak-holdings-llc-534f86) | 3 | 1 | 2 | $453,006 |
| [Practice Dynamics, Inc](https://specstream.ai/data/nursing-homes/owner/practice-dynamics-inc-fcff36) | 3 | 1 | 1 | $20,251 |
| [Prasad Holding Company](https://specstream.ai/data/nursing-homes/owner/prasad-holding-company-1eb555) | 3 | 1 | 0 | $13,340 |
| [Presbyterian Homes](https://specstream.ai/data/nursing-homes/owner/presbyterian-homes-e06021) | 3 | 1 | 0 | $0 |
| [Presbyterian Homes Manager LLC](https://specstream.ai/data/nursing-homes/owner/presbyterian-homes-manager-llc-44437e) | 3 | 1 | 0 | $0 |
| [Prestige Worldwide Oklahoma, LLC](https://specstream.ai/data/nursing-homes/owner/prestige-worldwide-oklahoma-llc-a827db) | 3 | 1 | 1 | $16,660 |
| [Preston Health Services Inc](https://specstream.ai/data/nursing-homes/owner/preston-health-services-inc-30237f) | 3 | 1 | 0 | $0 |
| [Prime Healthcare Enterprise LLC](https://specstream.ai/data/nursing-homes/owner/prime-healthcare-enterprise-llc-499dd7) | 3 | 1 | 0 | $4,558 |
| [Pritzker Pucker Family Foundation No. 2](https://specstream.ai/data/nursing-homes/owner/pritzker-pucker-family-foundation-no-2-c86c81) | 3 | 3 | 0 | $0 |
| [Progressive 3 Management Oh LLC](https://specstream.ai/data/nursing-homes/owner/progressive-3-management-oh-llc-3eca66) | 3 | 1 | 0 | $17,080 |
| [Progressive 3 OPCO HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/progressive-3-opco-holdco-llc-04569a) | 3 | 1 | 0 | $17,080 |
| [Prospect Medical Holdings Inc](https://specstream.ai/data/nursing-homes/owner/prospect-medical-holdings-inc-6a23b0) | 3 | 1 | 0 | $12,670 |
| [Providence Group of California LLC](https://specstream.ai/data/nursing-homes/owner/providence-group-of-california-llc-4ccabc) | 3 | 1 | 0 | $49,777 |
| [Providence Health System-Southern California](https://specstream.ai/data/nursing-homes/owner/providence-health-system-southern-california-e9887a) | 3 | 1 | 1 | $109,093 |
| [Quinto Guardian LLC](https://specstream.ai/data/nursing-homes/owner/quinto-guardian-llc-d649e2) | 3 | 2 | 2 | $405,140 |
| [Quinto Lineage LLC](https://specstream.ai/data/nursing-homes/owner/quinto-lineage-llc-9e1f1d) | 3 | 1 | 0 | $0 |
| [RB SNF Operations Holdings LLC](https://specstream.ai/data/nursing-homes/owner/rb-snf-operations-holdings-llc-0fd876) | 3 | 2 | 1 | $108,164 |
| [RC Tier Properties, L.L.C.](https://specstream.ai/data/nursing-homes/owner/rc-tier-properties-l-l-c-9af979) | 3 | 1 | 3 | $1,813,998 |
| [RDW Arizona LLC](https://specstream.ai/data/nursing-homes/owner/rdw-arizona-llc-9e7b15) | 3 | 1 | 0 | $0 |
| [RHP Operations Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/rhp-operations-holdings-llc-8dae18) | 3 | 2 | 2 | $124,726 |
| [Ra Assets HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/ra-assets-holdco-llc-38f176) | 3 | 1 | 1 | $10,065 |
| [Ra Investment Oh LLC](https://specstream.ai/data/nursing-homes/owner/ra-investment-oh-llc-9ce077) | 3 | 1 | 1 | $10,065 |
| [Ra OPCO LLC](https://specstream.ai/data/nursing-homes/owner/ra-opco-llc-35e680) | 3 | 1 | 1 | $10,065 |
| [Rachel Rothner Accumulation Trust](https://specstream.ai/data/nursing-homes/owner/rachel-rothner-accumulation-trust-015ea8) | 3 | 1 | 0 | $10,033 |
| [Ralley LLC](https://specstream.ai/data/nursing-homes/owner/ralley-llc-da1cb2) | 3 | 1 | 2 | $534,970 |
| [Red River Management LLC](https://specstream.ai/data/nursing-homes/owner/red-river-management-llc-c26143) | 3 | 1 | 0 | $14,665 |
| [Rehab Solutions Group, LLC](https://specstream.ai/data/nursing-homes/owner/rehab-solutions-group-llc-dd5aab) | 3 | 1 | 2 | $651,191 |
| [Reliance Health Care, Inc.](https://specstream.ai/data/nursing-homes/owner/reliance-health-care-inc-9484ef) | 3 | 1 | 0 | $8,281 |
| [Rgo Maritime Trust](https://specstream.ai/data/nursing-homes/owner/rgo-maritime-trust-ffce6a) | 3 | 1 | 0 | $176,035 |
| [Richter and Associates](https://specstream.ai/data/nursing-homes/owner/richter-and-associates-f71e04) | 3 | 2 | 0 | $264,823 |
| [Rolling Hill NG Trust](https://specstream.ai/data/nursing-homes/owner/rolling-hill-ng-trust-ba5a9e) | 3 | 1 | 0 | $16,036 |
| [Rothner Health Ventures G II, LLC](https://specstream.ai/data/nursing-homes/owner/rothner-health-ventures-g-ii-llc-692922) | 3 | 1 | 0 | $131,421 |
| [S/K Partnership](https://specstream.ai/data/nursing-homes/owner/s-k-partnership-224aa4) | 3 | 1 | 0 | $29,734 |
| [SH Indigo Citadel Investors LLC](https://specstream.ai/data/nursing-homes/owner/sh-indigo-citadel-investors-llc-467316) | 3 | 1 | 0 | $0 |
| [SHCS Inc](https://specstream.ai/data/nursing-homes/owner/shcs-inc-7be2e4) | 3 | 2 | 0 | $14,069 |
| [SHH Holdings LLC](https://specstream.ai/data/nursing-homes/owner/shh-holdings-llc-a030be) | 3 | 2 | 1 | $120,975 |
| [SK Holdings Acc Holdings LLC](https://specstream.ai/data/nursing-homes/owner/sk-holdings-acc-holdings-llc-2449a6) | 3 | 1 | 0 | $0 |
| [SSS Holdings LP](https://specstream.ai/data/nursing-homes/owner/sss-holdings-lp-68a9d5) | 3 | 1 | 2 | $333,894 |
| [SSTN Trust](https://specstream.ai/data/nursing-homes/owner/sstn-trust-375920) | 3 | 2 | 2 | $202,802 |
| [Sak Jr LLC](https://specstream.ai/data/nursing-homes/owner/sak-jr-llc-261f38) | 3 | 2 | 0 | $8,492 |
| [Sam Investments LLC](https://specstream.ai/data/nursing-homes/owner/sam-investments-llc-53dc68) | 3 | 1 | 2 | $187,369 |
| [Sandstone Healthcare Group LLC](https://specstream.ai/data/nursing-homes/owner/sandstone-healthcare-group-llc-723b94) | 3 | 2 | 1 | $43,134 |
| [Sasser Enterprises Inc](https://specstream.ai/data/nursing-homes/owner/sasser-enterprises-inc-e95bac) | 3 | 1 | 0 | $5,244 |
| [Sava Acquisition LLC](https://specstream.ai/data/nursing-homes/owner/sava-acquisition-llc-a93cfb) | 3 | 1 | 0 | $10,036 |
| [Second Option OP Co LLC](https://specstream.ai/data/nursing-homes/owner/second-option-op-co-llc-621415) | 3 | 1 | 0 | $367,315 |
| [Senga Trust](https://specstream.ai/data/nursing-homes/owner/senga-trust-5e1c7c) | 3 | 1 | 0 | $36,847 |
| [Sequoia Living Inc](https://specstream.ai/data/nursing-homes/owner/sequoia-living-inc-d45f9c) | 3 | 1 | 0 | $12,703 |
| [Serenity Rock Island HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/serenity-rock-island-holdco-llc-5aa23f) | 3 | 1 | 0 | $452,126 |
| [Sharp Healthcare](https://specstream.ai/data/nursing-homes/owner/sharp-healthcare-ed936e) | 3 | 1 | 0 | $0 |
| [Silver FL Trust II](https://specstream.ai/data/nursing-homes/owner/silver-fl-trust-ii-755e44) | 3 | 1 | 0 | $14,335 |
| [Silver Ga Trust](https://specstream.ai/data/nursing-homes/owner/silver-ga-trust-c72ff5) | 3 | 1 | 2 | $82,554 |
| [Silver Maple Properties LLC](https://specstream.ai/data/nursing-homes/owner/silver-maple-properties-llc-b5065b) | 3 | 1 | 3 | $260,352 |
| [Silverbloom Consulting, LLC](https://specstream.ai/data/nursing-homes/owner/silverbloom-consulting-llc-e93382) | 3 | 3 | 0 | $47,824 |
| [Sisah Staffing Solutions LLC](https://specstream.ai/data/nursing-homes/owner/sisah-staffing-solutions-llc-e88a1f) | 3 | 1 | 3 | $22,893 |
| [Sloans Lake Trust](https://specstream.ai/data/nursing-homes/owner/sloans-lake-trust-2a0943) | 3 | 1 | 2 | $172,400 |
| [Solomon Vizcaya Holdings LLC](https://specstream.ai/data/nursing-homes/owner/solomon-vizcaya-holdings-llc-6c2e69) | 3 | 1 | 2 | $153,633 |
| [South East Virginia Hold Co LLC](https://specstream.ai/data/nursing-homes/owner/south-east-virginia-hold-co-llc-7b1539) | 3 | 1 | 1 | $22,073 |
| [South Florida 3 OPCO Partners LLC](https://specstream.ai/data/nursing-homes/owner/south-florida-3-opco-partners-llc-006ff8) | 3 | 1 | 1 | $73,091 |
| [Southwind OPCO Holding LLC](https://specstream.ai/data/nursing-homes/owner/southwind-opco-holding-llc-3062ae) | 3 | 1 | 0 | $0 |
| [Spacebar OPCO LLC](https://specstream.ai/data/nursing-homes/owner/spacebar-opco-llc-0ae6f8) | 3 | 1 | 2 | $70,996 |
| [Spartanburg Regional Health Services District Inc](https://specstream.ai/data/nursing-homes/owner/spartanburg-regional-health-services-district-inc-9baf3e) | 3 | 1 | 0 | $33,602 |
| [Spjst Rest Home](https://specstream.ai/data/nursing-homes/owner/spjst-rest-home-309fad) | 3 | 1 | 1 | $114,821 |
| [Sptmnr Properties Trust](https://specstream.ai/data/nursing-homes/owner/sptmnr-properties-trust-7ebe90) | 3 | 1 | 1 | $37,079 |
| [Sr Healthcare Consultants LLC](https://specstream.ai/data/nursing-homes/owner/sr-healthcare-consultants-llc-7d2dce) | 3 | 1 | 2 | $82,554 |
| [Sri Nightingale LLC](https://specstream.ai/data/nursing-homes/owner/sri-nightingale-llc-fa3c2a) | 3 | 3 | 0 | $95,956 |
| [St Marys Duluth Clinic Health System](https://specstream.ai/data/nursing-homes/owner/st-marys-duluth-clinic-health-system-92df24) | 3 | 1 | 0 | $67,727 |
| [Star De I Holdings LLC](https://specstream.ai/data/nursing-homes/owner/star-de-i-holdings-llc-610d8c) | 3 | 1 | 1 | $128,994 |
| [Star De I Trust](https://specstream.ai/data/nursing-homes/owner/star-de-i-trust-28f04a) | 3 | 1 | 1 | $128,994 |
| [State of Colorado](https://specstream.ai/data/nursing-homes/owner/state-of-colorado-ce8013) | 3 | 1 | 1 | $85,963 |
| [State of Michigan Office of Financial Management](https://specstream.ai/data/nursing-homes/owner/state-of-michigan-office-of-financial-management-553c6b) | 3 | 1 | 0 | $0 |
| [State of Wyoming](https://specstream.ai/data/nursing-homes/owner/state-of-wyoming-9459ff) | 3 | 1 | 1 | $123,901 |
| [Strawberry Fields REIT LTD](https://specstream.ai/data/nursing-homes/owner/strawberry-fields-reit-ltd-142fa0) | 3 | 2 | 1 | $22,386 |
| [Strawberry Fields Realty LP](https://specstream.ai/data/nursing-homes/owner/strawberry-fields-realty-lp-01cf12) | 3 | 1 | 1 | $0 |
| [Sun Health Services](https://specstream.ai/data/nursing-homes/owner/sun-health-services-73296a) | 3 | 1 | 0 | $8,278 |
| [Sun Meridian Health Holdings LLC](https://specstream.ai/data/nursing-homes/owner/sun-meridian-health-holdings-llc-80df41) | 3 | 1 | 2 | $201,089 |
| [Sunny Trust](https://specstream.ai/data/nursing-homes/owner/sunny-trust-aaff3f) | 3 | 2 | 1 | $43,134 |
| [TN OPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/tn-opco-holdings-llc-7093f3) | 3 | 1 | 2 | $82,554 |
| [TRR SNF Operations Holdings LLC](https://specstream.ai/data/nursing-homes/owner/trr-snf-operations-holdings-llc-ade6f0) | 3 | 1 | 0 | $301,328 |
| [Thci Company, LLC](https://specstream.ai/data/nursing-homes/owner/thci-company-llc-220ff6) | 3 | 3 | 0 | $55,172 |
| [Thci Holding Company, LLC](https://specstream.ai/data/nursing-homes/owner/thci-holding-company-llc-90f8aa) | 3 | 3 | 0 | $55,172 |
| [The Charlotte-Mecklenburg Hospital Authority](https://specstream.ai/data/nursing-homes/owner/the-charlotte-mecklenburg-hospital-authority-a65c54) | 3 | 2 | 1 | $114,286 |
| [The Evangelical Covenant Church of America](https://specstream.ai/data/nursing-homes/owner/the-evangelical-covenant-church-of-america-81798b) | 3 | 3 | 0 | $0 |
| [The Goodman Group Properties LLC](https://specstream.ai/data/nursing-homes/owner/the-goodman-group-properties-llc-35cc91) | 3 | 2 | 0 | $12,659 |
| [The Health Care Authority of the City of Huntsville](https://specstream.ai/data/nursing-homes/owner/the-health-care-authority-of-the-city-of-huntsville-8ed81f) | 3 | 2 | 0 | $238,745 |
| [The United Methodist Retirement Homes, Incorporated](https://specstream.ai/data/nursing-homes/owner/the-united-methodist-retirement-homes-incorporated-34609e) | 3 | 1 | 0 | $25,275 |
| [The University of Vermont Health Network Inc.](https://specstream.ai/data/nursing-homes/owner/the-university-of-vermont-health-network-inc-f9cfc9) | 3 | 2 | 0 | $71,503 |
| [Third Option OP Co., LLC](https://specstream.ai/data/nursing-homes/owner/third-option-op-co-llc-64cc49) | 3 | 1 | 0 | $369,459 |
| [Thomas F Juckette Marital Trust](https://specstream.ai/data/nursing-homes/owner/thomas-f-juckette-marital-trust-239480) | 3 | 1 | 0 | $13,627 |
| [Thomas Management LLC](https://specstream.ai/data/nursing-homes/owner/thomas-management-llc-a021a7) | 3 | 1 | 0 | $218,043 |
| [Tilde PROPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/tilde-propco-holdings-llc-bd7a3f) | 3 | 1 | 2 | $70,996 |
| [Tillman Senior Care, LLC](https://specstream.ai/data/nursing-homes/owner/tillman-senior-care-llc-fafb8b) | 3 | 1 | 0 | $17,655 |
| [Tn3 OPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/tn3-opco-holdings-llc-71e4af) | 3 | 1 | 0 | $30,150 |
| [Tortuga Health HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/tortuga-health-holdco-llc-889abf) | 3 | 1 | 1 | $149,029 |
| [Traditions Health Care, Inc.](https://specstream.ai/data/nursing-homes/owner/traditions-health-care-inc-af7b6f) | 3 | 1 | 1 | $49,003 |
| [Transcendent Healthcare, LLC](https://specstream.ai/data/nursing-homes/owner/transcendent-healthcare-llc-f27db1) | 3 | 1 | 2 | $295,019 |
| [Trilogy PROPCO II LLC](https://specstream.ai/data/nursing-homes/owner/trilogy-propco-ii-llc-1d4f18) | 3 | 1 | 0 | $25,760 |
| [Trilogy Real Estate Investment Trust](https://specstream.ai/data/nursing-homes/owner/trilogy-real-estate-investment-trust-d58340) | 3 | 1 | 0 | $21,645 |
| [Trintiy Management Inc](https://specstream.ai/data/nursing-homes/owner/trintiy-management-inc-3fee49) | 3 | 1 | 0 | $0 |
| [UPMC Senior Communities Inc](https://specstream.ai/data/nursing-homes/owner/upmc-senior-communities-inc-39245e) | 3 | 1 | 2 | $60,880 |

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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/).