32 Florida Nursing Homes Just Changed Operators: What Your Family Should Check
If your mom or dad lives in a Florida nursing home, a large transfer of nursing homes may have taken effect where they live on October 1. Thirty-two skilled nursing facilities, with 4,049 beds between them, changed operators that day. There was no closure and no emergency. Just a different company in charge of the building.
Here is what actually changed, what it means for a resident, and what is worth checking this week.
What happened
On October 5, Omega Healthcare Investors, a real estate investment trust that owns long-term care buildings, said it had moved 32 skilled nursing facilities in Florida from an operator managed by affiliates of Airamid Health Services to subsidiaries of PACS Group, a publicly traded nursing home operator. The effective date was October 1, 2026.
The numbers in the two companies' own statements show the scale:
- 32 facilities, with 4,049 licensed skilled nursing beds.
- Rent on the 32 buildings rises by $26.1 million in the first year, and another $2.5 million in the second, with 2 percent increases each year after that. That works out to about $815,000 more rent per building in year one.
- Omega took a one-time charge of roughly $90 million to make the transition happen.
For PACS, this is its first step into Florida. The company says it now runs 355 post-acute buildings across 20 states and serves more than 33,400 patients a day. For Airamid, which Omega describes as a partner of more than 15 years, the releases do not say why it is leaving. And neither company published the list of the 32 buildings.
That last detail is the one that will frustrate families the most. There is no public list yet. If you cannot find your parent's building on one, nothing is wrong. You will have to check it directly, and the steps below show how.
Why a change of operator matters
The company that runs a nursing home decides almost everything your parent experiences inside it. Who is hired and how many staff work each shift. What the therapy program looks like. The food, the activities, the admissions policy, and how quickly problems get answered. When the operator changes, those decisions change hands, even if the building, the address, and many of the people working there stay the same.
In most operator changes, frontline nurses and aides are offered jobs with the new company, because a new operator needs experienced people who already know the residents. Neither company has said how that is playing out in these buildings. What more often changes is the management layer: a new administrator, a new director of nursing, a new therapy contractor, and new corporate policies about staffing and supplies. That is the layer worth watching, because it is the layer that reaches your parent's care.
This is not a rare event in Florida. Buildings change hands constantly, for reasons that range from a single property sale to a company restructuring. Our post on what an ownership change means for a Florida family walked through the same question at one building. This one covers 32 buildings and 4,049 beds at once, so many more families are affected.
Two things it does not mean. It does not mean the building is closing. New operators are usually brought in precisely to keep buildings open and running. And it does not mean the nursing home's safety record starts over.
The record does not reset
This is the part that matters most, and it is good news for families who know where to look.
A nursing home's public record belongs to the building and its address, not to the name of the company running it. The federal star rating on Medicare's Care Compare generally still applies to the same facility. The staffing hours per resident per day, the inspection results, the deficiencies, and the fines are tied to the building, and they generally carry forward when a new operator takes over. Florida's inspection and complaint records, published through the state's Health Finder, work the same way.
So the single most useful thing you can do this week is also the simplest. Look your parent's building up the way you would if you were choosing it today. Nothing about the operator change wipes out what the government data already shows about staffing and inspection history. If the rating was strong, that is real. If it was weak, a new owner does not automatically fix it, and you should ask how they plan to.
One thing to know about the new operator
We would rather tell you this than have you find it later. PACS Group has been the subject of serious allegations, a government investigation, and ongoing litigation, and you should read all of it as allegations, not findings.
In November 2024, the research firm Hindenburg Research published a report alleging that PACS submitted false Medicare claims, billed for unnecessary therapy, and falsified licensing and staffing records. PACS disputes the claims. In February 2025, the company received a Justice Department subpoena covering its use of a COVID-era Medicare waiver and its billing for certain therapy services, and it has said it is cooperating with an investigation that is ongoing. A federal securities class action tied to the allegations is also open; on September 4, 2026, the court granted the company's motion to dismiss in part and denied it in part, which means some claims survived an early challenge, not that anything was proven.
None of this is a finding against the 32 Florida buildings, and a new operator can be an improvement. Omega's own investment chief called PACS "a highly capable operator of skilled nursing facilities."
We mention the allegations for one reason. Our job is to help you verify, not to assume. If a company with unresolved allegations is now running your parent's nursing home, that is a reason to check the record and ask harder questions, not a reason to panic. The state and federal data above is exactly the tool for that.
What to check or do this week
- Find out whether your parent's building is affected. Ask the administrator in writing whether the facility changed operators on October 1. Also watch for a new name on the sign, the letterhead, and the resident's monthly statement.
- Look the building up by address, not by name. Search the facility on Florida's Health Finder and on Medicare's Care Compare. A new operator name may not appear in the first search, so use the address.
- Read the staffing number. Care Compare lists nursing hours per resident per day. Ask the new administrator what their staffing target is and whether it will change.
- Ask five questions. Will my mom's care team stay the same? Will the therapy provider change? Who is the new administrator and director of nursing? What changes in the care plan? And what is the plan for the first 90 days?
- Watch the first 90 days closely. Operator changes are when policies shift. Pay attention to weight, falls, medication changes, and how fast call lights get answered. Write down anything that worries you, with dates.
- Know that residents have protections. Under federal rules, a nursing home cannot move a resident out without advance written notice and a documented reason. If you are being pressured to leave, that is a red flag worth reporting.
Free help that already exists in Florida
You do not have to sort this out alone. Florida's Long-Term Care Ombudsman Program exists to advocate for nursing home residents and their families, and it is free. The state Agency for Health Care Administration (AHCA) takes complaints about care and licensing, and you can file one without a lawyer. If your parent's building has a resident council, that is a good place to hear what other families are seeing.
If you are also weighing a move, our guide to the questions to ask before choosing a nursing home applies just as well to staying in one that just changed hands. And if the financial pressure behind a deal like this is what worries you, our post on what the 2026 senior living bankruptcy numbers mean is a calm place to start.
You can also browse every nursing home and assisted living facility in Florida by city, and check any of them against their federal and state records for free.
The bottom line
Thirty-two Florida nursing homes changed operators on October 1, and most families in them were not told in plain language what that means. The short answer is that the building and its record stay put, and the company making the daily decisions is new. Check the facility's staffing and inspection history this week, ask the five questions above, and use the free ombudsman and state complaint channels if something feels wrong. A change of operator is not automatically bad news. It is a moment to look, and looking is something you can do today.
Sources: Omega Healthcare Investors press release, "Omega to Transition Operations of 32 Facilities in Florida to PACS Group" (Business Wire, October 5, 2026); PACS Group press release, "PACS Group to Acquire Operations of 32 Facilities Across Florida" (Business Wire, September 1, 2026); Hindenburg Research report on PACS Group (November 4, 2024); PACS Group, Inc. Form 10-Q for the quarter ended March 31, 2026 (May 11, 2026), legal proceedings; Manchin v. PACS Group, Inc., No. 1:24-cv-08636 (S.D.N.Y.), Opinion and Order (September 4, 2026); CMS Care Compare (medicare.gov/care-compare); Florida Agency for Health Care Administration, Florida Health Finder; 42 CFR 483.15 (transfer and discharge rights); Florida Long-Term Care Ombudsman Program.
Frequently Asked Questions
Did my parent's Florida nursing home close?
No. The change on October 1 was a change of operator, not a closure. Thirty-two Florida skilled nursing facilities moved from an operator managed by affiliates of Airamid Health Services to subsidiaries of PACS Group, and they continue to operate.
Will the staff at my parent's nursing home change?
Often the frontline staff stay. In most operator changes nurses and aides are offered jobs with the new company, because new operators generally want experienced people who know the residents. What more often changes is management: a new administrator, a new director of nursing, and sometimes a new therapy provider. That is the layer to watch.
Does a change of operator erase a nursing home's inspection record or star rating?
Generally no. A facility's federal star rating, staffing hours, inspection results, and fines are tied to the building and its address, not to the company running it. You can look them up on Medicare's Care Compare and Florida's Health Finder at any time.
How do I find out if my parent's facility is one of the 32?
There is no public list of the 32 buildings. Ask the administrator in writing, watch for a new operator name on signage and statements, and look the facility up by address in the state and federal records.
Who is PACS Group, the new operator?
PACS Group is a publicly traded nursing home operator whose affiliates run 355 post-acute buildings across 20 states, and the Florida buildings are its first in the state. It is also the subject of unresolved allegations, a Justice Department investigation it says it is cooperating with, and a securities class action, none of which is a finding against the Florida buildings.
Where can Florida families get free help with a nursing home complaint?
The Florida Long-Term Care Ombudsman Program advocates for residents and families at no cost, and the Agency for Health Care Administration accepts care and licensing complaints. Both are free and do not require a lawyer.