# US nursing homes: 14,686 facilities rated, page 4

Updated November 10, 2026.

Owners and managers with the most facilities, 301 to 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 4

| Organization | Facilities | States | One star | Fine total |
| --- | --- | --- | --- | --- |
| [MHC Holding Company](https://specstream.ai/data/nursing-homes/owner/mhc-holding-company-fb360c) | 17 | 1 | 1 | $222,000 |
| [MHC West Holding Company](https://specstream.ai/data/nursing-homes/owner/mhc-west-holding-company-cf0946) | 17 | 1 | 1 | $222,000 |
| [Mariner Health Care, Inc.](https://specstream.ai/data/nursing-homes/owner/mariner-health-care-inc-adc97e) | 17 | 1 | 1 | $222,000 |
| [Melb OPCO Manager LLC](https://specstream.ai/data/nursing-homes/owner/melb-opco-manager-llc-2b39e6) | 17 | 4 | 4 | $493,303 |
| [National Senior Care, Inc.](https://specstream.ai/data/nursing-homes/owner/national-senior-care-inc-650619) | 17 | 1 | 1 | $222,000 |
| [Newgen Administrative Services, LLC](https://specstream.ai/data/nursing-homes/owner/newgen-administrative-services-llc-8eef8b) | 17 | 1 | 5 | $805,004 |
| [Omnia OPCO Holdings LLC](https://specstream.ai/data/nursing-homes/owner/omnia-opco-holdings-llc-74064d) | 17 | 2 | 1 | $1,143,929 |
| [Ronald S Wilheim 2012 Spousal Trust](https://specstream.ai/data/nursing-homes/owner/ronald-s-wilheim-2012-spousal-trust-565eaf) | 17 | 3 | 2 | $576,809 |
| [Signature Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/signature-healthcare-llc-dcdcab) | 17 | 3 | 6 | $566,816 |
| [Spark Therapy LLC](https://specstream.ai/data/nursing-homes/owner/spark-therapy-llc-99af62) | 17 | 5 | 2 | $355,593 |
| [United Health Services of Georgia, Inc.](https://specstream.ai/data/nursing-homes/owner/united-health-services-of-georgia-inc-15ceba) | 17 | 2 | 0 | $144,192 |
| [Vanguard Group Inc](https://specstream.ai/data/nursing-homes/owner/vanguard-group-inc-1e4046) | 17 | 6 | 3 | $376,355 |
| [Winnie-Stowell Hospital District](https://specstream.ai/data/nursing-homes/owner/winnie-stowell-hospital-district-3860a4) | 17 | 1 | 2 | $422,595 |
| [Witzcorp Global LLC](https://specstream.ai/data/nursing-homes/owner/witzcorp-global-llc-a6933a) | 17 | 5 | 4 | $809,862 |
| [Antelope Holdings I, LLC](https://specstream.ai/data/nursing-homes/owner/antelope-holdings-i-llc-3c4795) | 16 | 1 | 5 | $382,527 |
| [Athena Health Care Associates, Inc.](https://specstream.ai/data/nursing-homes/owner/athena-health-care-associates-inc-428dfd) | 16 | 2 | 10 | $915,478 |
| [Avalon Health Care Management Inc](https://specstream.ai/data/nursing-homes/owner/avalon-health-care-management-inc-8d56ea) | 16 | 5 | 0 | $308,524 |
| [Curis Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/curis-holdings-llc-f26dc4) | 16 | 1 | 4 | $237,286 |
| [David a Berkowitz Delta Trust](https://specstream.ai/data/nursing-homes/owner/david-a-berkowitz-delta-trust-af1c2d) | 16 | 1 | 9 | $3,202,498 |
| [Des Holding Co., Inc.](https://specstream.ai/data/nursing-homes/owner/des-holding-co-inc-c42ca3) | 16 | 1 | 0 | $172,535 |
| [Eef Capital LLC](https://specstream.ai/data/nursing-homes/owner/eef-capital-llc-0144e0) | 16 | 2 | 0 | $173,398 |
| [Life Care Affiliates II](https://specstream.ai/data/nursing-homes/owner/life-care-affiliates-ii-0e1b1e) | 16 | 9 | 0 | $195,311 |
| [Mad Family Holdings LLC](https://specstream.ai/data/nursing-homes/owner/mad-family-holdings-llc-2567d7) | 16 | 2 | 5 | $371,831 |
| [Midcap Finco LLC](https://specstream.ai/data/nursing-homes/owner/midcap-finco-llc-7a20d7) | 16 | 3 | 1 | $405,471 |
| [National Senior Communities, Inc](https://specstream.ai/data/nursing-homes/owner/national-senior-communities-inc-28201e) | 16 | 9 | 1 | $445,949 |
| [Northport Holding Operations, LLC](https://specstream.ai/data/nursing-homes/owner/northport-holding-operations-llc-1380af) | 16 | 1 | 5 | $261,359 |
| [Pacific Northwest SNF Operations Holdings LLC](https://specstream.ai/data/nursing-homes/owner/pacific-northwest-snf-operations-holdings-llc-6bdcca) | 16 | 5 | 4 | $743,689 |
| [Pathway Management of Louisiana LLC](https://specstream.ai/data/nursing-homes/owner/pathway-management-of-louisiana-llc-10c4d7) | 16 | 1 | 5 | $537,887 |
| [Reg HG OPCO 1, LLC](https://specstream.ai/data/nursing-homes/owner/reg-hg-opco-1-llc-001452) | 16 | 1 | 2 | $475,804 |
| [Rosedale Family Investment Company, Inc](https://specstream.ai/data/nursing-homes/owner/rosedale-family-investment-company-inc-5705e9) | 16 | 2 | 1 | $396,862 |
| [Strawberry Hill Holdings LLC](https://specstream.ai/data/nursing-homes/owner/strawberry-hill-holdings-llc-584190) | 16 | 1 | 4 | $488,329 |
| [Volare Health LLC](https://specstream.ai/data/nursing-homes/owner/volare-health-llc-92159d) | 16 | 3 | 8 | $1,334,828 |
| [Yosef Meystel Delta Trust](https://specstream.ai/data/nursing-homes/owner/yosef-meystel-delta-trust-979b3b) | 16 | 1 | 9 | $3,202,498 |
| [Arrowhead 123 LLC](https://specstream.ai/data/nursing-homes/owner/arrowhead-123-llc-8b46f1) | 15 | 2 | 3 | $206,800 |
| [BNV Dynasty LLC](https://specstream.ai/data/nursing-homes/owner/bnv-dynasty-llc-c5d34f) | 15 | 4 | 4 | $261,180 |
| [Birchwood Healthcare Partners LLC](https://specstream.ai/data/nursing-homes/owner/birchwood-healthcare-partners-llc-fe641c) | 15 | 1 | 9 | $424,209 |
| [Care One Management, LLC](https://specstream.ai/data/nursing-homes/owner/care-one-management-llc-dedd0e) | 15 | 1 | 0 | $112,187 |
| [Carespring Health Care Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/carespring-health-care-holdings-llc-ac8f15) | 15 | 2 | 0 | $117,055 |
| [Carespring Health Care Management, LLC](https://specstream.ai/data/nursing-homes/owner/carespring-health-care-management-llc-e2446f) | 15 | 2 | 0 | $117,055 |
| [Consolidated Resources Health Care Fund I LP](https://specstream.ai/data/nursing-homes/owner/consolidated-resources-health-care-fund-i-lp-cfad24) | 15 | 7 | 2 | $394,081 |
| [Coronado Operator, LLC](https://specstream.ai/data/nursing-homes/owner/coronado-operator-llc-d5ebe4) | 15 | 1 | 3 | $179,841 |
| [FL SNF Trust I](https://specstream.ai/data/nursing-homes/owner/fl-snf-trust-i-068df8) | 15 | 1 | 0 | $100,256 |
| [FL SNF Trust II](https://specstream.ai/data/nursing-homes/owner/fl-snf-trust-ii-65a199) | 15 | 1 | 0 | $100,256 |
| [Friends Services for the Aging](https://specstream.ai/data/nursing-homes/owner/friends-services-for-the-aging-3927a3) | 15 | 3 | 0 | $8,018 |
| [Generations Healthcare Management LLC](https://specstream.ai/data/nursing-homes/owner/generations-healthcare-management-llc-97c3f7) | 15 | 1 | 3 | $365,148 |
| [Healthcare Therapy Services Inc](https://specstream.ai/data/nursing-homes/owner/healthcare-therapy-services-inc-c73a51) | 15 | 2 | 1 | $0 |
| [Humangood](https://specstream.ai/data/nursing-homes/owner/humangood-939f68) | 15 | 7 | 0 | $239,528 |
| [Integritus Healthcare Management Services Inc](https://specstream.ai/data/nursing-homes/owner/integritus-healthcare-management-services-inc-b7d8ae) | 15 | 1 | 2 | $236,303 |
| [Kamna Holdings LLC](https://specstream.ai/data/nursing-homes/owner/kamna-holdings-llc-50d51f) | 15 | 2 | 5 | $365,685 |
| [LT Care Acquisition Corp](https://specstream.ai/data/nursing-homes/owner/lt-care-acquisition-corp-410ba4) | 15 | 1 | 5 | $129,066 |
| [Laurel Health Care Company](https://specstream.ai/data/nursing-homes/owner/laurel-health-care-company-b4cffa) | 15 | 1 | 1 | $607,420 |
| [Lifespace Communities Inc](https://specstream.ai/data/nursing-homes/owner/lifespace-communities-inc-434a08) | 15 | 7 | 0 | $202,441 |
| [Marquis Companies I, Inc](https://specstream.ai/data/nursing-homes/owner/marquis-companies-i-inc-dedfe0) | 15 | 3 | 0 | $55,844 |
| [Mn1 Management Corp](https://specstream.ai/data/nursing-homes/owner/mn1-management-corp-d30fb6) | 15 | 1 | 5 | $1,442,499 |
| [Monarch Healthcare Operating IV LLC](https://specstream.ai/data/nursing-homes/owner/monarch-healthcare-operating-iv-llc-2b52c6) | 15 | 1 | 3 | $180,782 |
| [Natr Trust](https://specstream.ai/data/nursing-homes/owner/natr-trust-a7c172) | 15 | 1 | 5 | $371,831 |
| [Ncop HOLDCO LLC](https://specstream.ai/data/nursing-homes/owner/ncop-holdco-llc-615992) | 15 | 1 | 4 | $673,620 |
| [Nexcare Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/nexcare-holdings-llc-a31ee8) | 15 | 1 | 0 | $173,168 |
| [Pinnacle Healthcare Solutions LLC](https://specstream.ai/data/nursing-homes/owner/pinnacle-healthcare-solutions-llc-b1a0f8) | 15 | 2 | 7 | $659,849 |
| [R H Montgomery Properties, Inc](https://specstream.ai/data/nursing-homes/owner/r-h-montgomery-properties-inc-a60530) | 15 | 2 | 1 | $148,064 |
| [RNR Holdings LLC](https://specstream.ai/data/nursing-homes/owner/rnr-holdings-llc-509bdd) | 15 | 1 | 5 | $371,831 |
| [Rarmna Holdings LLC](https://specstream.ai/data/nursing-homes/owner/rarmna-holdings-llc-3d1d5d) | 15 | 1 | 5 | $371,831 |
| [Ratr Trust](https://specstream.ai/data/nursing-homes/owner/ratr-trust-f4e1ff) | 15 | 1 | 5 | $371,831 |
| [Rimpau Holdings Trust](https://specstream.ai/data/nursing-homes/owner/rimpau-holdings-trust-78719c) | 15 | 2 | 4 | $315,143 |
| [Spyglass Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/spyglass-healthcare-llc-eda3f7) | 15 | 1 | 2 | $422,780 |
| [Thci of Massachusetts, LLC](https://specstream.ai/data/nursing-homes/owner/thci-of-massachusetts-llc-67a3fe) | 15 | 1 | 1 | $267,687 |
| [Wetr Trust](https://specstream.ai/data/nursing-homes/owner/wetr-trust-3b648e) | 15 | 1 | 5 | $371,831 |
| [Wilheim Family Investment Company, Inc.](https://specstream.ai/data/nursing-homes/owner/wilheim-family-investment-company-inc-6c64e9) | 15 | 2 | 1 | $388,844 |
| [A&F Realty LLC](https://specstream.ai/data/nursing-homes/owner/a-f-realty-llc-a1be3c) | 14 | 2 | 6 | $1,695,730 |
| [Aaron Friedman Group a Business Assets Trust](https://specstream.ai/data/nursing-homes/owner/aaron-friedman-group-a-business-assets-trust-296787) | 14 | 1 | 4 | $293,669 |
| [American Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/american-healthcare-llc-7a28f3) | 14 | 1 | 0 | $51,446 |
| [Aperion Care Exec Holdings LLC](https://specstream.ai/data/nursing-homes/owner/aperion-care-exec-holdings-llc-51b428) | 14 | 2 | 5 | $1,960,538 |
| [BHNV 2 LLC](https://specstream.ai/data/nursing-homes/owner/bhnv-2-llc-a4a505) | 14 | 1 | 4 | $299,475 |
| [Concept Rehab, Inc.](https://specstream.ai/data/nursing-homes/owner/concept-rehab-inc-90da35) | 14 | 4 | 2 | $659,723 |
| [Covenant Living Communities & Services](https://specstream.ai/data/nursing-homes/owner/covenant-living-communities-services-574c90) | 14 | 10 | 0 | $21,158 |
| [Embassy Healthcare Holdings Inc](https://specstream.ai/data/nursing-homes/owner/embassy-healthcare-holdings-inc-0c1049) | 14 | 2 | 2 | $855,348 |
| [Ga NC 14, LLC](https://specstream.ai/data/nursing-homes/owner/ga-nc-14-llc-d401aa) | 14 | 2 | 6 | $439,334 |
| [Gateway Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/gateway-healthcare-llc-8f45fe) | 14 | 4 | 5 | $517,776 |
| [Griffin-American Healthcare REIT III, Inc.](https://specstream.ai/data/nursing-homes/owner/griffin-american-healthcare-reit-iii-inc-88bbbc) | 14 | 3 | 0 | $16,801 |
| [Integritus Healthcare Inc](https://specstream.ai/data/nursing-homes/owner/integritus-healthcare-inc-a5399f) | 14 | 1 | 2 | $236,303 |
| [Ira David Friedman Group a Business Assets Trust](https://specstream.ai/data/nursing-homes/owner/ira-david-friedman-group-a-business-assets-trust-376cb6) | 14 | 1 | 4 | $293,669 |
| [Kadima Healthcare Group Inc](https://specstream.ai/data/nursing-homes/owner/kadima-healthcare-group-inc-cb2324) | 14 | 1 | 7 | $659,849 |
| [LTC Consulting Services LLC](https://specstream.ai/data/nursing-homes/owner/ltc-consulting-services-llc-90185c) | 14 | 6 | 3 | $462,337 |
| [MH Ar OPCO LLC](https://specstream.ai/data/nursing-homes/owner/mh-ar-opco-llc-94ed7e) | 14 | 1 | 7 | $134,065 |
| [Mohammad a Qazi Living Trust Dated 09/26/97](https://specstream.ai/data/nursing-homes/owner/mohammad-a-qazi-living-trust-dated-09-26-97-307023) | 14 | 1 | 2 | $395,923 |
| [NSHC Wisconsin LLC](https://specstream.ai/data/nursing-homes/owner/nshc-wisconsin-llc-41f9f1) | 14 | 2 | 2 | $110,046 |
| [NSHR Operations LLC](https://specstream.ai/data/nursing-homes/owner/nshr-operations-llc-386342) | 14 | 1 | 3 | $206,800 |
| [Next Step Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/next-step-healthcare-llc-b9e2c2) | 14 | 1 | 8 | $1,184,540 |
| [Orion Operating Services LLC](https://specstream.ai/data/nursing-homes/owner/orion-operating-services-llc-6e405c) | 14 | 4 | 3 | $231,348 |
| [Pacific Healthcare Holdings, Inc.](https://specstream.ai/data/nursing-homes/owner/pacific-healthcare-holdings-inc-eb6cc8) | 14 | 1 | 5 | $629,978 |
| [Palm Garden Healthcare Holdings, LLC](https://specstream.ai/data/nursing-homes/owner/palm-garden-healthcare-holdings-llc-f0275c) | 14 | 1 | 0 | $327,558 |
| [Philipson Family Limited Liability Company, LLC](https://specstream.ai/data/nursing-homes/owner/philipson-family-limited-liability-company-llc-509b9a) | 14 | 2 | 3 | $328,417 |
| [Presbyterian Manors of Mid-America Inc](https://specstream.ai/data/nursing-homes/owner/presbyterian-manors-of-mid-america-inc-46610b) | 14 | 2 | 1 | $156,024 |
| [Reg Bridge OPCO LLC](https://specstream.ai/data/nursing-homes/owner/reg-bridge-opco-llc-c2219d) | 14 | 1 | 1 | $254,637 |
| [Renew Health Consulting Services LLC](https://specstream.ai/data/nursing-homes/owner/renew-health-consulting-services-llc-e71e30) | 14 | 1 | 6 | $727,711 |
| [Saber Healthcare Holdings LLC](https://specstream.ai/data/nursing-homes/owner/saber-healthcare-holdings-llc-bd1a45) | 14 | 4 | 2 | $287,973 |
| [Samara Holdings Company LLC](https://specstream.ai/data/nursing-homes/owner/samara-holdings-company-llc-47ba2d) | 14 | 3 | 3 | $537,973 |
| [Skilled Healthcare LLC](https://specstream.ai/data/nursing-homes/owner/skilled-healthcare-llc-722a8d) | 14 | 5 | 5 | $724,828 |
| [Summit Care LLC](https://specstream.ai/data/nursing-homes/owner/summit-care-llc-31a3fa) | 14 | 5 | 5 | $724,828 |
| [Summit Care Parent LLC](https://specstream.ai/data/nursing-homes/owner/summit-care-parent-llc-ebeb6a) | 14 | 5 | 5 | $724,828 |

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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/).