Datasets:

tensorust
/

snf-ownership-penalties-sample

owner_associate_id int64 1.46B 9.93B	owner_name stringlengths 13 37	owner_city stringlengths 6 19	owner_state stringclasses 8 values	roles stringlengths 41 196	facilities int64 35 298	states stringlengths 2 77	certified_beds float64 4.04k 33.4k	avg_overall_rating float64 1.82 3.27	one_star_facilities int64 17 97	abuse_icon_facilities int64 7 43	facilities_penalized int64 30 176	fines_usd float64 5.36M 13.7M	fine_count float64 102 366	payment_denials float64 12 89	payment_denial_days float64 169 2.76k	last_penalty_date stringdate 2026-07-22 00:00:00 2026-09-09 00:00:00	pct_facilities_penalized float64 34.1 88.3	fines_per_facility_usd float64 18k 181k	fines_per_100_beds_usd float64 16.1k 155k	is_private_equity_company bool 2 classes	is_reit bool 2 classes	is_holding_company bool 2 classes	is_investment_firm bool 2 classes	is_management_services_company bool 2 classes	is_chain_home_office bool 2 classes	is_non_profit bool 2 classes	is_for_profit bool 2 classes	most_fined_facility stringclasses 9 values	most_fined_facility_ccn int64 15.1k 745k	most_fined_facility_fines_usd float64 223k 776k
9,335,677,848	CURIS SERVICES LLC	LINCOLNWOOD	IL	ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROL	98	AZ,FL,IL,IN,MA,NV,OH,RI	12,980	1.85	48	34	79	13,699,137	251	89	2,762	2026-08-26	80.6	139,787	105,540	false	false	false	false	false	false	false	false	ARCADIA CARE HAVANA	145,774	775,603
7,517,340,771	WELLTOWER OP LLC	TOLEDO	OH	5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF; INDIRECT OWNERSHIP INTEREST	295	AL,CA,DE,IA,KS,MA,MD,ME,MI,NC,NH,NJ,NM,NV,OH,PA,RI,TN,TX,VA,VT,WA,WV	33,167	2.36	97	43	176	13,594,357	366	45	1,055	2026-09-09	59.7	46,083	40,988	false	true	true	true	false	false	false	true	Avir at Rose Trail	455,429	483,785
6,709,189,293	DAVID A BERKOWITZ DELTA TRUST	LINCOLNWOOD	IL	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; DIRECT OWNERSHIP INTEREST	60	IL,MA,RI	8,024	1.82	32	22	53	10,869,111	186	73	2,365	2026-08-26	88.3	181,152	135,458	false	false	false	false	false	false	false	false	ARCADIA CARE HAVANA	145,774	775,603
6,608,179,197	YOSEF MEYSTEL DELTA TRUST	CHICAGO	IL	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; DIRECT OWNERSHIP INTEREST	59	IL,MA,RI	7,811	1.82	32	21	52	10,573,919	181	72	2,330	2026-08-26	88.1	179,219	135,372	false	false	false	false	false	false	false	false	ARCADIA CARE HAVANA	145,774	775,603
6,103,289,202	PACS HOLDINGS, LLC	FARMINGTON	UT	5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; GENERAL PARTNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST	265	AZ,CA,CO,ID,KS,KY,MO,NV,OH,OR,PA,SC,TN,TX,WA	30,053	2.96	42	28	141	8,172,887	229	65	1,598	2026-07-24	53.2	30,841	27,195	false	false	true	false	false	false	false	true	MARIETTA HEIGHTS POST ACUTE	365,780	462,656
7,911,360,011	PACS GROUP, INC.	FARMINGTON	UT	5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL	263	AZ,CA,CO,ID,KS,KY,MO,NV,OH,OR,PA,SC,TN,TX,WA	29,764	2.94	43	28	140	8,123,950	237	65	1,598	2026-07-24	53.2	30,890	27,295	true	false	true	false	false	false	false	true	MARIETTA HEIGHTS POST ACUTE	365,780	462,656
8,921,039,223	WELLTOWER INC	TOLEDO	OH	5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF	157	CA,CT,DE,FL,IA,IL,IN,MD,MI,NJ,NM,OH,PA,TX,VA,WA,WV	16,500	2.62	48	21	97	7,551,124	202	31	766	2026-09-09	61.8	48,096	45,764	false	true	true	true	false	false	false	true	Avir at Rose Trail	455,429	483,785
5,294,198,396	PROVIDENCE GROUP NH, LLC	FARMINGTON	UT	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL	194	AZ,CA,CO,ID,KS,KY,MO,NV,OH,OR,PA,SC,TN,TX,WA	22,011	2.83	38	21	109	6,808,122	188	54	1,294	2026-07-24	56.2	35,093	30,931	false	false	true	true	true	false	false	true	MARIETTA HEIGHTS POST ACUTE	365,780	462,656
7,911,167,341	ZAC PROPERTIES XI LLC	PHILADELPHIA	PA	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST	168	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,NV,PA,RI,TN,VA,VT,WA,WV	18,902	2.41	48	25	93	6,751,910	175	19	456	2026-09-08	55.4	40,190	35,721	false	false	false	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
8,426,229,584	CIBC BANK USA	CHICAGO	IL	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROL	209	CA,CO,FL,IL,IN,KS,KY,MA,MD,MI,MN,NC,NH,NJ,NY,OH,PA,RI,SD,TN,TX,VA,VT,WI	21,006	2.9	38	19	96	6,687,637	180	31	634	2026-09-04	45.9	31,998	31,837	false	false	false	false	false	false	false	true	Salyersville Nursing and Rehabilitation Center	185,221	447,485
1,456,511,880	HCCF MANAGEMENT GROUP XI LLC	ALPHARETTA	GA	5% OR GREATER INDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST	167	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	18,659	2.4	49	26	93	6,684,337	171	15	403	2026-09-08	55.7	40,026	35,824	false	false	true	true	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
7,416,866,603	FORVIS MAZARS LLP	SPRINGFIELD	MO	5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROL	296	AL,AR,AZ,FL,GA,IA,IN,KS,KY,MA,MI,MO,MS,MT,NC,NE,NM,NY,OH,OK,PA,SC,SD,TX,VA,WI	31,082	3.08	57	29	101	6,680,768	163	39	965	2026-07-22	34.1	22,570	21,494	false	false	false	false	false	false	false	true	Chi Franciscan Villa	525,526	323,027
2,466,524,202	ATIED ASSOCIATES LLC	EVANSTON	IL	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF	44	AZ,IL,IN,MI,NV,OH	7,940	1.95	17	15	36	6,498,862	128	48	1,124	2026-08-23	81.8	147,701	81,850	false	false	true	false	false	false	false	true	AUSTIN OASIS, THE	145,834	536,084
1,759,570,526	GEN OPERATIONS I LLC	KENNETT SQUARE	PA	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST	165	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	18,448	2.4	48	25	92	6,382,967	168	15	403	2026-09-08	55.8	38,685	34,600	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
2,769,671,536	GEN OPERATIONS II LLC	KENNETT SQUARE	PA	5% OR GREATER INDIRECT OWNERSHIP INTEREST	165	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	18,448	2.4	48	25	92	6,382,967	168	15	403	2026-09-08	55.8	38,685	34,600	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
6,305,035,171	GENESIS HEALTHCARE LLC	KENNETT SQUARE	PA	5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF	165	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	18,441	2.4	48	25	91	6,360,405	167	15	403	2026-09-08	55.2	38,548	34,491	false	false	true	false	false	true	false	true	MAGNOLIA RIDGE	15,133	392,125
9,931,545,662	JOSHUA HOFFMAN TRUST	CHICAGO	IL	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF; DIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST	35	IL,OH,RI	4,039	1.91	18	13	30	6,263,135	102	45	1,540	2026-08-26	85.7	178,947	155,066	false	false	false	false	false	false	false	false	ARCADIA CARE HAVANA	145,774	775,603
5,799,080,073	SUNDANCE REHABILITATION HOLDCO INC	KENNETT SQUARE	PA	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST	157	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,NV,PA,RI,TN,VA,VT,WA,WV	17,515	2.4	44	23	86	6,232,497	163	19	456	2026-09-08	54.8	39,697	35,584	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
7,810,077,864	GENESIS HEALTHCARE INC	KENNETT SQUARE	PA	5% OR GREATER INDIRECT OWNERSHIP INTEREST	162	AL,CA,DE,MA,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	18,097	2.41	46	25	89	6,136,239	165	15	403	2026-09-08	54.9	37,878	33,907	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
7,517,952,047	WEST WHARTON COUNTY HOSPITAL DISTRICT	EL CAMPO	TX	5% OR GREATER DIRECT OWNERSHIP INTEREST; DIRECT OWNERSHIP INTEREST	92	TX	11,473	2.35	35	7	61	5,926,413	140	12	219	2026-09-04	66.3	64,418	51,655	false	false	false	false	true	false	true	true	Avir at Lindale	745,021	754,567
6,103,344,130	WELLTOWER NNN GROUP, LLC	TOLEDO	OH	5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF	121	IA,TX	12,926	2.33	46	18	81	5,906,550	181	17	169	2026-09-09	66.9	48,814	45,695	false	true	false	false	false	false	false	false	Avir at Rose Trail	455,429	483,785
6,507,774,304	SUN HEALTHCARE GROUP INC	KENNETT SQUARE	PA	5% OR GREATER INDIRECT OWNERSHIP INTEREST	157	AL,CA,DE,MA,MD,ME,NH,NJ,NM,PA,RI,VA,VT,WA,WV	17,414	2.41	45	22	85	5,866,473	150	14	369	2026-09-08	54.1	37,366	33,688	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
3,577,752,344	FC-GEN OPERATIONS INVESTMENT LLC	KENNETT SQUARE	PA	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST	156	AL,CA,DE,MA,MD,ME,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	17,370	2.42	45	20	84	5,805,080	148	14	369	2026-09-08	53.8	37,212	33,420	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
9,830,415,306	GENESIS HOLDINGS LLC	KENNETT SQUARE	PA	5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER INDIRECT OWNERSHIP INTEREST	152	AL,CA,DE,MD,ME,NC,NH,NJ,NM,PA,RI,TN,VA,VT,WA,WV	16,854	2.41	44	24	84	5,675,935	152	14	399	2026-09-08	55.3	37,342	33,677	false	false	true	false	false	false	false	true	MAGNOLIA RIDGE	15,133	392,125
3,577,089,093	ENSIGN SERVICES INC	SAN JUAN CAPISTRANO	CA	ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROL	298	AL,AZ,CA,CO,IA,ID,KS,NE,NV,SC,TN,TX,UT,WA,WI	33,401	3.27	35	24	140	5,363,628	234	19	278	2026-08-27	47	17,999	16,058	false	false	false	false	false	false	false	true	Greater Southside Health and Rehabilitation	165,175	222,681

Nursing Home Owner Penalty Ledger: free sample (Tensorust LLC)

Every CMS nursing home fine and payment denial since Oct 2023, rolled up to the organizations that own, operate or control the facilities.

Headline: CMS fines the nursing home, but the owner up the chain answers for the number: $445.7M of civil money penalties in three years sit behind 15,652 organizational owners.

This repository is a free teaser, not the dataset. It holds 25 example rows and a summary table with no names in it. The full file has 29,863 rows and is sold by Tensorust LLC: https://tensorust.com/datasets/snf-ownership-penalties/.

Files here

file	what it is
`sample.csv`	25 rows of the full file (the same sample shown on tensorust.com)
`summary_by_owner_state.csv`	row counts and totals by owner state across the full file, no entity names (groups with fewer than 3 rows are folded into "Other")

Summary by owner state (largest groups)

Owner state	rows	Fines (USD)
NJ	4,574	337,406,705
NY	3,229	238,177,939
CA	2,797	203,033,667
IL	1,971	355,352,311
TX	1,629	144,610,201
OH	1,401	199,067,235
FL	1,170	85,903,025
PA	1,105	125,445,373
GA	891	54,398,817
MD	813	62,334,150
TN	756	29,991,643
LA	655	47,350,463
TOTAL	29,863	2,421,607,629

Full table: summary_by_owner_state.csv.

What the full file has

29,863 rows
Key fields: owner_associate_id, owner_name, owner_city, owner_state, roles, facilities, states, certified_beds, avg_overall_rating, one_star_facilities
Parquet and CSV, a README with sources, method and limits, and the build script
Free 25-row sample (no personal contact data)

Coverage: 29,863 organizational owners of 12,921 Medicare and Medicaid certified nursing facilities; 15,652 owners carry at least one fine. Individual owners excluded. SNF All Owners file dated 2026-09-29; Penalties and Provider Information from the October 2026 Care Compare refresh; built Nov 6 2026.

Columns in the full file

column	meaning
`owner_associate_id`	CMS PECOS associate ID of the organizational owner
`owner_name`	Organization name as reported to CMS
`owner_city`	Owner city
`owner_state`	Owner state
`roles`	Roles the owner holds across its facilities (direct or indirect ownership, operational or managerial control and so on)
`facilities`	Skilled nursing facilities linked to the owner
`states`	States those facilities are in
`certified_beds`	Certified beds across the owner's facilities
`avg_overall_rating`	Average CMS overall star rating of the facilities
`one_star_facilities`	Facilities rated one star overall
`abuse_icon_facilities`	Facilities carrying the CMS abuse icon
`facilities_penalized`	Facilities with at least one penalty in the window
`fines_usd`	Civil money penalties at the owner's facilities, USD
`fine_count`	Number of fines
`payment_denials`	Number of Medicare payment denials
`payment_denial_days`	Total days of payment denial
`last_penalty_date`	Most recent penalty date
`pct_facilities_penalized`	Share of the owner's facilities with a penalty
`fines_per_facility_usd`	Fines divided by facilities
`fines_per_100_beds_usd`	Fines per 100 certified beds
`is_private_equity_company`	Owner reported to CMS as a private equity company
`is_reit`	Owner reported as a real estate investment trust
`is_holding_company`	Owner reported as a holding company
`is_investment_firm`	Owner reported as an investment firm
`is_management_services_company`	Owner reported as a management services company
`is_chain_home_office`	Owner reported as a chain home office
`is_non_profit`	Owner reported as non-profit
`is_for_profit`	Owner reported as for-profit
`most_fined_facility`	The owner's facility with the largest fines
`most_fined_facility_ccn`	CMS certification number of that facility
`most_fined_facility_fines_usd`	Fines at that facility, USD

Get the full file

tier	price	includes
State or chain slice	$1,500	Every owner in up to 3 states or 10 named chains, with facilities, beds, star ratings, fines, payment denials, per-bed ratios and the most-fined facility. CSV and Excel.
National ledger	$6,000	All 29,863 organizational owners nationwide plus the owner-to-facility link file, with one refresh after the next quarterly CMS penalty update.
Yearly license with monthly refresh	$15,000 a year	The ledger rebuilt each month as Care Compare refreshes, new fines and owner changes flagged, for compliance, asset management or diligence teams. Internal use, unlimited seats.

Email mattbusel@tensorust.com with the tier and a billing contact, and we will send a proper invoice (ACH or card). The file is delivered once the invoice is paid. Details and the live sample: https://tensorust.com/datasets/snf-ownership-penalties/. All datasets: https://tensorust.com/datasets/

Method and limits

Organizational owner records are joined to facilities through the enrollment ID and CCN, then to every penalty for that CCN. An owner is credited with a facility's full penalties whatever its percentage (owners up the chain each see the same facility), so totals across owners double count by design; use the facility-level penalty file for market totals.

No individual owners, officers or managing employees: organization owners only, and no personal contact data. Not a judgment that an owner caused a deficiency; CMS imposes penalties on the facility. Not the full enforcement history: CMS publishes the most recent three years of penalties.

Sources

CMS Skilled Nursing Facility All Owners, https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-all-owners
CMS Skilled Nursing Facility Enrollments (enrollment ID to CCN), https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-enrollments
CMS Nursing Home Penalties, https://data.cms.gov/provider-data/dataset/g6vv-u9sr
CMS Nursing Home Provider Information, https://data.cms.gov/provider-data/dataset/4pq5-n9py

License

The sample and summary here are free to view, analyze and cite with attribution to "Tensorust LLC, https://tensorust.com/datasets/snf-ownership-penalties/". The full dataset is licensed separately per tier. No resale or redistribution of Tensorust data without a written license.

Tensorust LLC, Tuckahoe NY. mattbusel@tensorust.com | https://tensorust.com

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