Booker Urges CMS to Reinstate Nursing Home Ownership Transparency Requirements

WASHINGTON, D.C. - U.S. Senator Cory Booker (D-NJ) is pressing Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz to immediately reinstate a key transparency deadline requiring Skilled Nursing Facilities (SNFs) to report detailed information about their ownership, management, and related-party financial arrangements. CMS's decision to suspend that deadline has significantly weakened visibility into who controls nursing homes and how public dollars are used. U.S. Senators Ron Wyden (D-OR) and Elizabeth Warren (D-MA) also signed the letter.

In their letter, the Senators wrote:

"We write to urge immediate reinstatement of the deadline for Skilled Nursing Facilities (SNFs) to submit disclosures of ownership, managerial structures, and related parties in the new SNF Attachment to Form CMS-855A. As you know, in its recent sub-regulatory guidance, the Centers for Medicare & Medicaid Services (CMS) indefinitely suspended the previously established January 1, 2026, deadline for SNFs to report comprehensive ownership, managerial control, and 'additional disclosable parties' data. As of February 2026, just over half of applicable SNFs were reporting with the new form. These requirements were implemented to create transparency and help families better understand the entities that own, control, and operate facilities where their loved ones receive care," the senators wrote.

"SNFs provide essential medical and personal care to older adults and people with disabilities, and two out of every three nursing home residents rely on Medicaid. Billions of taxpayer dollars flow into SNFs each year, but increasing evidence suggests that complex ownership and related-party arrangements can obscure how those funds are used and whether they ultimately support resident care," they continued.

"The absence of timely ownership and related-party disclosure is particularly concerning given the growing body of evidence that ownership structure and the role of private equity and other private investments are related to quality and safety in SNFs. A systematic review of twelve studies published between 2000 and 2024 found that private equity ownership of nursing homes in the U.S. was linked to a higher number of care deficiencies, increased hospitalization rates, and higher mortality among residents," they added.

"Accordingly, we implore CMS to immediately resume the requirement that SNFs submit ownership, managerial, and related-party disclosures and to establish an expedited deadline for full compliance. Greater transparency into ownership and control is essential to protect residents, safeguard public funds, and enhance oversight of the nursing facility sector," the senators concluded.

Read the full text of the letter here.