Nursing Home Update: CMS Begins Posting Nursing Home Ownership and Nursing Home Performance Data


In 2022, the Biden administration announced an initiative to increase the transparency of corporate and private equity ownership and operation of nursing homes.

Recently, the Centers for Medicare & Medicaid Services (“CMS”) announced that it would include ownership and operatorship affiliation information on its Nursing Home Care Compare website and that it would publish combined inspection, staffing, quality and other performance metrics across groups of nursing homes with shared ownership and operatorship on the CMS data website.

In 2022, CMS began publishing skilled nursing facility ownership data on As part of this release, CMS identified groups of Medicare-certified nursing homes linked together by common owners and operators, referred to as “affiliated entities.”

Posting of Nursing Home Affiliations

CMS started publishing affiliated entity names and affiliated entity identification numbers for each nursing home facility on Nursing Home Care Compare. Affiliated entities are groups of nursing homes sharing at least one individual or organizational owner, officer or entity with operational/managerial control. Ownership data comes from the Provider Enrollment, Chain, and Ownership System (“PECOS”), the national data repository for individual and organizational providers who have enrolled or are enrolling in Medicare. Affiliated entity names and identification numbers will be published in the ownership sections for each facility on Nursing Home Care Compare. CMS will revise and change providers’ affiliated entity names and identification numbers as providers change ownership or enrollment.


Providers who have questions or recommended corrections or updates to their nursing home affiliated entity assignment may contact [email protected] for additional information.

Posting Aggregate Nursing Home Health, Staffing and Quality Data

The Nursing Home Affiliated Entity Performance Measures dataset provides quality and performance information from the Nursing Home Care Compare website for groups of nursing homes that share an affiliated entity. The data includes averages of ratings for the overall inspection, staffing and quality measure star ratings, staffing measures, quality measures, select enforcement remedies imposed, percent of facilities for-profit and not-for-profit, number of Special Focus Facilities and COVID-19 vaccination rates.

The data can be used by the public to understand and evaluate the quality of nursing homes with common ownership or operation. State agencies and CMS can also use the data to gain more information about prospective owners and operators of nursing homes prior to certification of new nursing homes and during change of ownership requests.

Practical Takeaways

  • Nursing home owners should check Nursing Home Care Compare to confirm that the ownership information is accurate.
  • Nursing home owners should check and audit Nursing Home Care Compare to ensure the dataset with their quality and performance information is correct.

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