Selling a skilled nursing facility in Colorado

Colorado at a glance

Colorado has 210 Medicare- and Medicaid-certified skilled nursing facilities with 19,757 certified beds, and on average 79.1% of those beds are occupied, below the national average of 80.3%.

Source: CMS Provider Information file, August 2026. The full Colorado picture, rates and every building are on SNFRadar, the market record we built and publish free.

What a buyer reads first in Colorado

The numbers a buyer pulls before the first call, for the typical Colorado building against the nation. Your own building's are on its SNFRadar page.

Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).

What moves value in Colorado

Occupancy. 79.1% of Colorado's certified beds are occupied, below the national 80.3%. With empty beds common, buyers pay for a building that fills its own and discount one that cannot say why it does not.

Payer mix and the Medicaid rate. Medicaid pays for 70% of resident days in the median Colorado building, more than the national 66%. That makes the state's Medicaid rate method the biggest single input to most buildings' value, and the first thing a buyer models. Colorado's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $378 per patient day in the median Colorado filing, close to the national $373, and the median net margin is 1.9% against 3.6%. With thin margins common, buyers price on what they can fix, so a seller who can show where the costs sit gets paid for it.

Staffing. Colorado's buildings average 3.72 nurse staffing hours per resident per day, fewer than the national 3.86, and nurse turnover runs 47.1% a year, close to the national 45.8%. Agency use is the line buyers check next.

Inspection record. 42% of Colorado buildings are rated four or five stars by Medicare and 37% one or two, against 40% and 41% nationally. With strong ratings common here, a weak one stands out, and buyers will ask for the plan of correction before they price.

Size and ownership type. The average Colorado building has 94 certified beds, against 107 nationally. 83% are for-profit, 10% non-profit and 6% government, and 73% are part of a chain.

Where the beds are

Colorado's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

How a sale works

1. A first call. What you want from the sale, and when. No listing, no blast.
2. A value from the record. Your building's own numbers and the trades around it. How valuation works
3. Vetted buyers under confidentiality, bidding against each other, not against you.
4. Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
5. Change of ownership. Colorado's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

All five closings, with the press coverage they drew.

Questions owners ask