Only seven nursing home chains of 634 in the nation received a five-star rating from CMS.
CMS’ Nursing Home Chain Performance Measures compiled health, staffing and quality metrics for CMS-certified nursing homes associated with chains. Chains are defined as groups of nursing homes that share at least one individual or organizational owner, officer or entity. The data was collected to track performance across states, CMS said. The most recent data was updated Aug. 12 and accounts for data from 634 chains as of July 2026.
Here are the nursing home chains with a 4.4-star rating or higher, along with the number of facilities they operate:
| Skilled nursing facility chain | Number of facilities | CMS star rating |
| Compass Health (San Luis Obispo, Calif.) | 7 | 5 |
| EverTrue (Brentwood, Mo.) | 5 | 5 |
| Franciscan Sisters of Christian Charity (Manitowoc, Wis.) | 3 | 5 |
| Ingleside Engaged Living (District of Columbia) | 3 | 5 |
| Juniper Communities (Bloomfield, N.J.) | 3 | 5 |
| JustLiving Communities (Lincoln, Mass.) | 2 | 5 |
| Little Sisters of the Poor (Baltimore) | 5 | 5 |
| Advanced Health Care (Farmington, Utah) | 26 | 4.8 |
| Chelsea (Mass.) Jewish Lifecare | 5 | 4.8 |
| Continuing Life (Carlsbad, Calif.) | 6 | 4.8 |
| Front Porch (Glendale, Calif.) | 9 | 4.8 |
| Vi Living (Chicago) | 10 | 4.8 |
| VRC Management (Cuyahoga Falls, Ohio) | 5 | 4.8 |
| ACTS Retirement-Life Communities (Fort Washington, Pa.) | 27 | 4.7 |
| Episcopal Retirement Homes (Cincinnati) | 3 | 4.7 |
| Friends Services for the Aging (Blue Bell, Pa.) | 6 | 4.7 |
| Immanuel (Omaha, Neb.) | 3 | 4.7 |
| MercyHealth System (Rockford, Ill.) | 3 | 4.7 |
| Methodist Retirement Communities (The Woodlands, Texas) | 6 | 4.7 |
| Senior Living Communities (Charlotte, N.C.) | 10 | 4.7 |
| Kendal (Newark, Del.) | 7 | 4.6 |
| New York City Health + Hospitals (New York City) | 5 | 4.6 |
| Pacific Retirement Services (Medford, Ore.) | 10 | 4.6 |
| Wilson Senior Care (Darlington, S.C.) | 5 | 4.6 |
| CSJ Initiatives (Wichita, Kan.) | 2 | 4.5 |
| EveryAge Senior Living (Newton, N.C.) | 4 | 4.5 |
| Greenbrier Senior Living (Vestavia Hills, Ala.) | 2 | 4.5 |
| HCA Healthcare (Nashville, Tenn.) | 3 | 4.5 |
| HumanGood (Duarte, Calif.) | 17 | 4.5 |
| Mather Senior Living Communities (Evanston, Ill.) | 2 | 4.5 |
| Paragon HealthNet (Cedarhurst, N.Y.) | 11 | 4.5 |
| Rennes Group (Peshtigo, Wis.) | 6 | 4.5 |
| Senior Lifestyle (Chicago) | 2 | 4.5 |
| State of New York Comptroller’s Office (Albany, N.Y.) | 6 | 4.5 |
| The Christian and Missionary Alliance (Reynoldsburg, Ohio) | 2 | 4.5 |
| Asbury Communities (Frederick, Md.) | 7 | 4.4 |
| Ascentria Care Alliance (Worcester, Mass.) | 5 | 4.4 |
| Buckner Retirement Services (Dallas) | 5 | 4.4 |
| Colev Gestetner (Lakewood, N.J.) | 7 | 4.4 |
| Corewell Health (Grand Rapids, Mich.) | 8 | 4.4 |
| Covenant Living (Skokie, Ill.) | 15 | 4.4 |
| Edgewood (Iowa) Convalescent Home | 5 | 4.4 |
| Maine Veterans’ Home (Augusta) | 5 | 4.4 |
| Ohio Living Communities (Columbus) | 11 | 4.4 |
| Santé (Salem, Ore.) | 5 | 4.4 |
| State of Louisiana Department of Veterans Affairs (Baton Rouge) | 5 | 4.4 |
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