Selling a skilled nursing facility in Texas

Texas at a glance

Texas has 1,177 Medicare- and Medicaid-certified skilled nursing facilities with 133,408 certified beds, and on average 66.5% of those beds are occupied, below the national average of 80.3%.

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

What a buyer reads first in Texas

The numbers a buyer pulls before the first call, for the typical Texas 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 Texas

Occupancy. 66.5% of Texas'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 67% of resident days in the median Texas 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. Texas's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $267 per patient day in the median Texas filing, below the national $373, and the median net margin is 3.9%, close to the national 3.6%. Value turns on whether your building beats its state's median, not on the state.

Staffing. Texas's buildings average 3.39 nurse staffing hours per resident per day, fewer than the national 3.86, and nurse turnover runs 55.3% a year against 45.8%. Buyers treat agency use and turnover as a cost they will inherit, so a stable staff is worth showing early.

Inspection record. 30% of Texas buildings are rated four or five stars by Medicare and 48% one or two, against 40% and 41% nationally. With low ratings common here, a clean inspection record stands out, and buyers pay for it.

Size and ownership type. The average Texas building has 113 certified beds, against 107 nationally. 71% are for-profit, 9% non-profit and 20% government, and 80% are part of a chain.

Where the beds are

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

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

Our recent closings

All five closings, with the press coverage they drew.

Questions owners ask