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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
All 281 Florida 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 Florida?
281 recorded changes of ownership since 2016, per CMS.