Solution
Due Diligence on a Skilled Nursing Acquisition
The short version
Before you buy a skilled nursing facility, you need four things quickly: what it’s actually paid, how it rates on quality and staffing, how its finances look, and whether it’s genuinely strong or just sitting in a strong market. SNF Insights puts those side by side so you can size up a target in minutes instead of weeks.
Why the usual reports fall short
A star rating tells you how a facility looks on quality, but not what it collects from payers. Cost reports arrive on a lag. And a facility can look good simply because its whole local market looks good. To evaluate a target honestly you need the full picture in one place, and you need to compare it to the right peers, not a state or national average.
What it is actually paid
Underwriting on Medicare and Medicaid assumptions alone misses a large part of the revenue picture. SNF Insights includes payer-negotiated commercial rates drawn from Transparency in Coverage data, so you can see what the target is actually contracted to receive, not just what a rate sheet implies.
The quality and staffing risk
Quality and staffing are where hidden liability lives. In one view you can see the target’s CMS Five-Star ratings, the deficiencies behind them, and its payroll-verified staffing levels and turnover. If you want the mechanics behind those numbers, see our guides on the Five-Star rating, PBJ staffing data, and deficiencies and F-tags.
Strong facility, or strong market?
This is the question that changes a valuation. SNF Insights benchmarks the target against its nearest comparable facilities, so you can tell whether its numbers reflect its own performance or a favorable local market. A target that only looks good because everyone nearby looks good is a very different investment than one that outperforms its peers.

Evaluate a target in one screen
Bring a facility up in SNF Insights and see its rates, quality, staffing, financials, and true-peer comparison together, so your diligence starts from the full picture.
SNF Insights aggregates public and licensed data for informational and analytical purposes only. It is not investment, financial, legal, or professional advice. SNF Insights is independent and is not affiliated with or endorsed by CMS.