Fines received by nursing homes in the last three years.
Medicare may impose penalties on a nursing home when there's a serious health or fire safety citation or if the nursing home fails to correct a citation for a long period of time. The 2 types of penalties include:
Fines: Fines may be imposed once per citation or each day until the nursing home corrects the citation.
Payment denials: During a payment denial, the government stops Medicare or Medicaid payments to the nursing home for new residents until the nursing home corrects the citation.
If the nursing home doesn't correct these problems, Medicare will end its agreement with the nursing home. This means the nursing home is no longer certified to provide and be paid for care to people with Medicare or Medicaid. Residents with Medicare or Medicaid who are living in the home at the time of the termination will be moved to a different nursing home that is still certified by CMS.
Citation formats
Most fined nursing homes and rehab facilities in the U.S. 2025
Medicare can penalize a nursing home or rehabilitation center if there is a serious health or fire safety citation. These penalties can be in the form of fines or payment denials. As of June 2025, Siesta Key Health And Rehabilitation Center held the record of the heftiest total amount of fines against a nursing home or rehab center in the last three years. This senior community in Sarasota, Florida, received a total penalty of **** million U.S. dollars. The second most fined nursing home/rehab facility was the Elevate Care Country Club Hill. This facility, based in Illinois, had to pay a total fine of nearly *** million U.S. dollars.
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CMS. (June 25, 2025). Most fined nursing homes and rehab facilities in the U.S. in 2025, by total amount of fines (in US dollars) [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved August 04, 2026, from /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/
CMS. "Most fined nursing homes and rehab facilities in the U.S. in 2025, by total amount of fines (in US dollars)." Chart. June 25, 2025. ÌÇÐÄÆƽâ°æ. Accessed August 04, 2026. /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/
CMS. (2025). Most fined nursing homes and rehab facilities in the U.S. in 2025, by total amount of fines (in US dollars). ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: August 04, 2026. /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/
CMS. "Most Fined Nursing Homes and Rehab Facilities in The U.S. in 2025, by Total Amount of Fines (in Us Dollars)." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 25 Jun 2025, /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/
CMS, Most fined nursing homes and rehab facilities in the U.S. in 2025, by total amount of fines (in US dollars) ÌÇÐÄÆƽâ°æ, /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/ (last visited August 04, 2026)
Most fined nursing homes and rehab facilities in the U.S. in 2025, by total amount of fines (in US dollars) [Graph], CMS, June 25, 2025. [Online]. Available: /statistics/1221716/most-fined-nursing-homes-and-rehab-facilities-by-amount-of-fine-us/
