In the fourth report in its series on Florida’s Nursing Home System, AARP Florida finds that between 2019 and 2024, 425 nursing homes changed ownership, including 156 facilities that were acquired by private equity. In Change of Ownership and Quality in Florida Nursing Homes (2025), AARP Florida reports that following their acquisition by private equity, these 156 facilities
- Reduced staffing by 33 minutes per resident per day, reflecting a 13% decline in staffing levels (from 4.21 hours of care per resident per day (HPRD) in 2019 to 3.66 HPRD in 2024)
- Provided poorer care to residents, as shown by a doubling in one-star facilities (the lowest category on a five-point scale) from 10% in 2019 to 21% in 2024 and by a halving of five-star facilities (the highest category) from 28% in 2019 to 14% in 2024
In “New Report Reveals Declining Quality in Florida Nursing Homes Following Private Investor Acquisition,” AARP Florida also reports that “Medicare costs per resident were $1,000 higher in private equity-owned facilities, with more frequent hospitalizations for conditions that could be treated on an outpatient basis.”
October 20, 2025 – T. Edelman