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Distressed Nursing Homes and Financial Stress Data
WhoOwnsCare publishes coverage-qualified Distress 2.0 bands for 5,674 Medicare-certified skilled nursing facilities across California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York. 877 are currently in the high or severe band; 131 additional nursing homes have insufficient core data and are not assigned a public band.
The model combines six documented signals: financial result, occupancy, staffing, health deficiencies, civil money penalties and reporting instability. It is designed for nursing home risk screening and acquisition due diligence, not as a prediction that a facility will close, default or be offered for sale.
Distressed Nursing Homes by State
| State | High or severe | Facilities with public bands | Detail |
|---|---|---|---|
| Texas | 343 | 1,153 | Texas nursing home distress |
| Illinois | 196 | 639 | Illinois nursing home distress |
| Ohio | 128 | 915 | Ohio nursing home distress |
| Pennsylvania | 94 | 638 | Pennsylvania nursing home distress |
| California | 57 | 1,114 | California nursing home distress |
| Florida | 32 | 673 | Florida nursing home distress |
| New York | 27 | 542 | New York nursing home distress |
What Distress 2.0 Measures
The six fixed components are financial result (30%), occupancy (20%), staffing (15%), health deficiencies (15%), civil money penalties (10%) and reporting instability (10%). Every scored facility retains the source values and component contributions. Facilities with fewer than two of the three core signals are labelled insufficient rather than publicly scored.
How Buyers and Lenders Should Use the Screening
A high or severe band identifies a combination of documented nursing home financial, operating or regulatory signals that warrants further diligence. It should be reviewed alongside the facility's operator, operating family, recorded ownership changes, exact HCRIS reporting periods and evidence coverage. The band does not establish insolvency, poor care, default, sale availability or causation.
Nursing home acquisition intelligence · Medicare CHOW records · Recorded lender exposure · State Distress & Acquisition Radar
Common Questions
What Makes a Nursing Home Financially Distressed?
WhoOwnsCare screens six documented signals: financial result, occupancy, staffing, health deficiencies, civil money penalties and reporting instability. A band is a screening signal, not a prediction of closure or sale.
Are Distressed Nursing Homes for Sale?
Not necessarily. Public Medicare data does not identify facilities for sale. Distress 2.0 identifies measurable operating, financial and regulatory signals for further diligence.