Century Healthcare

CENTURY HEALTHCARE is a for-profit nursing-home chain operating exclusively in Pennsylvania. According to CMS-derived data, it manages ten facilities across the state. These include a constellation of rehabilitation and healthcare centers in towns such as Nanticoke, Tyrone, Weatherly, Laporte, Kingston, Montrose, Mountain Top, Bethel Park, and Taylor.

The chain’s overall performance, based on CMS star ratings as of February 1, 2026, reflects an average overall rating of 2.0 stars, with four out of ten facilities rated at the lowest level (1-star) and none reaching 5-star status. Staff coverage averages 3.29 nursing hours per resident per day, and two facilities have documented safety concerns.

Ownership-wise, CENTURY HEALTHCARE operates under a for-profit corporate structure: approximately 70% of its facilities are owned by corporations and 30% by limited liability companies. In CMS affiliate listings, Kulanu Oc Trust holds a direct or indirect ownership stake in at least 90% of homes affiliated with CENTURY HEALTHCARE.

Published reports highlight that after CENTURY HEALTHCARE acquired seven facilities from Guardian Healthcare in 2023, these facilities reported increased administrative and overhead costs, with declining CMS star ratings from an average of 2.2 before acquisition to 1.4 after. Additionally, the Highlands facility received a special $11 million annual earmark from Pennsylvania but reported the same net income year after year, suggesting the earmark flowed directly to profit rather than care improvements.