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District of Columbia · State guide

Selling a skilled nursing facility in District of Columbia

What moves the price of a District of Columbia nursing home, how a sale runs from first call to change of ownership, and where to see the record for every District of Columbia building.

By Stan Klos III · Updated October 2026
Each point is one of District of Columbia's 17 certified skilled nursing facilities. See every one on SNFRadar ↗

District of Columbia at a glance

District of Columbia has 17 Medicare- and Medicaid-certified skilled nursing facilities with 2,485 certified beds, and on average 81.7% of those beds are occupied, above the national average of 80.3%.

17certified facilities
2,485certified beds
81.7%of beds occupied

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

What a buyer reads first in District of Columbia

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

District of Columbia by the numbers
81.7%of beds occupiedU.S. 80.3%
4.77nurse hours per resident dayU.S. 3.86
1.55RN hours per resident dayU.S. 0.69
34.0%nurse turnover in a yearU.S. 45.8%
41%rated 4 or 5 starsU.S. 40%
24%rated 1 or 2 starsU.S. 41%

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). Fewer than 20 District of Columbia buildings filed a full-year Medicare cost report, too few for a fair median, so the cost-report figures are left out.

What moves value in District of Columbia

Occupancy. 81.7% of District of Columbia's certified beds are occupied, above the national 80.3%. Full buildings are the norm here, so a buyer will ask why yours is not, or price in the referral strength if it is.

The Medicaid rate. District of Columbia sets its own Medicaid rate method, and for most nursing homes it decides much of the value. District of Columbia's rate files are on SNFRadar.

Staffing. District of Columbia's buildings average 4.77 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 34.0% a year against 45.8%. A stable staff is easier to show here, and buyers notice a building that is the exception.

Inspection record. 41% of District of Columbia buildings are rated four or five stars by Medicare and 24% 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 District of Columbia building has 146 certified beds, against 107 nationally. 41% are for-profit, 59% non-profit and 0% government, and 12% are part of a chain.

Where the beds are

District of Columbia's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

CountyFacilitiesCertified beds
The District172,485
All 1 District of Columbia counties

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. District of Columbia's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

One shot deal · Seven states · November 2025

One shot deal: $545 million.

A 5,000-bed skilled nursing portfolio across seven states in the Midwest and Southeast, sold for approximately $545 million.

Read the deal sheet

All five closings, with the press coverage they drew.

Questions owners ask

How many nursing homes are in District of Columbia?

District of Columbia has 17 Medicare- and Medicaid-certified skilled nursing facilities with 2,485 certified beds, according to the CMS Provider Information file (August 2026).

What is the average occupancy of District of Columbia nursing homes?

On average 81.7% of certified beds in District of Columbia are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).

Do you work with sellers in District of Columbia?

Yes. We advise skilled nursing sellers nationwide; our published closings so far are in Ohio, Mississippi, North Carolina and a seven-state portfolio across the Midwest and Southeast.

Is the first conversation confidential?

Yes. Nothing about you or your building goes to a buyer without your say.

Do you represent buyers?

No. We represent sellers. Buyers can share their acquisition criteria with us so we know who to call when a building fits; that does not make us their broker.