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Distressed nursing homes and financial stress data
WhoOwnsCare scores 5,875 Medicare-certified nursing homes across California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York on four dimensions of stress — operational, regulatory, financial and corporate. 0 sit in the high or severe band.
The financial dimension is built from Medicare cost reports: the average operating margin across scored facilities is -9.2% and average occupancy of certified beds is 76.7%.
Distress by state
| State | High or severe | Facilities scored | Average score | Detail |
|---|---|---|---|---|
| Pennsylvania | 0 | 638 | 30.6 | Pennsylvania distress |
| California | 0 | 1,131 | 27.9 | California distress |
| Florida | 0 | 678 | 24.3 | Florida distress |
| Texas | 0 | 1,159 | 34.1 | Texas distress |
| Illinois | 0 | 646 | 35.7 | Illinois distress |
| Ohio | 0 | 917 | 29.7 | Ohio distress |
| New York | 0 | 545 | 28.9 | New York distress |
What the distress score measures
Four dimensions, weighted: operational 30%, regulatory 30%, financial 20%, corporate 20%. Operational uses staffing hours, turnover and contract labour share. Regulatory uses health citations, severity and civil monetary penalties. Financial uses cost-report operating margin, occupancy and payer mix. Corporate uses ownership churn and the stress profile of the wider corporate family.
A high score is a signal to look, not a conclusion. It does not mean a facility is closing, is for sale, or is providing poor care, and this data must not be used for any purpose covered by the Fair Credit Reporting Act.
Common questions
What makes a nursing home financially distressed?
Sustained negative operating margin, low occupancy against certified beds, heavy reliance on contract labour, and a payer mix weighted to Medicaid. Cost reports make all four measurable.
Are distressed nursing homes for sale?
Not necessarily, and the public record does not say. Distress scoring identifies operating and financial stress, nothing more.