SEIU Says Carlyle and Manor Care Steamrolling Regulatory Process and Care Concerns http://www.nursing-homes.com/pages/seiu-says-ca... The Service Employees International Union says that the Carlyle Group and HCR Manor Care, the United Statesâ┚¬â”žÂ¢ largest nursing home chain, are attempting to steamroll the regulatory process and nursing home care concerns.