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Selling a skilled nursing facility in Oregon

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

By Stan Klos III · Updated October 2026
Each point is one of Oregon's 128 certified skilled nursing facilities. See every one on SNFRadar ↗

Oregon at a glance

Oregon has 128 Medicare- and Medicaid-certified skilled nursing facilities with 10,602 certified beds, and on average 70.1% of those beds are occupied, below the national average of 80.3%.

128certified facilities
10,602certified beds
70.1%of beds occupied

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

What a buyer reads first in Oregon

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

Oregon by the numbers
70.1%of beds occupiedU.S. 80.3%
59%Medicaid share of days, medianU.S. 66%
$644revenue per patient day, medianU.S. $373
7.4%net margin, medianU.S. 3.6%
5.03nurse hours per resident dayU.S. 3.86
0.72RN hours per resident dayU.S. 0.69
47.4%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 Oregon

Occupancy. 70.1% of Oregon'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 59% of resident days in the median Oregon 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. Oregon's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $644 per patient day in the median Oregon filing, above the national $373, and the median net margin is 7.4% against 3.6%. Buyers here can price on the cash flow a building already earns.

Staffing. Oregon's buildings average 5.03 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 47.4% a year, close to the national 45.8%. Agency use is the line buyers check next.

Inspection record. 46% of Oregon 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 Oregon building has 83 certified beds, against 107 nationally. 87% are for-profit, 10% non-profit and 3% government, and 82% are part of a chain.

Where the beds are

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

CountyFacilitiesCertified beds
Multnomah332,776
Lane131,171
Washington9910
Clackamas13862
Marion8635
All 27 Oregon 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. Oregon'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 Oregon?

Oregon has 128 Medicare- and Medicaid-certified skilled nursing facilities with 10,602 certified beds, according to the CMS Provider Information file (August 2026).

What is the average occupancy of Oregon nursing homes?

On average 70.1% of certified beds in Oregon are occupied, below the national average of 80.3% (CMS Provider Information, August 2026).

Do you work with sellers in Oregon?

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 Oregon's nursing home care does Medicaid pay for?

In the median Oregon building, Medicaid pays for 59% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why Oregon's Medicaid rate method decides so much of a building's value.

Are Oregon nursing homes profitable?

The median Oregon building that filed a full-year Medicare cost report shows a net margin of 7.4%, 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.