Guide
Nursing Home Ownership Data: What PECOS Shows
PECOS is the Medicare enrollment system, and its published files are the public route from a nursing home to the companies and people behind it. They list direct and indirect owners, officers and managing entities for each enrollment, and they link to a facility by CCN. They are free, and the roles are what matter: not every row is an ownership stake.
The three files
| File | What it answers | Notes |
|---|---|---|
| All Owners Every organization and individual tied to an enrollment, with role and ownership percentage | Who is associated with this facility? | The main file |
| Change of Ownership CHOW filings: buyer, seller, effective date, transaction type | Has it been sold? | 2016 onward |
| Enrollment The enrollment record itself, linking a CCN and NPI to its enrolled entity | Which entity holds the licence? | The join point |
All three are published on data.cms.gov and refreshed roughly quarterly.
What the role codes mean
Every row carries a role, and only some of them are ownership. These are the ones you will see most.
- 5% or greater direct ownership interest
- A real owner of the enrolled entity. This is what most people mean by “owner”.
- 5% or greater indirect ownership interest
- Owns a share of something that owns the entity. The chain can run several layers deep.
- Operational or managerial control
- Runs the facility without necessarily owning it. Often the operating company.
- Corporate officer / director
- A named person on the governing body. A role, not a stake.
- ADP of the SNF
- Authorized or delegated official — an administrative contact. Not an ownership role at all.
What you can find out
- Who owns a facility
- The files list direct owners, indirect owners, and the entities holding operational control for each enrollment.
- Whether it has changed hands
- Change-of-ownership filings give the buyer, the seller and the effective date. Our copy holds 5,227 SNF filings from 2016 to 2024.
- Whether it belongs to a larger group
- The same owner appears against every enrollment it holds, which is how one facility connects to the rest of a group.
- Whether an outside investor is involved
- Enrollment forms carry private-equity and REIT flags. They are self-reported, so read them as a floor rather than a count.
Going deeper
- Nursing home data: what exists and where it comes from
- The SNF Medicare cost report, explained
- Skilled nursing acquisition due diligence
Ownership, already resolved
SNF Insights reads these files down to the operating entity behind each facility and keeps it alongside quality, staffing, financials and payer rates.
Request a demoFigures reflect our copy of the CMS SNF ownership files as of August 2026 and change with each CMS release. Ownership is self-reported on enrollment forms. SNF Insights is independent and is not affiliated with or endorsed by CMS.