• National Lending Group Divests in Wisconsin

    Justin Knapp, Nick Stahler and Ray Giannini of Marcus & Millichap recently closed the receivership sale of an 86-bed skilled nursing facility in Wisconsin. The Knapp-Stahler Group represented the seller, a national lending group that also provided financing for the deal.  The borrower/buyer was a local operator with ties to an East... Read More »
  • CFG Secures Bridge-to-HUD Loan for Ohio Skilled Nursing Facility

    Capital Funding Group secured financing for a skilled nursing facility in Ohio on behalf of a nationally recognized borrower. The bridge-to-HUD loan totals $13.5 million and supports the refinancing of this 120-bed SNF. Tim Eberhardt and Ava Julio of CFG originated the transaction.  This financing follows CFG’s closing of two HUD loans on... Read More »
  • CBRE Secures Financing For Class-A Seniors Housing Community

    CBRE secured financing for a Class-A seniors housing community in North Dakota on behalf of a joint venture borrower. Built in 2017, New Perspective West Fargo is in Fargo, one mile from Sanford Medical Center, North Dakota’s newest and largest medical center. The community features 128 independent living, assisted living and memory care units... Read More »
  • PCP Purchases Ohio Assisted Living Community

    Phorcys Capital Partners LLC, the investment advisor to Phorcys Senior Housing Recovery Fund LP (SHRF), announced it acquired a seniors housing community in Wickliffe, Ohio, through a trustee-directed short sale for $13.0 million, or $81,000 per unit. This is PCP’s second investment in SHRF, and it will continue to focus on the winding down of... Read More »
  • Newmark Closes Class-A Deal in Denver

    A new seniors housing community traded in the Denver, Colorado MSA, with the help of the team at Newmark. Developed in 2017, MorningStar at RidgeGate is located in the suburb of Lone Tree within the Ridgegate master plan that features retail, cultural amenities and a 284-bed hospital nearby. The property comprises five stories over subterranean... Read More »

60 Seconds with Steve Monroe: Venting About Medicare

Okay, I know it is the season to be jolly, but it has been a while since I have had something to vent about. When I signed up for Medicare two years ago (I know, hard to believe) I signed up for everything except Part D drug coverage. I had no prescriptions so why get coverage I didn’t need. Two years in, for a variety of reasons, I decided to sign up even though I still have no prescriptions. Just being conservative. A week after receiving my approval letter from United Healthcare, I received another letter saying I would be charged a “Late Enrollment Penalty” fee on my monthly premium. Because I had two years of no coverage, they use that period to calculate the monthly penalty. This... Read More »
SNFs, Medicaid and Healthcare Reform

SNFs, Medicaid and Healthcare Reform

Whether the House bill, the Senate bill, or anything that may come out of reconciliation, Medicaid reimbursement for SNFs is going to get squeezed. It is amazing the uproar, first over the House healthcare reform bill, and now the Senate bill. I have to admit, like Nancy Pelosi, I have not read either bill, and I also prefer to wait until something actually becomes law to see what it says. Will the ACA replacement cut Medicaid spending over 10 years by $834 billion in the House bill, or $772 billion in the Senate bill? Will the ranks of the uninsured grow by 23 million by 2026, or 22 million? Will the average skilled nursing facility lose $600,000 in annual Medicaid reimbursement under the... Read More »
The Future of Medicaid Block Grants

The Future of Medicaid Block Grants

Our editor Steve Monroe moderated a webinar on June 8 called “Skilled Nursing Reimbursement Under Trump Care” with panelists Joshua Jandris of IPA Seniors Housing and Marc Zimmet of Zimmet Healthcare Services Group, where they discussed Medicare reimbursement changes, the future of Medicaid managed care plans and the next shoe to drop on the reimbursement front under a Trump administration. If you are interested in hearing the 90-minute discussion, you can purchase the webinar here. During the webinar, Mr. Monroe brought in the audience to voice their opinion too, and here are the results: Do you think Medicare SNF payments should basically fund the shortfall of Medicaid payments, such as... Read More »

CMS rules against SNFs

The skilled nursing sector does not need any more bad news, but it received some this week. The Centers for Medicare and Medicaid has issued a new rule that will prohibit SNFs that receive Medicare or Medicaid payments (so that would be the overwhelming majority) from requiring residents to resolve any disputes through a formal arbitration process as opposed to the court system. Obviously, the trial lawyers are celebrating because arbitration usually is less costly for providers, not to mention it is a faster process. Patient rights advocates prefer the judicial system because they want poor quality of care exposed for what it is, and they also believe patients are not properly compensated... Read More »

The Elderly Deserve Better

The presidential candidates are ignoring the real problems, and people should be sick of it. I don’t know about you, but I am getting very irritated at this election. And not just because my guy did not win much of anything on Super Tuesday. I am sick of hearing about spray tans, goofy hair, liars, small hands, short stature, building walls paid for by someone else, tax returns…..is that enough? I really wonder, where have all the grownups gone? Although I don’t agree with him on everything, at least John Kasich is being mature about the issues and his opponents. But one thing is missing from him and all the other candidates. When was the last time you heard them talk about the elderly... Read More »