Selling a nursing home, state by state.

Pick your state for its numbers, what moves value there, and every county's buildings. Or start with how a sale works.

By Stan Klos III · Updated October 2026

Go to your stateOpen

Featured state guidesOhioOur closings there, plus the state's record MississippiOur closings there, plus the state's record North CarolinaOur closings there, plus the state's record

Alabama224 facilities · 82.9% occupied Alaska20 facilities · 90.9% occupied Arizona140 facilities · 77.2% occupied Arkansas221 facilities · 70.4% occupied California1,165 facilities · 88.3% occupied Colorado210 facilities · 79.1% occupied Connecticut191 facilities · 86.9% occupied Delaware44 facilities · 84.1% occupied District of Columbia17 facilities · 81.7% occupied Florida694 facilities · 88.7% occupied Georgia356 facilities · 80.4% occupied Hawaii43 facilities · 80.9% occupied Idaho80 facilities · 74.4% occupied Illinois666 facilities · 74.0% occupied Indiana507 facilities · 75.3% occupied Iowa387 facilities · 80.4% occupied Kansas296 facilities · 82.6% occupied Kentucky267 facilities · 85.9% occupied Louisiana265 facilities · 73.9% occupied Maine78 facilities · 87.3% occupied Maryland221 facilities · 85.5% occupied Massachusetts341 facilities · 82.0% occupied Michigan422 facilities · 82.4% occupied Minnesota338 facilities · 84.7% occupied Mississippi Our closings202 facilities · 84.7% occupied Missouri487 facilities · 70.9% occupied Montana61 facilities · 68.0% occupied Nebraska180 facilities · 71.7% occupied Nevada66 facilities · 86.0% occupied New Hampshire73 facilities · 81.0% occupied New Jersey348 facilities · 83.3% occupied New Mexico68 facilities · 83.9% occupied New York593 facilities · 89.3% occupied North Carolina Our closings419 facilities · 82.6% occupied North Dakota72 facilities · 92.8% occupied Ohio Our closings922 facilities · 83.6% occupied Oklahoma283 facilities · 62.5% occupied Oregon128 facilities · 70.1% occupied Pennsylvania656 facilities · 82.5% occupied Rhode Island72 facilities · 84.0% occupied South Carolina187 facilities · 87.4% occupied South Dakota96 facilities · 83.7% occupied Tennessee303 facilities · 73.6% occupied Texas1,177 facilities · 66.5% occupied Utah97 facilities · 70.5% occupied Vermont33 facilities · 82.8% occupied Virginia289 facilities · 88.1% occupied Washington193 facilities · 78.1% occupied West Virginia123 facilities · 90.0% occupied Wisconsin323 facilities · 71.4% occupied Wyoming36 facilities · 68.1% occupied

A skilled nursing facility is sold in a quiet, competitive process: a value built from the building's own record, vetted buyers under confidentiality agreements, a purchase agreement and an operations transfer agreement, then the state and federal change-of-ownership filings before closing.

The guides behind every sale

The sale process, step by stepFrom the first call to closing, and what you sign along the way How skilled nursing facilities are valuedCash flow, price per bed, and what moves the number Change of ownership and MedicaidLicensure, Medicare and Medicaid filings in a sale

Questions owners ask

How do I sell a nursing home?

Start with a conversation about value and timing, then run a quiet, competitive process with buyers who have signed confidentiality agreements. After an offer is chosen, the purchase agreement, the operations transfer agreement, due diligence and the change-of-ownership filings follow, then closing.

Do I need a broker to sell a skilled nursing facility?

No law requires one. A sell-side advisor's job is to bring more than one qualified buyer to the table and to keep the deal together through diligence and the change of ownership, which is where most sales stall.

Is selling a nursing home different in every state?

Yes. Each state sets its own licensure and change-of-ownership rules and its own Medicaid rate method, and those decide much of a building's value and timeline.