Home › Ownership changes
Nursing home change-of-ownership and CHOW data
A change of ownership — a CHOW — is the Medicare filing a provider makes when its ownership transfers to a different party. WhoOwnsCare holds 2,396 recorded changes of ownership across California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York, of which 266 took effect in the last 24 months.
CHOW records name the parties to the transaction. They do not price it, and CMS publishes them with a lag, so the most recent quarters are always incomplete.
Recent changes of ownership
| Effective | Acquiring entity | Prior entity | State |
|---|---|---|---|
| 2026-01-01 | Charleston Rehab and Nursing LLC | Charleston Hco, LLC | Illinois |
| 2026-01-01 | Greenup Rehab and Nursing LLC | Cumberland Hco LLC | Illinois |
| 2025-11-19 | Maverick County Hospital District | Apollo Healthcare at Bay Area LP | Texas |
| 2025-11-18 | Lazer Holdings LLC | West Coast Hospitals Inc | California |
| 2025-11-04 | Madera Post Acute LLC | Madera SNF Operations LLC | California |
| 2025-11-04 | Crescent City Post Acute LLC | Crescent City Skilled Nursing LLC | California |
| 2025-11-01 | Sarsen Healthcare LLC | Stonehenge of Orem, LLC | California |
| 2025-10-01 | 820 Jeffrey ST Opco LLC | SLP Jeffrey Place LLC | Texas |
| 2025-10-01 | 3011 W Adams Opco LLC | SLP Regency Manor LLC | Texas |
| 2025-10-01 | 605 S Avenue F Opco LLC | SLP Knox City LLC | Texas |
25 recorded changes in this view. 10 most recent shown publicly. The complete history is part of the state datasets and reports.
Ownership changes by state
| State | Recorded changes | State detail |
|---|---|---|
| Texas | 700 | Texas ownership changes |
| California | 411 | California ownership changes |
| Ohio | 314 | Ohio ownership changes |
| Illinois | 308 | Illinois ownership changes |
| Pennsylvania | 286 | Pennsylvania ownership changes |
| Florida | 281 | Florida ownership changes |
| New York | 96 | New York ownership changes |
What a CHOW does and does not tell you
A CHOW establishes that Medicare recognised a transfer of ownership on a date. It does not distinguish a sale from an internal restructuring, and a group moving buildings between its own entities files the same form as an outside buyer. WhoOwnsCare attributes each side of a transaction to the corporate family behind it, which is what separates a genuine acquisition from paperwork.
Sellers are attributed by their own identity rather than by the enrolment identifier on the filing. CMS records the seller's old identifier, which no longer exists in the current enrolment file — join on it and every divestiture silently disappears.
Common questions
What is a CHOW in a nursing home?
A change of ownership: the Medicare filing made when a provider's ownership transfers to a different party. The new owner generally assumes the existing provider agreement.
What is the difference between a change of ownership and a change of information?
A change of ownership transfers the provider to a different owning party. A change of information updates details — an address, a contact, a name — without transferring ownership.
How current is CHOW data?
CMS publishes changes of ownership with a lag, so recent quarters are incomplete. The file vintage is stated at the top of this page.