Who owns California's nursing homes, home health agencies and hospices
Every Medicare-certified facility in California, matched to the corporate family that actually controls it — not just the LLC on the licence. Rebuilt from CMS ownership filings each month.
Largest operators in California
Ranked by facilities controlled across every legal entity in the corporate family. CMS lists these as separate companies; the family column shows how many.
| Corporate family | Facilities | SNF | Home health | Hospice | Legal entities |
|---|---|---|---|---|---|
| PACS Group, Inc. | 125 | 125 | — | — | 11 |
| Rockport Administrative Services, LLC | 75 | 75 | — | — | 13 |
| The Ensign Group Inc | 62 | 62 | — | — | 10 |
| Cambridge Healthcare Services LLC | 33 | 33 | — | — | 19 |
| Kaiser Foundation Hospitals | 29 | — | 15 | 14 | 1 |
| Life Generations Healthcare, LLC | 26 | 26 | — | — | 2 |
| Sutter Health | 24 | 1 | 15 | 8 | 2 |
| Links Healthcare Group LLC | 24 | 24 | — | — | 2 |
| Commonspirit Health | 19 | 5 | 8 | 6 | 17 |
| Pico Ar LLC PE REIT | 18 | 17 | 1 | — | 34 |
| Cornerstone Healthcare Inc | 18 | — | 6 | 12 | 6 |
| Adventist Health System/west | 18 | 4 | 8 | 6 | 3 |
| Renew Health Consulting Services LLC | 16 | 16 | — | — | 13 |
| Covenant Care, LLC PE | 16 | 13 | 3 | — | 14 |
| Providence Health & Services - Washington | 16 | 5 | 6 | 5 | 8 |
All 2,001 owner organisations in California
The full California ownership dataset: every facility, every owner organisation, every corporate family, ownership percentages, association dates, and the complete change-of-ownership history. CSV and PDF.
Get the full dataset — $49Recent nursing home ownership changes
| Buyer | Seller | Effective |
|---|---|---|
| LAZER HOLDINGS LLC | WEST COAST HOSPITALS INC | 2025-11-18 |
| MADERA POST ACUTE LLC | MADERA SNF OPERATIONS LLC | 2025-11-04 |
| CRESCENT CITY POST ACUTE LLC | CRESCENT CITY SKILLED NURSING LLC | 2025-11-04 |
| SARSEN HEALTHCARE LLC | STONEHENGE OF OREM, LLC | 2025-11-01 |
| BRODY BAY HEALTHCARE, INC. | COVENANT CARE LODI, LLC | 2025-08-01 |
152 nursing home ownership changes have been recorded in California since January 2023. CMS's change-of-ownership file lags — recent quarters are incomplete and fill in over time, so treat the most recent months as a floor rather than a count.
California ownership intelligence
Largest nursing home operators
Ranked by facilities actually controlled, not by legal entities filed.
Nursing home ownership
For-profit, nonprofit, private equity and REIT ownership across California.
Ownership changes and CHOW
Recorded Medicare ownership transfers, with buyers and sellers attributed.
Nursing home acquisitions
Who is buying, who is selling, and which operators are expanding.
Distressed facilities
Operational, regulatory, financial and corporate stress scoring.
Home health operators
Largest home health companies and their ownership in California.
Hospice operators
Largest hospice companies and their ownership in California.
Largest corporate families in California
- PACS Group, Inc. — 125 facilities
- Rockport Administrative Services, LLC — 75 facilities
- The Ensign Group Inc — 62 facilities
- Cambridge Healthcare Services LLC — 33 facilities
- Kaiser Foundation Hospitals — 29 facilities
- Life Generations Healthcare, LLC — 26 facilities
- Sutter Health — 24 facilities
- Links Healthcare Group LLC — 24 facilities
- Commonspirit Health — 19 facilities
- Pico Ar LLC — 18 facilities
- Cornerstone Healthcare Inc — 18 facilities
- Adventist Health System/west — 18 facilities