How much does it cost to buy a nursing home?
Direct answer
Nursing home prices vary widely, but early-2026 indications run about $30,000 to $80,000 per bed. Price is driven mainly by net operating income, which depends on payor mix, state Medicaid rates, occupancy and survey history. Buyers also pay higher cap rates than in assisted living because of reimbursement and regulatory risk.
What to know
Skilled nursing cap rates run about 8.0% to 9.5% in certificate-of-need states and 11% to 17% in states without CON. Higher cap rates mean lower prices for the same income.
Location and quality matter: rural facilities can trade below $50,000 per bed, while well-run facilities in strong markets command more.
Budget beyond the price for closing costs, working capital and the time it takes to complete the state license and the Medicare and Medicaid change of ownership.
How Haven helps
Haven represents buyers of skilled nursing facilities with 16 or more beds and can value a target before you make an offer. Visit our buyers page.