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Largest nursing home companies in Pennsylvania

There are 650 Medicare-certified nursing homes in Pennsylvania. The ten largest operators control 201 of them — 31% of the state.

This ranking counts what each company actually controls. CMS files list operators as separate legal entities, so a group running 37 buildings can appear as 34 unrelated companies. The rankings you find elsewhere count the paperwork; this one counts the buildings.

RankCompanyPennsylvania nursing homesLegal entities CMS listsType
1Pico Ar LLC3734PE
2BNV Dynasty LLC3710Operator
3Priority Care Group LLC3140Operator
4Reliant Pro Rehab LLC2121Operator
5Pinnacle Healthcare Solutions Inc142Operator
6Embassy Healthcare Holdings Inc1413PE
7BH Opco Holdco LLC139Operator
8Friends Services for the Aging133Operator
9Western PA Opco Holdings I LLC115Operator
10Phi1110Operator

Pennsylvania nursing home chains and corporations, explained

People search for Pennsylvania nursing home companies in a dozen ways — largest nursing homes, top nursing home chains, nursing home corporations, biggest nursing home groups. They are all asking the same thing: who is actually behind the sign on the building. The answer is in CMS ownership filings, which are public, free, and almost unreadable in raw form.

How this is calculated

Every Medicare-certified nursing home files its owners with CMS. We take those filings, group entities whose facility portfolios overlap into a single corporate family, and count distinct facilities. Entities appearing only as lenders or mortgage holders are excluded — a bank holding paper on a building does not operate it. Full method on the methodology page.

Every nursing home operator in Pennsylvania

All Pennsylvania nursing homes with their full ownership chain, every legal entity, ownership percentages, association dates and change-of-ownership history. CSV and PDF.

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Common questions

How many nursing homes are there in Pennsylvania?

650 Medicare-certified nursing homes, per CMS enrollment files.

Who is the largest nursing home operator in Pennsylvania?

PICO AR LLC, with 37 Pennsylvania nursing homes across 34 separate legal entities on file with CMS.

Why do nursing home companies show up under many different names?

Operators commonly file a separate legal entity per facility, plus separate property, management and therapy companies. CMS records each one individually and nothing in the file links them.

Sources for this page
Skilled Nursing Facility All Owners — CMS file SNF_All_Owners_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency All Owners — CMS file HHA_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Hospice All Owners — CMS file Hospice_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Skilled Nursing Facility Enrollments — CMS file SNF_Enrollments_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Home Health Agency Enrollments — CMS file HHA_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Hospice Enrollments — CMS file Hospice_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file