Trilogy Health Services and Citadel were among the large skilled nursing providers to earn top rankings in this year’s Fortune Best Workplaces for Aging Services lists. 

Fortune and Great Place to Work announced the rankings Thursday morning. Trilogy was ranked No. 4 overall among large seniors housing and care providers, while Citadel Healthcare was listed at No. 2 among small/medium operators. 

Trilogy Health Services President and CEO Ann Barney said the ranking is a direct reflection of the caliber of people who work for the provider. 

“Over the past several months, our employees have been tested in ways most cannot even imagine, and throughout it all, they have kept our culture of compassion and servant leadership alive,” Barney said in a statement. 

“In turn, we have continued to invest in programs designed to help every team member achieve success, both personally and professionally. This cycle of caring is what makes Trilogy a great place to work, and it all starts with our employees,” she added. 

Other large SNFs on the list included Vetter Senior Living, Ciena Healthcare & Laurel Health Care Company, and Generations Healthcare. 

Other small/medium SNFs ranked included Van Dyke Health Care, Chaparral House and Juliette Fowler Communities. 

“The lay media has generally grouped all nursing homes into one category and lambasted them,” said Jaquelyn Kung, CEO of Activated Insights, the senior care research company behind the rankings. “The significance of today’s list shows is that there are some really terrific skilled nursing operators in our industry.” 


The Great Place to Work methodology is based off its trust index survey, which has been taken by more than 100 million people worldwide and features 60 questions with five dimensions of employee engagement.

“When you feel respected by your leadership, when you feel that management is credible, when you feel that management is fair, that’s the baseline fundamental of having trust in your workplace,” Kung told McKnight’s Long-Term Care News Thursday.  

The employee engagement measure is also tied to factors in the aging industry such as lower employee turnover, higher occupancy or utilization and better business performance, higher patient ratification, diversity and race, and gender. 

In order to be certified as a Great Place to Work, operators must survey all of their employees using the trust index survey. Providers earn the certification if at least seven out of 10 employees surveyed confirm it’s a great place to work.

Once certified, operators are automatically included in Fortune’s ranking process. Fortune and Great Place to Work then take the employee certification data and run it through an algorithm that adjusts for factors like company size and consistency of all employee experience. The adjusted scores of each operator are then ranked. 

This year, about 200,000 aging services employees were surveyed. 

“I’m especially excited for this list this year because it showcases a really positive side of aging services. It’s been a very challenging year and at the end of this year I think we can reflect back as an industry and really celebrate some of the wins that we’ve had,” Kung said. 

“I hope that more organizations do [certify as a Great Place to Work] because this a way that we as an industry can attract more and better talent to our sector,” she added. “It helps our whole sector.” 

Bridgeview Senior Living and Summit Vista  ranked No. 1 among senior living organizations. The complete list can be found here.