Who owns Texas's nursing homes, home health agencies and hospices
Every Medicare-certified facility in Texas, matched to the corporate family that actually controls it — not just the LLC on the licence. Rebuilt from CMS ownership filings each month.
Largest operators in Texas
Ranked by facilities controlled across every legal entity in the corporate family. CMS lists these as separate companies; the family column shows how many.
| Corporate family | Facilities | SNF | Home health | Hospice | Legal entities |
|---|---|---|---|---|---|
| Regency Integrated Health Services LLC | 57 | 57 | — | — | 16 |
| AHM Texas LP, Inc | 49 | — | 38 | 11 | 3 |
| Honor X Enterprises, LLC | 47 | 47 | — | — | 5 |
| HHCS Managers LLC | 38 | — | 1 | 37 | 2 |
| Focused Post Acute Care Partners Management, LLC | 25 | 25 | — | — | 4 |
| Heart To Heart Hospice Holdings LLC | 22 | — | — | 22 | 5 |
| Guardian Home Care Holdings Inc | 20 | — | 14 | 6 | 5 |
| Integracare Intermediate Holdings Inc | 19 | — | 19 | — | 4 |
| TVG NP Homecare Acquisition, Inc. PE | 19 | — | 13 | 6 | 33 |
| Choice Rehab Holdings, Inc. PE | 19 | — | 13 | 6 | 23 |
| Advanced HCS LLC | 18 | 18 | — | — | 1 |
| Cornerstone Healthcare Inc | 16 | — | 6 | 10 | 6 |
| Stonegate Senior Living, LP | 13 | 13 | — | — | 13 |
| LHCG Partner II LLC | 13 | — | 10 | 3 | 3 |
| Odyssey Healthcare Inc. | 11 | — | — | 11 | 7 |
All 3,159 owner organisations in Texas
The full Texas ownership dataset: every facility, every owner organisation, every corporate family, ownership percentages, association dates, and the complete change-of-ownership history. CSV and PDF.
Get the full dataset — $49Recent nursing home ownership changes
| Buyer | Seller | Effective |
|---|---|---|
| MAVERICK COUNTY HOSPITAL DISTRICT | APOLLO HEALTHCARE AT BAY AREA LP | 2025-11-19 |
| SOUTH LIMESTONE HOSPITAL DISTRICT | CITY OF WEST | 2025-10-01 |
| 821 US HIGHWAY 81 W OPCO LLC | SLP NEW BRAUNFELS LLC | 2025-10-01 |
| MEADOWS OF CORSICANA LLC | COUNTRY MEADOWS HEALTH AND REHABILITATION LLC | 2025-10-01 |
| 214 JONES RD OPCO LLC | LOH ELKHART LLC | 2025-10-01 |
269 nursing home ownership changes have been recorded in Texas since January 2023. CMS's change-of-ownership file lags — recent quarters are incomplete and fill in over time, so treat the most recent months as a floor rather than a count.
Texas ownership intelligence
Largest nursing home operators
Ranked by facilities actually controlled, not by legal entities filed.
Nursing home ownership
For-profit, nonprofit, private equity and REIT ownership across Texas.
Ownership changes and CHOW
Recorded Medicare ownership transfers, with buyers and sellers attributed.
Nursing home acquisitions
Who is buying, who is selling, and which operators are expanding.
Distressed facilities
Operational, regulatory, financial and corporate stress scoring.
Home health operators
Largest home health companies and their ownership in Texas.
Hospice operators
Largest hospice companies and their ownership in Texas.
Largest corporate families in Texas
- Regency Integrated Health Services LLC — 57 facilities
- AHM Texas LP, Inc — 49 facilities
- Honor X Enterprises, LLC — 47 facilities
- HHCS Managers LLC — 38 facilities
- Focused Post Acute Care Partners Management, LLC — 25 facilities
- Heart To Heart Hospice Holdings LLC — 22 facilities
- Guardian Home Care Holdings Inc — 20 facilities
- Integracare Intermediate Holdings Inc — 19 facilities
- TVG NP Homecare Acquisition, Inc. — 19 facilities
- Choice Rehab Holdings, Inc. — 19 facilities
- Advanced HCS LLC — 18 facilities
- Cornerstone Healthcare Inc — 16 facilities