No matter what the moniker—seniors housing and care, long term care, long term and post-acute care, or aging services—the Top 50 companies are offering more consistent services. In fact, it may soon make more sense to call these annual rankings the “Top 50 Aging Services Companies,” given that the majority of this year’s largest nursing home companies offer a wide range of aging-like services to their customers.
For example, all but two of this year’s top 50 offer both long term and post-acute care among their repertoire of services. The two companies that still offer traditional long-term nursing care are No. 50, HMR Veterans Services, based in Anderson, S.C., and No. 39, Complete HealthCare Resources, of Dresher, Pa.

Dementia Care Ubiquitous

Dementia care—which is fast becoming a field of services on its own since many states require separate licensure for such providers—is offered by all but one of the Top 50 this year.
Assisted living is another sector of seniors housing that is becoming part of the landscape of services offered by nursing home providers: Just 10 of the Top 50 do not have an assisted living component within their companies.
Among the other services offered by this year’s roundup are 39 companies with outpatient rehab therapy services, 18 offering pharmacy within their facilities, 27 with home care, and 38 with hospice.
Ventilator and dialysis care are offered by 19 of the Top 50 companies, while the number of companies offering bariatric-related services is climbing steadily: Thirty-eight companies offer it this year, compared with 23 last year and 20 the year before that.

Top 10 Shuffle

This year’s Top 10 looks quite different from the preceding seven years or so, as Genesis HealthCare lands the No. 1 spot, having purchased Sun Healthcare Group (No. 7 in 2012) last year. The longtime top contender, HCR ManorCare, now takes over the No. 2 slot, while Life Care Centers of America maintains No. 3, as it has for several years.
At No. 4 is Golden Living, which sank two spots from last year, while Kindred Healthcare fell one slot to No. 5 this year. SavaSeniorCare hung onto No. 6 again this year, while taking over the No. 7 spot this year is a newcomer to the Top 10: Consulate Health Care, based in Maitland, Fla.
Slots No. 8 and 9 remain occupied by Extendicare Health Services and Evangelical Lutheran Good Samaritan Society, respectively.
The No. 10 spot goes to a newcomer: Plano, Texas-based Preferred Care Partners. It pushed Ensign Group down two slots this year to No. 12. Skilled Healthcare Group jumped ahead of Ensign this year to land at No. 11.
Two companies made their debuts this year to the Top 50: Fort Worth, Texas-based Creative Solutions in Healthcare and Saber Healthcare Group, based in Bedford Heights, Ohio, at Nos. 21 and 23, respectively.
Provider’s 2013 list of the Top 50 Largest Nursing Facility Companies is ranked by bed count as of Dec. 31, 2012.
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