Lead Story
Special Report
The State of Long-Term Care in 2026: Recovery, Reshuffling, and Red Flags
168 nursing homes closed. Nearly 2,000 changed owners. 5,687 showing decline signals. Two years of CMS data reveal what's really happening.
LTC Sentinel Research
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March 19, 2026
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12 min read
Analysis
Ownership
Florida's "Opco" Wave: What's Behind the LLC Shuffle in Nursing Homes
Dozens of Florida facilities are being restructured under new operating entities. We follow the paper trail.
1,995entity changes tracked
Decline Watch
5,687 Facilities Showing Warning Signs — Texas and Illinois Lead
Census drops, rising fines, plummeting ratings. Our scoring model identifies the homes most at risk.
50facilities critical (score 15+)
M&A
SSM Health Exits Wisconsin — Three Facilities Change Hands
Complete Care at Maple Grove, Jefferson Meadows, and Christian Home transferred to new LLC operators.
March 18, 2026
Investigation
When Entities Change, Do Fines Disappear? Tracking Accountability
Nexus Pavilion racked up $913K in fines before restructuring. We examine what happens to penalties after a change of hands.
March 17, 2026
Chains
Ensign, PACS, Genesis, Life Care: How the Big Five Stack Up
Life Care leads at 3.5 stars. Genesis lags at 2.4. Inside America's largest chains.
March 16, 2026
Staffing
2.1 Million Workers, 514 Million Hours: Nursing Home Staffing by the Numbers
PBJ data reveals the scale of the workforce — and the 46.4% turnover crisis.
March 15, 2026