• Ziegler Handles Providence Portfolio Sale

    The Ensign Group, Inc. has agreed to acquire eight facilities in the states of Alaska, Washington, Oregon and California, subject to the completion of certain regulatory approvals and other closing conditions. This acquisition includes the real estate and operations and are being acquired from Providence Home and Community Care. The real estate... Read More »
  • Ignite Medical Resorts Acquires in Texas

    Blueprint was engaged by a Houston-based real estate developer and investment firm to facilitate the sale of a skilled nursing facility in El Paso, Texas. The facility had been leased to a subsidiary of Vibra Healthcare, a national specialty hospital and skilled nursing operator based in Pennsylvania.  Built in 2017, VibraLife El Paso... Read More »
  • Class-A Community Trades in Philadelphia

    Berkadia announced the sale of a Class-A independent living, personal care and memory care community in the Philadelphia MSA. It was built in 2019. Berkadia Seniors Housing & Healthcare, led by Managing Directors Dave Fasano, Ross Sanders, Cody Tremper and Mike Garbers, closed the transaction on behalf of the seller, a private equity firm.... Read More »
  • Wisconsin AL Community Changes Hands

    On the heels of his closing in Minnesota, Bob Richards of Senior Care Realty headed over to Wisconsin to sell a small assisted living community in Dane County. Built in the mid-1990s, the community featured 20 units and a mostly Medicaid census. But occupancy was 100%, and the community operated at a strong margin above 30%. That is impressive,... Read More »
  • Private Asset-Based Lender Acquires Two Senior Notes

    Blueprint facilitated the sale of two senior notes secured by 24 seniors housing communities. The portfolio of communities spans approximately 1,200 units across eight states. Prior to the sale, all of the communities securing the notes transitioned to a new, national operator as part of a larger corporate wind down of the borrower. Individual... Read More »
60 Seconds with Swett: The Medicare Advantage Tipping Point

60 Seconds with Swett: The Medicare Advantage Tipping Point

We attended the Zimmet Conference dubbed “Roaring Reimbursement” last week at Mohegan Sun in Connecticut, and as always, the program was highly informative on the skilled nursing reimbursement and regulatory environment. The tidbit that really stuck in our minds, which was probably the intention of Marc Zimmet in his opening remarks, was that we had reached a tipping point of Medicare Advantage enrollment overtaking traditional fee-for-service Medicare enrollment, surpassing 50% as a percentage of total beneficiaries. Not only that, but despite the total number of beneficiaries increasing, the absolute number of traditional Medicare beneficiaries is declining. This will lead to fewer SNF... Read More »
60 Seconds with Swett: The Medicare Advantage Tipping Point

60 Seconds with Swett: The Long, Slow Brookdale Recovery

Brookdale Senior Living came out with its Q2 earnings, and the occupancy results revealed just how prolonged the post-pandemic recovery has been for seniors housing and care, making many early predictions of a swift return to pre-pandemic census sound more and more ridiculous in hindsight. The good news is that Brookdale reported its highest month-end occupancy since before the pandemic, at 78.5%, up 30 basis points from the previous month and up just 10 basis points from the previous high recorded in September of last year. The bad news is the fact that Brookdale has taken this long to get back to last fall’s level of occupancy. To us, that is not “progress” in the larger goal of getting... Read More »
60 Seconds with Swett: The Medicare Advantage Tipping Point

60 Seconds with Swett: Two Cheers for the SNF Rate Bump

CMS came out with its final skilled nursing facility payment rates for fiscal year 2024, and the sector will benefit from a 4.0% net increase, or approximately $1.4 billion, in Medicare Part A payments. That is up from the initially proposed 3.7% net increase and reflects a 6.4% net market basket update to the payment rates. There were a couple of negative adjustments that brought the net rate increase down, including a negative 2.3% decrease as a result of the second phase of the PDPM parity adjustment recalibration. That reduction came as no surprise, as PDPM was meant to be budget neutral and has been a net-benefit to many SNFs since the 2019 implementation. But to the SNF advocates... Read More »
60 Seconds with Swett: The Medicare Advantage Tipping Point

60 Seconds with Swett: What Still Needs to Be Done to Solve the Staffing Crisis?

Will the senior care industry ever solve its labor issues? Before the pandemic, overdevelopment led to high levels of staff poaching in certain markets and rising wages to combat it. Then the pandemic, plus the government checks that kept many workers at home, led to more severe staffing shortages and the necessity for temporary staffing agencies to fill the gap, at exorbitant prices. It was around that time when we hosted a webinar tackling the staffing crisis in senior care and the potential solutions, with panelists Barb Clapp, who had just taken the helm at Dwyer Workforce Development, and Steve LaForte of Cascadia Healthcare, which LevinPro LTC subscribers can watch here. Nearly two... Read More »
60 Seconds with Monroe: SNF Industry Needs To Police Itself

60 Seconds with Monroe: SNF Industry Needs To Police Itself

As many of you would suspect, I am no fan of New York’s Attorney General, Letitia James. She politicizes too many things and definitely has a partisan agenda, and one which I do not favor. But after reading through the 300-page court filing against Centers Health Care and related companies, as well as its owners, well, I found myself agreeing with her. The cases involve the poor “care” of residents in a few New York nursing homes, as well as the alleged misuse of $83 million of Medicaid and Medicare funds for other purposes, including, allegedly, the purchase of a large stake in the Israeli airline, EL AL. Money is fungible, and one cannot distinguish between cash from private... Read More »