His warped crusade against the US healthcare system allegedly drove him to commit cold-blooded murder on a bustling Manhattan sidewalk.
But the wealthy family of Luigi Mangione have faced scrutiny themselves for operating nursing homes that were panned by inspectors, hit with fines, and flagged for abuse concerns, DailyMail.com can exclusively reveal.
Despite Mangione’s apparent distaste for capitalism, his late grandfather Nick Mangione Sr. was an Italian American real estate mogul who acquired country clubs, a radio station, and a network of assisted living facilities where the alleged gunman volunteered in his teens.
The for-profit Lorien Health Services network inherited by Nick’s 10 kids – including Luigi’s father Louis – promises stimulating activities, restaurant-style dining, movie theaters, beauty spas and barbershops.
But several of the nine homes, located across the Baltimore area, have come in for criticism, citations, and federal fines, according to Medicare data reviewed by DailyMail.com.
They include the firm’s facility in Bel Air, Maryland, which has been slapped with 24 health citations in the past six years, compared to the national average of 9.6.
An alert posted on the Medicare.gov database warns that the 120-bed nursing living home ‘has been cited for abuse’.
It ‘failed to ensure that a resident was free from mental and physical abuse’, according to an April 2024 inspection by the Department of Health and Human Services. Lorien disputes the basis for that citation.
Suspected assassin Luigi Mangione (third from left) comes from a prominent Baltimore family. Pictured: Mangione with brother-in-law Paul Giulio, sisters Lucia and MariaSanta, dad Louis, and mom Kathleen
Mangione’s late grandfather Nick Mangione Sr. was an Italian American real estate mogul who acquired country clubs, radio stations, and a network of assisted living facilities where the alleged gunman volunteered in his teens
Other ‘deficiencies’ highlighted by inspectors involved concerns about quality of life, infection control, and residents’ rights.
An assisted living home in Bulle Rock, Maryland, meanwhile, had to pay a $40,422 federal fine following a June 2022 inspection.
Lorien’s Columbia location was similarly hit with a $24,680 fine in July, its third in two years.
The penalties – doled out for serious health or fire safety violations – contributed to it earning an overall Medicare rating of two out of five and a lowly one out of five score for long-stay quality measures.
The percentage of longterm residents whose ability to move independently had deteriorated to 27.8 percent – nearly twice the 15.3 percent national average, according to the data.
Only 25.8 percent of its residents were up to date on their Covid-19 vaccinations compared to the national average of 34.7 percent.
The figure for staff was only 2.4 percent, well short of the 6.7 percent mark countrywide.
DailyMail.com can also reveal that this past June, Lorien Health Services agreed to pay the federal government $55,192 for allegedly violating the Civil Monetary Penalties Law by retaining overpayments.
Nicholas, who died in 2008 aged 83 after suffering a stroke, founded Lorien Health Services, a chain of nursing and assisted living facilities across Baltimore
DailyMail.com can reveal several of the nine homes, including this one in Columbia, Maryland, have come in for criticism, citations, and federal fines, according to Medicare data
The health services company disputed the abuse designation in a letter sent to the Centers for Medicare and Medicaid in Oct
The Office of Inspector General for the Department of Health and Human Services said the network ‘allegedly submitted claims for services provided by an individual impersonating licensed nursing staff, using stolen credentials.’
It was further alleged that ‘after Lorien learned the employee was an imposter and unlicensed, Lorien failed to timely report and return to Medicare and Medicaid payments received for services furnished by the employee.’
The findings are, however, at odds with the overall reputation of the Lorien network which has received favorable reviews and a string of industry awards, according to its website.
It was named among the 19 percent of facilities nationwide recognized as a Best Nursing Home for 2025 by U.S News & World Report.
A spokesman for the company said that the fines referenced in our reporting were just a tiny fraction of the $5.57million that similar facilities across Maryland have been ordered to pay.
He said the abuse citation for the Bel Air location was being disputed.
‘For 47 years, Lorien has excelled at providing unparalleled assisted living and nursing home care for our residents,’ Lou Grimmel Sr., CEO for Lorien Health Services, said in a statement.
‘We have been guided by our founders’ pride of ownership and their principal value that ‘we are family taking care of families, friends, and neighbors’.
Mangione has two older sisters, MariaSanta (center) a medical doctor practicing in Dallas, and Lucia Mangione Giulio, a married artist who still lives in Baltimore
The family’s patriarch owned Turf Valley Resort in Ellicott City, Maryland. He also ran a country club and a radio station
Mangione grew up in considerable comfort in this $800,000 home in Towson, Maryland
‘We embrace this mantra every day along with our CareForward approach, which grows from our team embracing innovation, new techniques, and professional care that set us apart from the pack.’
Lorien’s accommodation ranges from $3,465 to $7,950 per month and each facility is staffed around the clock with licensed nurses.
After his arrest, it was revealed the 26-year-old Ivy League graduate hails from a close knit, Italian-American family in Baltimore.
The Mangiones are one of the most influential in the area, known for their vast real estate fortune and philanthropic endeavors.
Nick Magionie, who died in 2008 aged 83 after suffering a stroke, was also the owner of Turf Valley Resort and Hayfields Country Club, as well as radio station WCBM-AM.
Nick’s widow Mary left at least $30 million when she died in 2023.
Luigi’s mother Kathleen Zannino Mangione, owns a boutique travel company, and his sister MariaSanta Mangione is a respected doctor.
Mangione is accused of fatally shooting UnitedHealthcare CEO Brian Thompson on December 4 outside the New York Hilton Midtown in Manhattan.
Mangione was being held in Pennsylvania on gun charges and will be extradited to New York. He has been charged with second-degree murder, after CEO Brian Thompson, 50, was assassinated on a New York City street early on the morning of December 4
Surveillance camera footage showed the gunman, suspected to be Mangione, shooting UnitedHealthCare CEO Brian Thompson at point blank range outside of a Hilton hotel in midtown Manhattan on December 4
He was recognized and arrested at a McDonald’s Monday in Altoona, Pennsylvania, following a frantic five-day manhunt and subsequently charged with murder, criminal possession of a weapon and a forged instrument.
Handsome, well-educated but apparently in the grip of virulent anti-capitalist views, he is said to have armed himself with a ghost gun and silencer to take out Thompson, one of multiple healthcare chiefs he branded ‘parasites’ in a rambling, handwritten manifesto taking aim at corporate greed.
He also carved the words ‘deny, delay and depose’ – words close to the title of a scathing book accusing medical insurers of rampant corruption – into his bullet casings, it’s claimed.
Mangione’s mother Kathleen reported him missing in San Francisco last month, warning law enforcement that she hadn’t heard from him since July 1.
He had become estranged from his family after moving to Hawaii and aggravating a painful back condition in a surfing accident, according to reports.
Friends believe the crippling injury restricted his mobility, hampered his sex life and sent him spiraling into a mental health crisis.
Mangione’s family are well known for their philanthropy having donated more than $1million to the Greater Baltimore Medical Center and supported an assortment of causes including St. Jude Children’s Research Hospital and the University of Maryland St. Joseph Medical Center.
‘Our family is shocked and devastated by Luigi’s arrest,’ they said in a statement shared by his cousin Nino Mangione, a Republican member of the Maryland House of Delegates.
‘We offer our prayers to the family of Brian Thompson and we ask people to pray for all involved. We are devastated by this news.’
