Who Really Controls
These Facilities?
Federal law requires nursing homes to disclose ownership. But the same individuals often appear across hundreds of facilities under different corporate names , making accountability difficult to trace. This map makes those connections visible.
When a family selects a nursing home, they often don't know it shares ownership, management, and financial incentives with 200 other facilities run by the same small network of people. Research shows those networks , especially private equity-linked chains , correlate with worse staffing and more deficiency citations. This tool surfaces those relationships.
Loading ownership network…
How Relationships Are Mapped
Each node is a person or organization disclosed in CMS CASPER ownership filings , the federal database that SNFs must update when ownership changes.
An edge between two entities means they co-appear in ownership records at the same facility. Edge thickness reflects how many shared facilities connect them.
Officer-of edges (purple) connect an individual to an organization they serve as officer, director, or managing employee. Co-appears-at edges (grey) connect two individuals who appear together at the same facility in any disclosed role.
Network risk score is a composite: (5 − avg CMS rating) × 0.4 + (SFF rate) × 3 + (abuse flag rate) × 2. Higher scores indicate a network of facilities with more documented quality problems.
Limitations & Data Caveats
CMS CASPER data reflects self-reported disclosures. Facilities are required by law to report, but filings can lag actual ownership changes by weeks or months.
Name matching (e.g. “GENESIS HEALTHCARE LLC” vs “GENESIS HEALTHCARE INC”) is treated as separate entities in this graph. Related entities under different legal names may appear as separate nodes.
OIG exclusion matching is based on name similarity , some matches may be coincidental. Always verify at exclusions.oig.hhs.gov.
Graph shows entities with ≥ 5 disclosed facilities by default. Use filters to expand or narrow scope.
Data Sources
| Source | What It Contains | Used For | Updated |
|---|---|---|---|
| CMS CASPER Ownership Disclosure | Officers, directors, 5%+ owners, managing employees per facility | All nodes and edges in this graph | Quarterly |
| CMS Care Compare | Provider info, Five-Star ratings, staffing, SFF status | Node quality flags, network risk score | Quarterly |
| HHS OIG Exclusion List (LEIE) | Individuals/entities excluded from Medicare & Medicaid | Red flag (OIG excluded) on nodes | Monthly |
| CMS Penalty Data | Civil money penalties and enforcement actions per facility | Total penalties shown in node detail panel | Monthly |