LodestoneEldercare Guide — point toward true help

Nursing homes & assisted living, straight from the official record.

A free directory of 125,278 elder-care providers across all 51 U.S. jurisdictions — including 14,690 Medicare-certified nursing homes (with CMS ratings, abuse flags, and fines) plus the state-licensed assisted living and residential care the federal data leaves out. We don't sell your information and we don't take referral fees; every figure is one click from its official source.

Type a facility name, a city, or a ZIP code.

New to all this? Start here.

If you've just become responsible for an older person's care and don't know where to begin, our plain-language guide walks you through the three questions every family faces — what kind of care is needed, who pays, and what happens when the money runs out — and always points you to who to ask next. Open the guide →

14,690
nursing homes rated
1,482
with a CMS abuse flag
$462,027,935
in federal fines on record
51
states + D.C.

Find care in your state

Tap a state on the map — or use the full list below. Deeper color means more care providers listed, from nursing homes to assisted living and in-home support.

Hover or tap a state to see its numbers.
Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming VT NH MA RI CT NJ DE MD DC

All states & D.C.

Every jurisdiction, alphabetical — the map is the shortcut, this is the floor.

The largest operators, nationwide

Chains ranked by number of Medicare-certified homes they operate, per CMS ownership data. No operator looks the same across every state — which is exactly why a national view matters.

  • 1.The Ensign Group338 homes
  • 2.Pacs Group279 homes
  • 3.Life Care Centers Of America194 homes
  • 4.Genesis Healthcare187 homes
  • 5.Creative Solutions In Healthcare149 homes
  • 6.Saber Healthcare Group126 homes
  • 7.Trilogy Health Services124 homes
  • 8.Communicare Health122 homes
  • 9.Avir Health Group117 homes
  • 10.Pruitthealth99 homes

Free tool: how long will the savings last?

The hardest first question is usually money. Our cost-runway calculator gives you a plain estimate of how long savings will cover care — and it asks for no name, no email, and sends nothing anywhere. It runs entirely on your own device.

Try the calculator →

Built to be useful, and honest

Lodestone takes no referral fees and sells no contact information. Nothing here is pay-to-rank, and no safety record is hidden. It simply mirrors the government's own data — the ratings, abuse flags, and fines that are already public, gathered in one place and linked back to the official source.

Read exactly where the data comes from and how to verify it →