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
Abuse-flagged
1,535
Total fines (3-year)
$470,829,164
Largest nursing home chains
- THE ENSIGN GROUP — 329 facilities
- PACS GROUP — 264 facilities
- LIFE CARE CENTERS OF AMERICA — 194 facilities
- GENESIS HEALTHCARE — 193 facilities
- CREATIVE SOLUTIONS IN HEALTHCARE — 149 facilities
- SABER HEALTHCARE GROUP — 126 facilities
- TRILOGY HEALTH SERVICES — 125 facilities
- COMMUNICARE HEALTH — 122 facilities
- PRUITTHEALTH — 95 facilities
- SIMCHA HYMAN & NAFTALI ZANZIPER — 94 facilities
Highest cumulative fines
- JOHNSON COUNTY CARE CENTER — $99,990 · WARRENSBURG, MO
- GRAND MANOR HEALTH CARE CENTER — $99,988 · SAINT LOUIS, MO
- The Village of Ackley — $99,979 · Ackley, IA
- LIGHTHOUSE HEALTHCARE CENTER — $99,959 · LOS ANGELES, CA
- ANEW HEALTHCARE — $99,855 · NORTONVILLE, KS
- LYONSVIEW HEALTH AND REHABILITATION CENTER — $99,788 · KNOXVILLE, TN
- Garden Valley Retirement Village — $9,978 · GARDEN CITY, KS
- Avir at Adams — $99,748 · TEMPLE, TX
- JUNIPER VILLAGE AT SPICEWOOD SUMMIT — $99,713 · AUSTIN, TX
- Wisconsin Rapids Health Services — $99,626 · Wisconsin Rapids, WI
One-star facilities with active abuse flags
| Facility | City | State | Rating |
|---|---|---|---|
| AUTUMN MEADOWS OF CAHOKIA | CAHOKIA | IL | ★☆☆☆☆ |
| Nexus Pavilion at Belleville | BELLEVILLE | IL | ★☆☆☆☆ |
| BRIA OF CAHOKIA | CAHOKIA | IL | ★☆☆☆☆ |
| AVIR AT LINDALE | LINDALE | TX | ★☆☆☆☆ |
| Legacy Nursing at St. Christina | Pineville | LA | ★☆☆☆☆ |
| Springfield Health & Rehab | Springfield | VT | ★☆☆☆☆ |
| RIVER VIEW REHAB CENTER | ELGIN | IL | ★☆☆☆☆ |
| BRIDGEWOOD HEALTH CARE CENTER | KANSAS CITY | MO | ★☆☆☆☆ |
| CHICAGO RIDGE SNF | CHICAGO RIDGE | IL | ★☆☆☆☆ |
| ARCHER HEIGHTS HEALTHCARE | CHICAGO | IL | ★☆☆☆☆ |
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Data last refreshed from CMS on 2026-03-01.