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Changes in Ownership of Skilled Nursing Facilities, 2016-2021

Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then. Data also shows that more than 30% of SNFs in Utah, Texas, Arkansas, Virginia, and Maryland had a change in ownership since 2016. Lastly, more SNFs with lower overall quality ratings were more likely to be sold.

This brief was compiled and summarized by HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP). Please also visit the ASPE Long-Term Services & Supports/Long-Term Care page for additional research in this area.

Available Reports: