• 60 Seconds with Swett: Talking Construction and Cap Rates in Nashville

    Another Spring NIC is in the books, and it was great to see so many industry friends in Nashville, which was a great setting for the conference, we must say. And it was another record attendance, with around 500 first-time attendees too. That surely is a sign of seniors housing’s appeal to potential new entrants. And they added to the positive... Read More »
  • Another Senior Care REIT Files for IPO

    Another senior care REIT is eyeing the public markets after filing a registration statement with the SEC for a proposed offering of Class A common stock. National Healthcare Properties’ offering remains subject to market conditions and other customary conditions, and the number of shares and pricing range have not yet been determined. And if... Read More »
  • SLIB Handles High-Quality SNF Sale in Texas

    Matthew Alley of Senior Living Investment Brokerage handled the sale of a high-quality skilled nursing facility in Lubbock, Texas. Built in 2010 and 2013, Crown Point Health Suites features 108 beds and is well maintained. It also performed strongly, with a 20% margin on nearly $14.5 million of revenues, and an 86% occupancy rate. Its independent... Read More »
  • Jaybird Senior Living Acquires Multi-State Portfolio

    An affiliate of Jaybird Senior Living, Jaybird Capital, acquired five senior living communities across Utah, Wisconsin and Minnesota. Jaybird assumed management of the communities in October and stabilized them before executing on the purchase. The company is currently targeting the addition of 15 more communities to its portfolio throughout the... Read More »
  • Newly Formed Investment Firm Enters Senior Care

    An 84-unit assisted living/memory care community in Jacksonville Beach, Florida, recently traded with the help of Continuum Advisors, which represented the institutional joint venture seller. Built in 2014, Beach House has 64 assisted living and 20 memory care units, with 100 licensed beds. It is situated on a barrier island near some of the most... 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 »