Selling a skilled nursing facility in Vermont
What moves the price of a Vermont nursing home, how a sale runs from first call to change of ownership, and where to see the record for every Vermont building.
Vermont at a glance
Vermont has 33 Medicare- and Medicaid-certified skilled nursing facilities with 2,951 certified beds, and on average 82.8% of those beds are occupied, above the national average of 80.3%.
Source: CMS Provider Information file, August 2026. The full Vermont picture, rates and every building are on SNFRadar, the market record we built and publish free.
What a buyer reads first in Vermont
The numbers a buyer pulls before the first call, for the typical Vermont 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). Fewer than 20 Vermont buildings filed a full-year Medicare cost report, too few for a fair median, so the cost-report figures are left out.
What moves value in Vermont
Occupancy. 82.8% of Vermont'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.
The Medicaid rate. Vermont sets its own Medicaid rate method, and for most nursing homes it decides much of the value. Vermont's rate files are on SNFRadar.
Revenue and margin. Net patient revenue runs $463 per patient day in the median Vermont filing, above the national $373, and the median net margin is 4.6%, close to the national 3.6%. Value turns on whether your building beats its state's median, not on the state.
Staffing. Vermont's buildings average 4.22 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 55.4% 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. 41% of Vermont buildings are rated four or five stars by Medicare and 41% 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 Vermont building has 89 certified beds, against 107 nationally. 67% are for-profit, 30% non-profit and 3% government, and 48% are part of a chain.
Where the beds are
Vermont's largest counties by certified beds. Each opens that county's buildings on SNFRadar.
| County | Facilities | Certified beds |
|---|---|---|
| Chittenden | 4 | 507 |
| Bennington | 4 | 503 |
| Washington | 4 | 414 |
| Rutland | 3 | 386 |
| Franklin | 3 | 209 |
All 12 Vermont 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. Vermont's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid
Our recent closings
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 sheetAll five closings, with the press coverage they drew.
Questions owners ask
How many nursing homes are in Vermont?
Vermont has 33 Medicare- and Medicaid-certified skilled nursing facilities with 2,951 certified beds, according to the CMS Provider Information file (August 2026).
What is the average occupancy of Vermont nursing homes?
On average 82.8% of certified beds in Vermont are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).
Do you work with sellers in Vermont?
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.
Are Vermont nursing homes profitable?
The median Vermont building that filed a full-year Medicare cost report shows a net margin of 4.6%, 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.

