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Genesis Healthcare nursing homes
184 nursing homes with 21,582 beds in Pennsylvania (37), West Virginia (31), New Mexico (20), California (17), New Hampshire (15), New Jersey (12), Maine (11), Alabama (7), Washington (7), Maryland (6), North Carolina (5), Delaware (3), Rhode Island (3), Vermont (3), Nevada (2), Tennessee (2), Virginia (2), Massachusetts (1).
CMS affiliated entity 237 · data as of September 1, 2026
The group's record in brief
CMS links 184 certified nursing homes in 18 states to Genesis Healthcare: 184 for profit, 0 nonprofit. 183 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 8,183 health citations; 342 citations were rated actual harm or immediate jeopardy, 184 of them immediate jeopardy. At their latest standard inspections the homes averaged 10.7 health deficiencies (national average 9.2).
101 homes in the group were fined in the last three years, $7,415,255 in all across 187 fines. Average nursing staff turnover across its homes was 45.9% (national 45.8%).
Staffing across the group
Daily payroll records from 184 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 14% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.45 | 3.75 |
| Registered nurses | 0.66 | 0.62 |
| Weekdays | 3.59 | 3.92 |
| Weekends | 3.10 | 3.33 |
| Share of nursing hours by contract staff | 7.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Genesis Healthcare homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Pennsylvania | 37 | 2.1 | $1,021,491 | |
| West Virginia | 31 | 2.2 | $1,050,572 | 2 |
| New Mexico | 20 | 2.3 | $1,139,790 | 4 |
| California | 17 | 2.3 | $691,398 | 3 |
| New Hampshire | 15 | 2.3 | $234,666 | 2 |
| New Jersey | 12 | 2.8 | $143,305 | 1 |
| Maine | 11 | 2.2 | $79,249 | 3 |
| Alabama | 7 | 2.6 | $575,093 | 2 |
| Washington | 7 | 2.1 | $1,110,747 | |
| Maryland | 6 | 3.5 | $173,701 | |
| North Carolina | 5 | 1.6 | $305,535 | |
| Delaware | 3 | 3.0 | $210,795 | |
| Rhode Island | 3 | 3.7 | $21,548 | |
| Vermont | 3 | 2.7 | $403,272 | |
| Nevada | 2 | 3.0 | $0 | |
| Tennessee | 2 | 3.0 | $18,769 | |
| Virginia | 2 | 1.0 | $235,324 | |
| Massachusetts | 1 | 5.0 | $0 |
How the group's homes are rated
180 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2.3 overall, 2.2 health inspections, 2.5 staffing, 3.5 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 11 | |
| 4 of 5 | 24 | |
| 3 of 5 | 38 | |
| 2 of 5 | 50 | |
| 1 of 5 | 57 |
Across the group: 342 citations rated actual harm or immediate jeopardy, and an average of 3.47 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: FC-Gen Operations Investment LLC, Sun Healthcare Group Inc, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Healthcare Inc, Genesis Holdings LLC.