The Ensign Group grew its skilled nursing portfolio by five facilities in two separate transactions, bringing its total holdings to 213 skilled nursing properties in 13 states. The larger transaction consisted of the operations of four facilities in North Texas that will be subject to long-term, triple-net leases and purchase options following year-five of the lease. Included in the purchase was a facility in Wills Point with 112 skilled nursing and 72 assisted living beds, a 190-bed SNF in Rockwall, a 150-bed facility in Rowlett and a 126-bed facility in Waxahachie. The properties will complement Ensign’s other operations in the Dallas market. Keystone Care LLC, Ensign’s Texas-based subsidiary, will take over management.

Then, on the same day, Ensign acquired both the real estate and operations of a 160-bed skilled nursing facility in Mesa, Arizona. In addition to skilled nursing care, the facility also provides wound care, palliative care, respite care and social services. Bandera Healthcare, Ensign’s Arizona-based subsidiary, will operate it going forward.