Quietly bringing the right buyers to the table.
3G Healthcare Real Estate successfully navigates a high-risk CHOW and Medicaid transition.
“Stan worked closely with ownership to ensure this Mississippi transaction aligned both value and legacy, matching the facility with an incoming operator positioned to build on what the owner created minimizing disruption and headache for ownership.”
Seller praise
The challenge
A skilled nursing facility faced a time-sensitive CHOW with frozen Medicaid rates under appeal and an outgoing operator unwilling to remain past year-end, creating material reimbursement and transition risk. Any delay or misstep threatened permanent rate impairment, billing disruption, and increased regulatory scrutiny during the ownership transition.
What 3G did
- Coordinated regulators, operators, and ownership to structure a January 1 takeover aligned with approval and billing timelines.
- Managed CHOW submission strategy to protect Medicaid rate eligibility while minimizing post-transition audit exposure.
The result
The CHOW intent was submitted on time, higher reimbursement eligibility preserved, and the incoming operator protected from downside rate and audit exposure.
Selling in Mississippi? Read selling a skilled nursing facility in Mississippi.

