Largest Nursing Home Companies

Senior living facilities are designed to provide medical care for older adults, especially those incapable of living independently. Nursing homes have 24/7 access to daily living assistance and healthcare services, allowing residents to lead comfortable lives even with complex medical conditions.

Many nursing facilities are managed by companies that oversee multiple senior living centers. Over time, some of these entities have grown to manage hundreds of facilities and are some of the largest healthcare providers in the United States. 

Growth of the Skilled Nursing Facilities

The demand for senior living communities has been steadily increasing in recent years. One primary reason is the aging American population. Older adults have long been the largest generational group in the United States, and many are reaching an age where they require skilled nursing facilities to thrive.

The number of people aged 65 and over is expected to be roughly 80 million in this country by 2040 [1]. This trend has led to massive growth in the nursing home industry in the last decade.  

Consolidation of the Nursing Home Industry

Another trend has emerged with so many senior living communities popping up throughout the states. Skilled nursing facilities require vast resources to provide sufficient post-acute services, rehabilitative services, independent living assistance, hospice care, and other forms of nursing healthcare. 

Locally owned nursing home facilities often struggle to secure enough resources to serve elderly residents. As a result, large nursing home companies have formed to own and manage multiple facilities at once. 

Top 10 Largest Nursing Home Companies

As senior living has evolved, many nursing homes have become part of these large healthcare conglomerates. Now, the vast majority of the assisted living facilities in the United States are managed by some of the largest nursing home companies in the country. These ten nursing home companies control much of the senior living industry. 

Genesis Healthcare

Genesis Healthcare was founded in 1985 and originally managed nine medical centers. Today, it is a massive American nursing home company offering various services in nearly 200 centers across 17 states. 

The company’s headquarters is in Kennett Square, Pennsylvania. Most of its nursing home market is located along the East Coast, with several centers in New Mexico, California, and Washington. 

The Ensign Group

The Ensign Group is another major assisted living company in the US. This network includes over 300 Care Affiliates and 14 locations across 14 states. The Ensign Group consistently has some of the highest net patient revenue in the country. Its headquarters are located in San Juan Capistrano, California. 

The company’s growth strategy and focus on quality post-acute care have helped it maintain some of the highest net patient revenue in the country. 

Life Care Centers of America

Life Care Centers of America is the third-largest nursing home company in the nation. Founded in 1970, it has its headquarters in Cleveland, Tennessee. Life Care’s network spans 27 states, with more than 200 facilities offering skilled nursing, rehabilitation, dementia care, memory care, and senior living services.

ProMedica Senior Care

Founded in 1986 with a single hospital, ProMedica has grown into a mission-based, not-for-profit integrated healthcare organization serving communities in 30 states. It is headquartered in Toledo, Ohio, and employs over 45,000 people.

The organization expanded its reach significantly in 2018 by acquiring HCR ManorCare, a nationwide provider of post-acute services and long-term care. This landmark partnership enabled ProMedica to provide integrated care across the full healthcare system.

The Evangelical Lutheran Good Samaritan Society

The Evangelical Lutheran Good Samaritan Society, founded in 1922, is the largest non-profit organization in the US that manages senior living facilities and nursing homes. As an affiliate of Sanford Health, the organization delivers services driven by faith, love, and compassion.

This company oversees nearly 140 life care centers with over 10,000 certified beds. Its headquarters are in Sioux Falls, South Dakota. These assisted living facilities focus on faith-based care.

Consulate Health Care

Consulate Health Care prioritizes patient-centered care in its approach to senior healthcare services. Founded in Cheswick, PA, the organization has maintained its commitment to individualized care while growing to serve communities across five states. 

Their focus on quality care is reflected in comprehensive services ranging from short-term rehabilitation to specialized Alzheimer’s and dementia care. These services are supported by advanced technology and rigorous care systems that enhance patient assessment and treatment.

Saber Healthcare Group

Saber Healthcare Group specializes in skilled nursing and rehabilitation services, operating facilities in six states across the East Coast and in the Midwest. As one of the largest senior living companies in the country, it employs over 10,000 professionals dedicated to providing long-term care for elderly residents.

Five Star Senior Living

Five Star Senior Living operates in numerous states across the U.S. Its headquarters are in Newton, Massachusetts, and residents benefit from a range of services, including independent living, assisted living, memory care, and rehabilitation services. 

Trilogy Health Services

Trilogy Health Services is headquartered in Louisville, Kentucky. Its organization manages over 130 communities throughout Kentucky, Ohio, Indiana, Michigan, and Wisconsin. The senior living services prioritize a variety of post-acute care strategies. 

Trilogy Health Services also has a very high average annual growth rate, so it could become one of the top providers in the country. 

Signature HealthCARE

Signature HealthCARE is also headquartered in Louisville, Kentucky. This skilled nursing facility network has expanded to 72 locations. Its commitment to excellence is guided by three pillars—learning, spirituality, and innovation—which inspire over 14,000 employees to provide comprehensive, patient-centered care.

Potential Issues in Large Independent Living Facilities

Large companies like those listed above manage most nursing homes in the United States. Unfortunately, this type of corporate oversight can result in many issues that harm residents. Here are some problems with senior living facilities in these large networks. 

Corporate Neglect

With so many facilities, employees, and seniors to manage at one time, corporate pressures can easily affect the quality of senior care. In many cases, nursing home corporations are focused on the bottom line, which means sacrificing quality measures for cost-cutting strategies. This approach can lead to neglecting patient care. 

Understaffing

One of the biggest issues facing the healthcare industry, especially for senior citizens, is understaffing. In many cases, nursing home companies struggle to find enough employees, compromising resident care and safety. 

Lack of Oversight

When the managing company of a nursing facility has numerous locations to oversee, it is easy to overlook the details of each facility. Inadequate oversight and accountability within these large corporations can easily lead to nursing home abuse or neglect at the facility level. 

The Role of a Nursing Home Injury Lawyer

Many of the largest nursing homes in the country experience issues with abuse and neglect. When healthcare professionals and senior living corporations fail to meet care standards, residents may suffer injuries, illnesses, worsening conditions, or death. 

If you hope to hold these entities accountable for home care negligence, the services of a nursing home lawyer will play an essential role. With a successful case, you can claim compensation for legal damages like medical bills, emotional distress, physical pain and suffering, or loss of enjoyment of life.  

Investigating Claims

If you plan to file a claim for nursing home abuse or neglect, you need an experienced attorney to investigate the incident. This legal professional will know who to talk to and what evidence to gather to determine the case’s outcome. 

Even if you are simply suspicious of mistreatment, hiring an attorney to investigate the truth can help you protect your loved one from further abuse or neglect.

Building Strong Cases

Working with an attorney to gather evidence will increase your chance of winning the personal injury claim and securing compensation. Your lawyer will know what information is considered strong evidence, such as expert testimonies, eyewitness statements, photos of physical damage, medical records, and footage. 

Negotiating With Insurance Companies

When you file a claim against a skilled nursing facility or healthcare network, you are facing an entity with vast resources. Their insurance company and lawyers will try to minimize your injuries to avoid a large settlement. You need an experienced lawyer to level the playing field and negotiate for fair compensation on your behalf. 

Litigating Cases

If a settlement cannot be reached quickly, litigation may be necessary to pursue justice. If your case proceeds to trial in front of a judge and jury, a nursing home lawyer will represent your interests and ensure you receive the compensation you deserve. They will also explain your rights and how to act during the proceeding to give you the best chance of success. 

Secure Expert Legal Counsel! 

Nursing Home Law Center is committed to serving victims of assisted living facility abuse and neglect. 

Whether you are suing the parent company for poor oversight or a specific staff member for negligence, our legal team will guide you through the claims process and pursue maximum compensation. Residents and family members can rest easy knowing their case is in good hands with our team of experienced nursing home neglect and abuse attorneys. 

Call our office today at 800-926-7565 or complete the online form to request a free consultation and discuss your case with a legal professional. 

References: [1] NCEA