Operator Investigation · 2026-04-21

CAIN, JAMES: 18% Abuse-Flagged, 28 Facilities

Facilities
28
CMS Fines
$863K
States
7
OIG Excluded

CAIN, JAMES operates 28 nursing homes across CO, FL, IA and 4 other states. According to CMS federal data, the operator's facilities have collectively received $862,920 in civil monetary penalties. 5 of 28 facilities (18%) carry CMS's Abuse Icon designation, a flag reserved for facilities with confirmed patterns of resident abuse or neglect. 3 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 2.5 out of 5.

Facilities (28)