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Selling a skilled nursing facility in Indiana

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

By Stan Klos III · Updated October 2026
Each point is one of Indiana's 507 certified skilled nursing facilities. See every one on SNFRadar ↗

Indiana at a glance

Indiana has 507 Medicare- and Medicaid-certified skilled nursing facilities with 48,825 certified beds, and on average 75.3% of those beds are occupied, below the national average of 80.3%.

507certified facilities
48,825certified beds
75.3%of beds occupied

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

What a buyer reads first in Indiana

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

Indiana by the numbers
75.3%of beds occupiedU.S. 80.3%
69%Medicaid share of days, medianU.S. 66%
$397revenue per patient day, medianU.S. $373
5.7%net margin, medianU.S. 3.6%
3.68nurse hours per resident dayU.S. 3.86
0.67RN hours per resident dayU.S. 0.69
45.9%nurse turnover in a yearU.S. 45.8%
46%rated 4 or 5 starsU.S. 40%
37%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).

What moves value in Indiana

Occupancy. 75.3% of Indiana'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 69% of resident days in the median Indiana building, close to the national 66%. Small shifts between Medicaid and Medicare census move value, which is why buyers ask for census by payer, month by month. Indiana's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $397 per patient day in the median Indiana filing, above the national $373, and the median net margin is 5.7% against 3.6%. Buyers here can price on the cash flow a building already earns.

Staffing. Indiana's buildings average 3.68 nurse staffing hours per resident per day, fewer than the national 3.86, and nurse turnover runs 45.9% a year, close to the national 45.8%. Agency use is the line buyers check next.

Inspection record. 46% of Indiana 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 Indiana building has 96 certified beds, against 107 nationally. 56% are for-profit, 21% non-profit and 22% government, and 82% are part of a chain.

Where the beds are

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

CountyFacilitiesCertified beds
Marion464,982
Allen292,981
Lake202,375
St. Joseph181,922
Vanderburgh171,655
All 90 Indiana 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. Indiana'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 Indiana?

Indiana has 507 Medicare- and Medicaid-certified skilled nursing facilities with 48,825 certified beds, according to the CMS Provider Information file (August 2026).

What is the average occupancy of Indiana nursing homes?

On average 75.3% of certified beds in Indiana are occupied, below the national average of 80.3% (CMS Provider Information, August 2026).

Do you work with sellers in Indiana?

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.

How much of Indiana's nursing home care does Medicaid pay for?

In the median Indiana building, Medicaid pays for 69% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why Indiana's Medicaid rate method decides so much of a building's value.

Are Indiana nursing homes profitable?

The median Indiana building that filed a full-year Medicare cost report shows a net margin of 5.7%, against 3.6% nationally. Margins vary widely from building to building; each building's own filing is on its SNFRadar page.

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.