PACS Group Just Swallowed 34 More Nursing Homes — Here’s Where They’re Expanding

Plano, Texas — PACS Group is growing again.

The nation’s second-largest skilled nursing operator announced Monday it will assume operations for 34 facilities across six western states, adding roughly 3,600 beds to its portfolio. The deal extends the company’s reach into Texas, Montana, New Mexico, North Dakota, South Dakota, and Utah.

According to company filings and industry reports, the acquisition involves facilities previously operated by Eduro Healthcare, a family-owned company that’s been in the senior care business for nearly two decades. The bulk of the new properties sit in Texas — 22 facilities — with six in Montana and the remainder spread across three other states.

The Acquisition Strategy

PACS has built its expansion model on acquiring underperforming facilities and applying what it calls a “localized management” approach. The company now operates more than 320 post-acute care and senior living facilities across 17 states, serving over 31,700 patients daily.

Industry watchers note that consolidation among nursing home operators has accelerated in recent years, with larger players picking up smaller portfolios as family-owned and regional operators face mounting regulatory and financial pressures. deals like this have become increasingly common as operators look to achieve economies of scale.

The transaction also marks PACS’s entry into four new states, expanding its geographic footprint beyond its traditional strongholds. Company officials said the transition of operational control has already begun, though financial terms were not disclosed.

Market Context

The acquisition comes at a time when the skilled nursing sector is grappling with workforce shortages, Medicaid reimbursement uncertainty, and the lingering effects of pandemic-era policy changes. For PACS, the deal represents a bet that scale and operational efficiency can overcome those headwinds.

Shares of PACS Group rose 3.4% in after-hours trading following the announcement. The stock has delivered a 222% return over the past year, making it one of the best-performing names in the post-acute care space.

Industry sources say Eduro had been trimming its portfolio in recent years, with the company founded in 2008 winnowing down operations to focus on core markets. The sale to PACS effectively ends Eduro’s presence as a multi-state operator.

For the thousands of residents in the 34 affected facilities, the transition means new ownership but likely familiar faces — PACS typically retains existing staff during acquisitions, at least initially. Whether that holds as the company implements its operational playbook remains to be seen.

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