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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
| 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 Ohio?
314 recorded changes of ownership since 2016, per CMS.