Starfile

Starfile

Every Medicare- and Medicaid-certified nursing home in the United States — ratings, staffing, fines, inspection citations, and ownership chains. Updated monthly from the CMS Provider Data Catalog.

Facilities indexed
14,703
Citations (3-year)
418,972
Chains tracked
616
On Special Focus list
528
Abuse-flagged
1,535
Total fines (3-year)
$470,829,164

Largest nursing home chains

  1. THE ENSIGN GROUP 329 facilities
  2. PACS GROUP 264 facilities
  3. LIFE CARE CENTERS OF AMERICA 194 facilities
  4. GENESIS HEALTHCARE 193 facilities
  5. CREATIVE SOLUTIONS IN HEALTHCARE 149 facilities
  6. SABER HEALTHCARE GROUP 126 facilities
  7. TRILOGY HEALTH SERVICES 125 facilities
  8. COMMUNICARE HEALTH 122 facilities
  9. PRUITTHEALTH 95 facilities
  10. SIMCHA HYMAN & NAFTALI ZANZIPER 94 facilities

Highest cumulative fines

  1. JOHNSON COUNTY CARE CENTER $99,990 · WARRENSBURG, MO
  2. GRAND MANOR HEALTH CARE CENTER $99,988 · SAINT LOUIS, MO
  3. The Village of Ackley $99,979 · Ackley, IA
  4. LIGHTHOUSE HEALTHCARE CENTER $99,959 · LOS ANGELES, CA
  5. ANEW HEALTHCARE $99,855 · NORTONVILLE, KS
  6. LYONSVIEW HEALTH AND REHABILITATION CENTER $99,788 · KNOXVILLE, TN
  7. Garden Valley Retirement Village $9,978 · GARDEN CITY, KS
  8. Avir at Adams $99,748 · TEMPLE, TX
  9. JUNIPER VILLAGE AT SPICEWOOD SUMMIT $99,713 · AUSTIN, TX
  10. Wisconsin Rapids Health Services $99,626 · Wisconsin Rapids, WI

One-star facilities with active abuse flags

FacilityCityStateRating
AUTUMN MEADOWS OF CAHOKIACAHOKIAIL★☆☆☆☆
Nexus Pavilion at BellevilleBELLEVILLEIL★☆☆☆☆
BRIA OF CAHOKIACAHOKIAIL★☆☆☆☆
AVIR AT LINDALELINDALETX★☆☆☆☆
Legacy Nursing at St. ChristinaPinevilleLA★☆☆☆☆
Springfield Health & RehabSpringfieldVT★☆☆☆☆
RIVER VIEW REHAB CENTERELGINIL★☆☆☆☆
BRIDGEWOOD HEALTH CARE CENTERKANSAS CITYMO★☆☆☆☆
CHICAGO RIDGE SNFCHICAGO RIDGEIL★☆☆☆☆
ARCHER HEIGHTS HEALTHCARECHICAGOIL★☆☆☆☆

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Data last refreshed from CMS on 2026-03-01.