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Nursing home change of ownership in California
CMS has recorded 411 nursing home changes of ownership in California since 2016. Each one is a building that changed hands — a new operator, often a new staffing model, and a new set of vendor relationships.
| Year | Ownership changes |
|---|---|
| 2016 | 37 |
| 2017 | 28 |
| 2018 | 19 |
| 2019 | 52 |
| 2020 | 23 |
| 2021 | 47 |
| 2022 | 53 |
| 2023 | 108 |
| 2024 | 22 |
| 2025 | 22 |
The CMS change-of-ownership file lags. The most recent quarters are incomplete and fill in over the following months, so treat the last two years as a floor rather than a count.
Most recent California transactions
| 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 |
Who is buying
| Most acquisitive buyers since 2020 | Facilities acquired |
|---|---|
| FRONT PORCH COMMUNITIES AND SERVICES | 6 |
| BELLEFONTAINE HEALTH CENTER, LLC | 1 |
| BROOKSIDE CARE CENTER LLC | 1 |
| FREDERICK CROSSING OF JOURNEY LLC | 1 |
| WEST COURT LANE HEALTHCARE, INC. | 1 |
What a Medicare change of ownership actually is
A CHOW is the formal Medicare process when a certified provider changes hands. The buyer either accepts assignment of the existing provider agreement — inheriting its compliance history and its liabilities — or the agreement terminates and the buyer enrolls fresh. The choice matters enormously to the buyer, and it is visible in the filing.
Every California ownership change on record
All 411 California transactions with buyer, seller, CCN, effective date, CHOW type and the full owner list on both sides. CSV and PDF.
Get the full dataset — $49Common questions
What is a CHOW in Medicare?
A change of ownership: the formal process when a Medicare-certified provider is sold. The buyer either assumes the existing provider agreement along with its compliance history, or lets it terminate and enrolls as a new provider.
How many nursing homes changed hands in California?
411 recorded changes of ownership since 2016, per CMS.