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Selling a skilled nursing facility in Minnesota

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

By Stan Klos III · Updated October 2026
Each point is one of Minnesota's 338 certified skilled nursing facilities. See every one on SNFRadar ↗

Minnesota at a glance

Minnesota has 338 Medicare- and Medicaid-certified skilled nursing facilities with 24,060 certified beds, and on average 84.7% of those beds are occupied, above the national average of 80.3%.

338certified facilities
24,060certified beds
84.7%of beds occupied

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

What a buyer reads first in Minnesota

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

Minnesota by the numbers
84.7%of beds occupiedU.S. 80.3%
53%Medicaid share of days, medianU.S. 66%
$440revenue per patient day, medianU.S. $373
3.6%net margin, medianU.S. 3.6%
4.19nurse hours per resident dayU.S. 3.86
1.06RN hours per resident dayU.S. 0.69
42.2%nurse turnover in a yearU.S. 45.8%
46%rated 4 or 5 starsU.S. 40%
38%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 Minnesota

Occupancy. 84.7% of Minnesota'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.

Payer mix and the Medicaid rate. Medicaid pays for 53% of resident days in the median Minnesota building, less than the national 66%. Medicare and private-pay residents carry more of the value here, so buyers weigh referral sources and short-stay results heavily. Minnesota's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $440 per patient day in the median Minnesota filing, above the national $373, and the median net margin is 3.6%, close to the national 3.6%. Value turns on whether your building beats its state's median, not on the state.

Staffing. Minnesota's buildings average 4.19 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 42.2% a year against 45.8%. A stable staff is easier to show here, and buyers notice a building that is the exception.

Inspection record. 46% of Minnesota buildings are rated four or five stars by Medicare and 38% one or two, against 40% and 41% nationally. Every buyer reads the last three inspections before pricing; each building's are on its SNFRadar page.

Size and ownership type. The average Minnesota building has 71 certified beds, against 107 nationally. 30% are for-profit, 62% non-profit and 7% government, and 57% are part of a chain.

Where the beds are

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

CountyFacilitiesCertified beds
Hennepin545,544
Ramsey282,476
St. Louis171,155
Dakota9857
Washington8656
All 86 Minnesota 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. Minnesota'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 Minnesota?

Minnesota has 338 Medicare- and Medicaid-certified skilled nursing facilities with 24,060 certified beds, according to the CMS Provider Information file (August 2026).

What is the average occupancy of Minnesota nursing homes?

On average 84.7% of certified beds in Minnesota are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).

Do you work with sellers in Minnesota?

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 Minnesota's nursing home care does Medicaid pay for?

In the median Minnesota building, Medicaid pays for 53% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why Minnesota's Medicaid rate method decides so much of a building's value.

Are Minnesota nursing homes profitable?

The median Minnesota building that filed a full-year Medicare cost report shows a net margin of 3.6%, 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.