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Fundamental Healthcare

67 nursing homes · 6 states · 8,029 beds

average official
inspection rating

Fundamental Healthcare at a glance

Nursing homes
67
States
6
Licensed beds
8,029
Average rating
2.4★
Rated 4★ or better
21%

Is Fundamental Healthcare a good nursing home group?

Across 66 rated homes, Fundamental Healthcare averages 2.4★ on official inspection ratings — below the roughly 3.0★ national average. 21% of its rated homes earn 4★ or better, while 59% sit at 1–2★. That’s below the national average, so it pays to look closely at the specific home you’re considering rather than the group as a whole.

A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.

Fundamental Healthcare quality vs. the national average

Across the 66 homes with an official inspection rating, Fundamental Healthcare averages 2.4★. 21% are rated 4★ or better, and 59% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.

Fundamental Healthcare compared with all rated nursing homes nationwide
MeasureFundamental HealthcareNational average
Average rating2.4★3.0★
Homes rated 4★ or better21%40%
Homes rated 1–2★59%41%

How Fundamental Healthcare’s homes are distributed

  • 5★5
  • 4★9
  • 3★13
  • 2★21
  • 1★18

Fundamental Healthcare nursing home ratings by state

Where Fundamental Healthcare operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.

StateHomesAvg. rating
Texas252.8★
South Carolina232.0★
Maryland112.1★
Nevada63.0★
Indiana14.0★
Wisconsin12.0★

Highest-rated Fundamental Healthcare homes

The best-rated Fundamental Healthcare nursing homes we have on record, by official inspection rating.

Lowest-rated Fundamental Healthcare homes

The lowest-rated Fundamental Healthcare homes we have on record — the ones to look at most closely and ask the most questions about.

About Fundamental Healthcare

Fundamental Healthcare began as Trans Healthcare, Inc. (THI) and Trans Healthcare Management, Inc., founded in 1998 by private-equity firm GTCR Golder Rauner LLC, under partner Bruce Rauner. In 2005–2006, it was acquired by Leonard Grunstein and Murray Forman, who each contributed a minimal equity and financed the acquisition through debt, forming Fundamental Long Term Care Holdings, LLC in December 2005.

Subsequently, the structure became layered: Fundamental Long Term Care Holdings (FLTCH) was the topmost entity, with Fundamental Administrative Services (FAS) managing operations, and numerous subsidiary LLCs operating individual facilities. THI of Baltimore, a wholly owned subsidiary, guaranteed leases and operated many of the facilities, including skilled nursing and acute-care hospitals.

As of December 31, 2018, Fundamental Healthcare and its subsidiaries operated approximately 90 healthcare facilities across ten states. These included skilled nursing facilities, long-term acute care hospitals, rehabilitation centers, and acute and inpatient psychiatric hospitals, with operations notably concentrated in Nevada, South Carolina, Maryland, and Texas.

By mid-2026, due to contractions in its network, Fundamental Administrative Services is affiliated with 68 nursing-home facilities across seven states: Indiana, Maryland, New Mexico, Nevada, South Carolina, Texas, and Wisconsin. These homes show elevated levels of deficiencies, lower staffing and higher fines compared to national averages, with one facility designated as a Special Focus Facility.

Founded
2005
Headquarters
Sparks, Maryland

Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.

Where Fundamental Healthcare operates

Fundamental Healthcare runs nursing homes in Indiana, Maryland, Nevada, South Carolina, and 2 more states. Pick a state to see every Fundamental Healthcare home there alongside every other nursing home in the area.

All homes Fundamental Healthcare runs

Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.

Frequently asked questions about Fundamental Healthcare

How many nursing homes does Fundamental Healthcare operate?
Fundamental Healthcare operates 67 nursing homes across 6 states with about 8,029 licensed beds in total.
What states does Fundamental Healthcare operate in?
Fundamental Healthcare runs nursing homes in Indiana, Maryland, Nevada, South Carolina, and 2 more states. Its largest presence is in Texas, South Carolina, Maryland.
Is Fundamental Healthcare a good nursing home group?
Across 66 rated homes, Fundamental Healthcare averages 2.4★ on official inspection ratings — below the roughly 3.0★ national average. 21% of its rated homes earn 4★ or better, while 59% sit at 1–2★. That’s below the national average, so it pays to look closely at the specific home you’re considering rather than the group as a whole.
Where is Fundamental Healthcare headquartered?
Fundamental Healthcare is headquartered in Sparks, Maryland.
How are these ratings determined?
The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.

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