Selling a skilled nursing facility in Ohio
What moves the price of an Ohio nursing home, how a sale runs from first call to change of ownership, and where to see the record for every Ohio building.
Ohio at a glance
Ohio has 922 Medicare- and Medicaid-certified skilled nursing facilities with 81,083 certified beds, and on average 83.6% of those beds are occupied, above the national average of 80.3%.
Source: CMS Provider Information file, August 2026. The full Ohio picture, rates and every building are on SNFRadar, the market record we built and publish free.
What a buyer reads first in Ohio
The numbers a buyer pulls before the first call, for the typical Ohio 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 Ohio
The Medicaid rate. Part of Ohio's Medicaid rate is tied to quality points, so a rating reset can move the per diem in the middle of a sale. In our Ohio closing, a reset cost the building roughly $50 a day.
Census and referrals. Hospital discharge volume drives occupancy, and every buyer underwrites occupancy closely. In the same closing, softer discharges pulled census from the high 80s into the low 80s mid-process.
Survey and staffing record. Buyers read the last inspections and the staffing levels before they price. Both are on each building's SNFRadar page.
Real estate and operations. Selling the building, the operations or both, and whether a lease is in place, changes who can buy and how they pay.
Where the beds are
Ohio's largest counties by certified beds. Each opens that county's buildings on SNFRadar.
| County | Facilities | Certified beds |
|---|---|---|
| Cuyahoga | 92 | 9,874 |
| Hamilton | 69 | 6,650 |
| Franklin | 57 | 5,157 |
| Montgomery | 40 | 4,328 |
| Summit | 43 | 3,948 |
All 88 Ohio counties
How a sale works
- A first call. What you want from the sale, and when. No listing, no blast.
- A value from the record. Your building's own numbers and the trades around it. How valuation works
- Vetted buyers under confidentiality, bidding against each other, not against you.
- Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
- Change of ownership. Ohio's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid
Our Ohio closings
Resilience wins.
A 99-bed Ohio SNF closed all-cash at $10.5 million, through two buyer fallouts and a mid-process Medicaid rate cut.
Read the deal sheetQuestions owners ask
How many nursing homes are in Ohio?
Ohio has 922 Medicare- and Medicaid-certified skilled nursing facilities with 81,083 certified beds, according to the CMS Provider Information file (August 2026).
What is the average occupancy of Ohio nursing homes?
On average 83.6% of certified beds in Ohio are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).
What can change my Ohio building's value in the middle of a sale?
A Medicaid rate change. Part of Ohio's rate is tied to quality points, so a rating reset mid-process can lower the per diem. We plan the timing and the buyer's assumptions around it.
How much of Ohio's nursing home care does Medicaid pay for?
In the median Ohio building, Medicaid pays for 65% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why Ohio's Medicaid rate method decides so much of a building's value.
Are Ohio nursing homes profitable?
The median Ohio building that filed a full-year Medicare cost report shows a net margin of 1.4%, 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.