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Nursing home change of ownership in Texas
CMS has recorded 700 nursing home changes of ownership in Texas 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 | 2 |
| 2017 | 84 |
| 2018 | 30 |
| 2019 | 65 |
| 2020 | 47 |
| 2021 | 76 |
| 2022 | 127 |
| 2023 | 101 |
| 2024 | 121 |
| 2025 | 47 |
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 Texas transactions
| 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 |
Who is buying
| Most acquisitive buyers since 2020 | Facilities acquired |
|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 90 |
| WINNIE-STOWELL HOSPITAL DISTRICT | 50 |
| HAMILTON COUNTY HOSPITAL DISTRICT | 46 |
| FANNIN COUNTY HOSPITAL AUTHORITY | 32 |
| FRIO HOSPITAL DISTRICT | 18 |
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 Texas ownership change on record
All 700 Texas 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 Texas?
700 recorded changes of ownership since 2016, per CMS.