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Nursing home change of ownership in Illinois
CMS has recorded 308 nursing home changes of ownership in Illinois 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 | 1 |
| 2017 | 12 |
| 2018 | 12 |
| 2019 | 45 |
| 2020 | 21 |
| 2021 | 32 |
| 2022 | 32 |
| 2023 | 64 |
| 2024 | 72 |
| 2025 | 15 |
| 2026 | 2 |
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 Illinois transactions
| Buyer | Seller | Effective |
|---|---|---|
| GREENUP REHAB AND NURSING LLC | CUMBERLAND HCO LLC | 2026-01-01 |
| CHARLESTON REHAB AND NURSING LLC | CHARLESTON HCO, LLC | 2026-01-01 |
| EVERCARE OF BREESE LLC | CARING FIRST INC. | 2025-06-11 |
| RIVAYA CARE OF DES PLAINES LLC | ZAHAV OF DES PLAINES LLC | 2025-05-01 |
| SHEBOYGAN SNF OPERATIONS, LLC | SUNNY RIDGE OPERATIONS LLC | 2025-04-24 |
Who is buying
| Most acquisitive buyers since 2020 | Facilities acquired |
|---|---|
| LUTHERAN SENIOR SERVICES | 2 |
| PRIME HEALTHCARE SENIOR LIVING, LLC | 2 |
| ALIYA OF EVANSTON LLC | 1 |
| SULLIVAN HEALTHCARE & SENIOR LIVING LLC | 1 |
| CITADEL AT SAINT BENEDICT 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 Illinois ownership change on record
All 308 Illinois 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 Illinois?
308 recorded changes of ownership since 2016, per CMS.