Who Owns Nursing Homes, Home Health Agencies and Hospices?
Post-acute ownership, transaction and counterparty intelligence for investors, lenders, advisers, operators and healthcare vendors. Before you acquire, finance, advise, sell to or investigate a provider, understand who controls it, what else is connected, what changed and where the risk sits. Every answer is resolved from public filings and labelled by its evidence.
WhoOwnsCare resolves CMS ownership filings into operators and operating families behind Medicare-certified providers. Where separate authoritative evidence is available, we also report legal parents, property owners and related entities. We hold ownership records for 16,019 providers and publish a resolved ownership page for 7,560 of them.
Coverage is currently California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York. Figures on this site describe those states, not the United States as a whole.
Search Ownership Records
Ownership is published three ways: by facility, by operator, and by state market. Every published answer separates the operator from the owner of record, the corporate family and the property owner, and states the confidence behind it.
The Control Chain Behind Every Provider
Every dossier resolves six distinct roles from federal filings and keeps them distinct:
PACS Group, Inc.: What One Dossier Resolves
- 155 facilities across California, Ohio and Pennsylvania under 11 separately filed legal entities
- 80 recorded ownership-change events, a net gain of 20 facilities over 24 months
- Financial reporting coverage 92% (142 of 155); 82% of reporting facilities positive in their latest period
- Distress 2.0 bands: Low 96 · Watch 43 · High 9 · Severe 6
- 6 recorded lender or security relationships across the portfolio
See the worked example · Free PACS Group profile · Get the complete dossier ($79)
Built for the Decision You Are Making
- The operating family is kept separate from the legal parent; a legal parent never replaces the operating-family boundary.
- Lenders and property owners are never treated as operators.
- Every relationship is typed and sourced to the filing it came from.
- Historical financial periods are attributed conservatively; periods straddling an ownership change are never attributed to either party.
- Unresolved evidence remains unresolved rather than being forced into a grouping.
- Acquisition analysis describes temporal association, not causation.
Post-Acute Ownership and Transaction Intelligence
Who Owns Care supports healthcare M&A due diligence, lender and counterparty research, operator analysis and vendor market intelligence across skilled nursing, home health and hospice. The ownership graph distinguishes the actual operator, operating family, CMS affiliation, legal corporate parent, property owner and recorded capital relationships, then connects those entities to ownership changes, HCRIS financial reporting, staffing, quality and distress signals.
- Research nursing home acquisitions and skilled nursing M&A
- Review Medicare change-of-ownership and CHOW records
- Map recorded lender and capital relationships
- Compare home health agency ownership and operators
- Compare hospice ownership and operators
Nursing Home Ownership by State
California
5,307 providers · largest operators · ownership changes
Texas
3,816 providers · largest operators · ownership changes
Florida
1,836 providers · largest operators · ownership changes
Ohio
1,808 providers · largest operators · ownership changes
Illinois
1,311 providers · largest operators · ownership changes
Pennsylvania
1,207 providers · largest operators · ownership changes
New York
734 providers · largest operators · ownership changes
Largest Healthcare Operators
| Corporate family | Providers | States |
|---|---|---|
| PACS Group, Inc. | 155 | 3 |
| Rockport Administrative Services, LLC | 75 | 1 |
| The Ensign Group Inc | 72 | 4 |
| Foundations Health Solutions, LLC | 65 | 1 |
| BNV Dynasty LLC | 62 | 2 |
| Regency Integrated Health Services LLC | 57 | 1 |
| AHM Texas LP, Inc | 49 | 1 |
| Bayada Home Health Care, Inc. | 48 | 3 |
All operators and corporate families
Recent Nursing Home Ownership Changes
| Effective | Acquiring entity | Prior entity | State |
|---|---|---|---|
| 2026-01-01 | Greenup Rehab and Nursing LLC | Cumberland Hco LLC | Illinois |
| 2026-01-01 | Charleston Rehab and Nursing LLC | Charleston Hco, LLC | Illinois |
| 2025-11-19 | Maverick County Hospital District | Apollo Healthcare at Bay Area LP | Texas |
| 2025-11-18 | Lazer Holdings LLC | West Coast Hospitals Inc | California |
| 2025-11-04 | Crescent City Post Acute LLC | Crescent City Skilled Nursing LLC | California |
| 2025-11-04 | Madera Post Acute LLC | Madera SNF Operations LLC | California |
All change-of-ownership records · Who is buying and selling
Distressed Facilities and Acquisition Intelligence
5,875 skilled nursing facilities scored across operational, regulatory, financial and corporate dimensions. Full state reports identify and rank facilities with elevated indicators and explain the underlying drivers. Distress 2.0, the decomposable six-component model used on facility and operator pages, currently places 676 facilities in the high band and 206 in the severe band across all provider types; 10,345 facilities have too little data to be scored and are labelled as such. See distress scoring.
How Ownership Resolution Works
CMS files owners as separate legal entities. One operator running sixty buildings can appear as sixty unrelated companies, and nothing in the file says otherwise. We resolve those entities into corporate families using shared registered identifiers, shared officers, declared parent relationships and portfolio containment — and we publish the resolved corporate family, its confidence classification, source provenance and data vintage for every facility. The detailed supporting intelligence — entity structures, ownership percentages, association dates and transaction histories — is available through WhoOwnsCare reports and datasets.
A family is only called Verified when documentary evidence meets WhoOwnsCare’s highest documentary-coverage standard across the family. Where the sources genuinely disagree, the page says so instead of choosing. See the resolution report.
The Operator Is Not Always the Owner
The company that runs a nursing home, the entity that holds its licence, and the company that owns the building are frequently three different businesses. Treating them as one is how a REIT ends up ranked as a large operator and a bank appears to run seventeen facilities. Owner versus operator, explained.
Data and Methodology
Everything here is built from public CMS files: ownership records, PECOS enrollment, change of ownership and HCRIS cost reports. Each page states the file vintage it used. Full methodology.
Research
How to find out who owns a nursing home · Owner vs operator · Ownership resolution report · All research and analysis
Datasets
Resolved ownership, acquisition and distress data are available as datasets and reports. See pricing and coverage.
Corrections
Believe something here is wrong? Email corrections@whoownscare.com with the facility name and CCN. Every request is logged and answered within two business days. Confidence levels, evidence and data vintage are published on every page precisely so that disagreement can be specific.