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Ownership Models Behind Texas's Medicare-Certified Providers
Looking for who owns a specific provider? Who owns nursing homes in Texas matches every Texas facility to the corporate family that controls it.
Texas has 3,816 Medicare-certified nursing homes, home health agencies and hospices. This is who owns them — by ownership model, not by brand.
| Facility type | Total | For-profit | Non-profit |
|---|---|---|---|
| Home health agency | 1,680 | 1,625 | 45 |
| Nursing home | 1,160 | 332 | 817 |
| Hospice | 976 | 925 | 46 |
Are Texas's Nursing Homes Privately Owned?
Mostly, yes — and the ownership models differ more than the signage suggests. A facility can be independently owned, part of an operating chain, owned by a REIT and leased to an operator, or held by an investment vehicle. CMS captures all four, but only if the filer says so.
What the Private-Equity Flag Does and Does Not Tell You
The PE and REIT markers are checkboxes on the provider's own enrollment form. Academic work has found the PE flag substantially under-reports true private-equity ownership, because ownership held through intermediate holding companies often is not marked. In Texas only 157 facilities carry it. Read it as a floor, never as a rate.
Full Texas Ownership Breakdown
| 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
Are Nursing Homes in Texas Privately Owned?
The large majority are. Of 3,816 Medicare-certified facilities in Texas, most are proprietary (for-profit) entities.
How Many Texas Facilities Are Private-Equity Owned?
157 carry a private-equity flag in CMS filings, but that flag is self-reported and is widely considered an undercount.