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Nursing home change of ownership in Ohio
CMS has recorded 314 nursing home changes of ownership in Ohio 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 | 21 |
| 2017 | 30 |
| 2018 | 76 |
| 2019 | 27 |
| 2020 | 33 |
| 2021 | 47 |
| 2022 | 15 |
| 2023 | 17 |
| 2024 | 44 |
| 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 Ohio transactions
| Buyer | Seller | Effective |
|---|---|---|
| EDITH LANE OF CINCINNATI LLC | MFF MOUNTAIN CREST LLC | 2025-06-30 |
| BLUE ASH HEALTH & REHAB LLC | BLUE ASH HEALTHCARE LLC | 2025-06-30 |
| HILLSBORO HEALTH AND REHAB LLC | LAUREL HEALTH CARE COMPANY OF HILLSBORO | 2025-06-30 |
| BARNESVILLE SNF HEALTHCARE LLC | EHCS BARNESVILLE PROPERTIES LLC | 2025-06-15 |
| FHS INNISWOOD, INC. | COLUMBUS COLONY FOR ELDERLY CARE, INC | 2024-12-31 |
Who is buying
| Most acquisitive buyers since 2020 | Facilities acquired |
|---|---|
| NEAR KNOLL LEASING CO. II, LLC | 1 |
| GARDENS AT PAULDING OPERATING COMPANY, LLC | 1 |
| WALNUT CREEK SNF OPCO LLC | 1 |
| BUCKEYE FOREST AT MAYFIELD HEIGHTS LLC | 1 |
| GARDENS AT ST. HENRY OPERATING COMPANY, 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 Ohio ownership change on record
All 314 Ohio 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 Ohio?
314 recorded changes of ownership since 2016, per CMS.