U.S. Nursing Homes With the Highest Federal Fines in 2026: Top 25
CMS Federal Fine Leaders in the August 2026 Nursing Home Snapshot
Bridgewood Health Care Center in Kansas City, Missouri has the highest cumulative federal nursing-home fine total in the CMS August 2026 Provider Information snapshot at $1,148,689. Waterview Heights Rehabilitation and Nursing Center in Rochester, New York ranks second at $960,884, followed by Nexus Pavilion at Belleville in Illinois at $821,641.
The ranking covers nursing homes listed in CMS Provider Information as of the August 1, 2026 processing date and uses the CMS field Total Amount of Fines in Dollars. Higher cumulative civil money penalty totals rank higher. Facility participation or operating status may have changed after that snapshot date.
The table is a compiled research dataset based on five source groups, with row-level source and method notes shown in the ranking table.
Coverage: 25 confirmed facilities from the August 1, 2026 CMS Provider Information snapshot. Unit: U.S. dollar amounts as published by CMS, not adjusted for inflation. Source release date: August 26, 2026. Status: 25 official_value; 0 calculated_value; 0 official_forecast; 0 modeled_projection.
Bridgewood Health Care Center · Kansas City, Missouri.
Atlas Post Acute at Woodbury Country Club · Woodbury, New Jersey.
$17,349,726 calculated from the 25 CMS values shown in the ranking.
Facility universe and ranking values reflect the CMS processing date.
What federal nursing home fines measure
Federal nursing-home fines are CMS civil money penalties, or CMPs, imposed as an enforcement remedy for noncompliance. CMS considers the scope and severity of cited deficiencies together with other applicable enforcement factors when a CMP is selected and calculated.
This ranking measures the cumulative facility-level fine amount published in CMS Provider Information. It reflects federal enforcement history in the reporting window; it is not an overall quality rating or a measure of current safety.
Denial of payment for new admissions is a separate CMS enforcement remedy. Payment denials appear in the CMS Penalties dataset but do not add a dollar amount to the fine totals ranked here.
Top 10 nursing homes by federal fine dollars
Highest facility-level CMS fine totals in the August 1, 2026 snapshot
| Rank | Facility | Fine Total | Source / Method Note |
|---|---|---|---|
| 1 | Bridgewood Health Care Center | $1,148,689 | Kansas City, MO · CCN 265822 · 13 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 2 | Waterview Heights Rehabilitation and Nursing Center | $960,884 | Rochester, NY · CCN 335082 · 3 fines · CMS Aug. 1, 2026 snapshot · official_value. Medicare and Medicaid provider agreements terminated effective Aug. 25, 2026. |
| 3 | Nexus Pavilion at Belleville | $821,641 | Belleville, IL · CCN 145290 · 7 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 4 | Majestic Gardens at Memphis Rehab & SNC | $810,404 | Memphis, TN · CCN 445150 · 9 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 5 | Van Duyn Center for Rehabilitation and Nursing | $783,273 | Syracuse, NY · CCN 335184 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 6 | Avir at Lindale | $754,567 | Lindale, TX · CCN 745021 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 7 | Mohawk Meadows | $713,795 | Lafayette, NJ · CCN 315044 · 1 fine · CMS Aug. 1, 2026 snapshot · official_value. |
| 8 | Gregory Ridge Health Care Center | $708,002 | Kansas City, MO · CCN 265721 · 6 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 9 | La Bella of Cahokia | $702,001 | Cahokia, IL · CCN 145581 · 3 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 10 | Bishop Rehabilitation and Nursing Center | $699,602 | Syracuse, NY · CCN 335338 · 2 fines · CMS Aug. 1, 2026 snapshot · official_value. |
Chart: Top 20 nursing homes by federal fines
The chart uses the same raw CMS fine totals as the ranking table. Bridgewood Health Care Center is the only facility in this Top 25 above $1 million.
Methodology
Metric and unit
CMS Total Amount of Fines in Dollars. Amounts are U.S. dollars as published by CMS and are not adjusted for inflation.
Ranking direction
Descending. Facilities with larger raw cumulative fine totals rank higher.
Ranking universe
Nursing homes listed in CMS Provider Information as currently active at the August 1, 2026 processing date.
Penalty lookback
The CMS Penalties dataset covers the most recent three-year reporting window. In the August 2026 release, observed penalty dates run from August 19, 2023 through July 29, 2026.
Sources: CMS Provider Information is the primary ranking source. CMS Penalties supplies individual enforcement records, while CMS technical guidance defines civil money penalties and related enforcement concepts. The Care Ratings release v2026.08 is used as a secondary cross-check based on the same August 2026 CMS data vintage. A separate CMS public notice is used for the post-snapshot Waterview Heights status update.
Inclusion: the table contains 25 facilities whose national positions, CCNs and cumulative fine totals were confirmed for the August 1, 2026 snapshot. No missing values were estimated or averaged.
Value status: all ranked facility totals are directly published CMS values. The combined $17,349,726 Top 25 amount is calculated from those 25 values and does not affect rank.
CMP interpretation: CMS uses its Long Term Care Civil Money Penalty Analytic Tool when a CMP is selected as an enforcement remedy. Scope and severity of cited deficiencies are important considerations together with other applicable enforcement factors.
Penalty-type limitation: the downloadable CMS Penalties dataset does not contain a field identifying whether each individual CMP was assessed per day or per instance. This ranking does not separate penalties by assessment type.
Timing limitation: Provider Information was processed August 1, 2026 and released August 26, 2026. Changes after the processing date are not necessarily reflected in the ranking. Waterview Heights Rehabilitation and Nursing Center, for example, appears in the August 1 snapshot at rank 2, while CMS subsequently terminated its Medicare and Medicaid provider agreements effective August 25, 2026.
Reporting limitation: penalties can appear in the public dataset after the date on which they were imposed, so the newest part of the reporting window may be incomplete. This page is a fixed August 2026 snapshot, not a real-time enforcement ledger or lifetime total.
The metric does not measure fines per bed, fines per resident, deficiency severity, staffing quality, resident outcomes, ownership quality or the CMS Five-Star overall rating.
Full Top 25 ranking by cumulative CMS fines
Search by facility, city or state, filter by state or data status, change the sort order, or limit the table to the Top 10 or Top 20.
CMS August 1, 2026 facility-level cumulative federal civil money penalty totals
| Rank | Facility | Fine Total | Source / Method Note |
|---|---|---|---|
| 1 | Bridgewood Health Care Center | $1,148,689 | Kansas City, MO · CCN 265822 · 13 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 2 | Waterview Heights Rehabilitation and Nursing Center | $960,884 | Rochester, NY · CCN 335082 · 3 fines · CMS Aug. 1, 2026 snapshot · official_value. Medicare and Medicaid provider agreements terminated effective Aug. 25, 2026. |
| 3 | Nexus Pavilion at Belleville | $821,641 | Belleville, IL · CCN 145290 · 7 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 4 | Majestic Gardens at Memphis Rehab & SNC | $810,404 | Memphis, TN · CCN 445150 · 9 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 5 | Van Duyn Center for Rehabilitation and Nursing | $783,273 | Syracuse, NY · CCN 335184 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 6 | Avir at Lindale | $754,567 | Lindale, TX · CCN 745021 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 7 | Mohawk Meadows | $713,795 | Lafayette, NJ · CCN 315044 · 1 fine · CMS Aug. 1, 2026 snapshot · official_value. |
| 8 | Gregory Ridge Health Care Center | $708,002 | Kansas City, MO · CCN 265721 · 6 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 9 | La Bella of Cahokia | $702,001 | Cahokia, IL · CCN 145581 · 3 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 10 | Bishop Rehabilitation and Nursing Center | $699,602 | Syracuse, NY · CCN 335338 · 2 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 11 | Bria of Cahokia | $686,807 | Cahokia, IL · CCN 145613 · 7 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 12 | Chicago Ridge SNF | $675,810 | Chicago Ridge, IL · CCN 145639 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 13 | La Bella of Woodstock | $673,254 | Woodstock, IL · CCN 145222 · 8 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 14 | Legacy Nursing at St. Christina | $646,937 | Pineville, LA · CCN 195613 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 15 | Morgan Park Healthcare | $631,885 | Chicago, IL · CCN 145764 · 8 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 16 | Bria of Elmwood Park | $616,979 | Elmwood Park, IL · CCN 145419 · 10 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 17 | Natchitoches Nursing and Rehabilitation Center, LLC | $616,611 | Natchitoches, LA · CCN 195293 · 4 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 18 | White Oak Post Acute Care | $608,723 | Baton Rouge, LA · CCN 195488 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 19 | Park View Rehab Center | $598,146 | Chicago, IL · CCN 145765 · 7 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 20 | Arc at Sangamon Valley | $597,556 | Springfield, IL · CCN 146026 · 6 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 21 | Archer Heights Healthcare | $596,515 | Chicago, IL · CCN 145995 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 22 | Landmark at 95th Rehabilitation and Nursing Center | $595,647 | Chicago, IL · CCN 145914 · 7 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 23 | The Austin Oasis | $577,293 | Chicago, IL · CCN 145834 · 5 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 24 | Grand Manor Nursing & Rehabilitation Center | $563,175 | Bronx, NY · CCN 335744 · 4 fines · CMS Aug. 1, 2026 snapshot · official_value. |
| 25 | Atlas Post Acute at Woodbury Country Club | $561,530 | Woodbury, NJ · CCN 315521 · 2 fines · CMS Aug. 1, 2026 snapshot · official_value. |
Display names were normalized to complete public facility names where source exports truncate a name field. CCNs are retained as stable facility identifiers. Rank is based on the raw CMS fine total.
What stands out in the Top 25
Key Insight
Bridgewood Health Care Center leads at $1,148,689, which is $187,805 more than the second-ranked facility.
Notable Pattern
Ranks 7 through 25 are relatively close together, ranging from $713,795 to $561,530.
State Concentration
Illinois accounts for 12 of the 25 facilities, the largest state concentration in this confirmed ranking.
Outlier
Mohawk Meadows ranks seventh with $713,795 from one fine record, while several nearby facilities accumulated their totals across multiple fines.
How to interpret a high federal fine total
A high rank means CMS reported a larger cumulative dollar amount of civil money penalties for that facility in the August 1, 2026 snapshot. It does not establish that the facility currently provides worse care than every lower-ranked nursing home.
Facilities with similar totals can have different enforcement histories. One may have a small number of large fines, while another accumulated several smaller fines. For facility-level comparisons, the fine total is best read with recent inspections, staffing, deficiency severity and other CMS measures.
Related StatRanker healthcare rankings
Download the U.S. Nursing Homes With the Highest Federal Fines in 2026: Top 25 dataset
U.S. Nursing Homes With the Highest Federal Fines in 2026: Top 25
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Download Excel + CSV Data PackFAQ
Which U.S. nursing home has the highest federal fine total in this snapshot?
Bridgewood Health Care Center in Kansas City, Missouri ranks first in the CMS August 1, 2026 snapshot with $1,148,689 in cumulative federal civil money penalties.
Which nursing homes are included in this ranking?
The ranking universe is nursing homes listed in CMS Provider Information as currently active at the August 1, 2026 processing date. Later changes in participation or operating status are not necessarily reflected.
Are these official CMS values?
Yes. The facility rankings use the CMS Provider Information field Total Amount of Fines in Dollars. The combined Top 25 total is calculated from those published values.
Are these lifetime nursing home fine totals?
No. The CMS Penalties data use a rolling reporting window. In the August 2026 release, observed penalty dates run from August 19, 2023 through July 29, 2026.
Why is Waterview Heights still ranked if CMS terminated its provider agreements?
The ranking uses the August 1, 2026 CMS processing-date snapshot, when Waterview Heights remained in Provider Information. CMS subsequently terminated its Medicare and Medicaid provider agreements effective August 25, 2026.
What is a CMS civil money penalty?
A civil money penalty, or CMP, is an enforcement remedy CMS can impose when a nursing home is not in substantial compliance with applicable federal requirements.
Are payment denials included in the fine totals?
No. Denial of payment for new admissions is a separate enforcement action and does not add a dollar amount to the fine totals ranked here.
Does a high fine total mean a nursing home is currently unsafe?
No. The ranking describes federal enforcement history reflected in a fixed CMS snapshot. Current conditions require review of more recent inspections, deficiencies, staffing and other CMS information.
Sources
CMS Provider Information
Primary official source for the August 1, 2026 ranking universe, facility names, CCNs, locations, number of fines, Total Amount of Fines in Dollars and processing date.
CMS Penalties
Official underlying enforcement records for nursing-home civil money penalties and denial of payment for new admissions.
CMS Nursing Home Technical Details and CMP Tool
Official methodology and enforcement context for nursing-home data and civil money penalties.
https://data.cms.gov/provider-data/topics/nursing-homes/technical-details/
CMS Public Notice — Waterview Heights
Primary CMS notice confirming termination of the facility's Medicare and Medicaid provider agreements effective August 25, 2026.
https://www.cms.gov/files/document/waterview-heights-rehabilitation-nursing-center.pdf
The Care Ratings — Enforcement Study, Release v2026.08
Secondary cross-check based on the same August 2026 CMS Provider Information and Penalties data vintage.
