THE ENSIGN GROUP: 9% Abuse-Flagged, 329 Facilities

THE ENSIGN GROUP operates 329 nursing homes across AK, AL, AZ and 14 other states. According to CMS federal data, the chain's facilities have collectively received $7.7 million in civil monetary penalties. 28 of 329 facilities (9%) carry CMS's Abuse Icon designation, a flag reserved for facilities with confirmed patterns of resident abuse or neglect. 8 facilities are currently on CMS Special Focus status, a designation reserved for the nation's worst-performing nursing homes. The portfolio carries an average CMS star rating of 3.2 out of 5.