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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
| facility | ccn | care_setting | owner_org | relationship | ownership_pct | association_date | corporate_family | confidence |
|---|---|---|---|---|---|---|---|---|
| ••••% | ||||||||
| ••••% | ||||||||
| ••••% |
Plus every recorded change of ownership with parties and dates. See a worked example of the file · full field list.
Common 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.