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Nursing Home Change of Ownership in Florida
CMS has recorded 281 nursing home changes of ownership in Florida 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 | 17 |
| 2017 | 3 |
| 2018 | 19 |
| 2019 | 10 |
| 2020 | 34 |
| 2021 | 25 |
| 2022 | 98 |
| 2023 | 48 |
| 2024 | 23 |
| 2025 | 4 |
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 Florida Transactions
| Buyer | Seller | Effective |
|---|---|---|
| PINECREST SNF OPERATIONS LLC | PINECREST CONVALESCENT CENTER LLC | 2025-08-04 |
| GANDY OPCO LLC | GANDY FL OPCO LLC | 2025-07-01 |
| TARPON OPCO LLC | TARPON POINT FL OPCO LLC | 2025-05-01 |
| MARIANNA REHABILITATION CENTER, LLC | CITY OF MARIANNA OFFICE OF CITY CLERK | 2025-02-01 |
| LP SNF OPERATIONS LLC | MANORCARE HEALTH SERVICES, LLC | 2024-11-20 |
Who Is Buying
| Most acquisitive buyers since 2020 | Facilities acquired |
|---|---|
| VERO BEACH OPERATIONS LLC | 1 |
| CITRUS HILLS NURSING AND REHAB LLC | 1 |
| MARIANNA REHABILITATION CENTER, LLC | 1 |
| COLLEGE PARK REHABILITATION AND NURSING CENTER LLC | 1 |
| SINAI REHAB OPERATIONS, LLC | 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 Florida 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 Florida?
281 recorded changes of ownership since 2016, per CMS.