• Ensign Makes a Splash in Texas

    The Ensign Group closed out April with a bang, announcing the acquisition of the real estate and operations of 17 skilled nursing facilities spread across Texas, plus the real estate of two seniors housing communities in Wisconsin.  The Texas portfolio is majority-SNF, with 2,080 skilled nursing beds. There are also some seniors housing... Read More »
  • Public REIT Sells Value-Add Community to Joint Venture

    Kandu Capital, a family office specializing in real estate and healthcare, and its operating company, Bloom Senior Living, acquired an assisted living/memory care community in Ohio after strategically divesting a number of skilled nursing, behavioral health and seniors housing assets at healthy valuations. Those dispositions were initially... Read More »
  • Not-for-Profit Divests Its CCRC Portfolio to Another Not-for-Profit

    A portfolio of CCRCs in South-Central Pennsylvania changed hands from one faith-based not-for-profit organization to another, with Toby Siefert and Dave Balow of Senior Living Investment Brokerage handling the process. The pair represented the seller, SpiriTrust Lutheran, an 80-year-old operator based in York, Pennsylvania, in the sale of six... Read More »
  • AL/MC Community Trending Towards Stabilization Sells

    Blueprint’s suite of services was on display in the sale and financing of an assisted living/memory care community in Fredericksburg, Texas. Built in 2018, The Villages of Windcrest was performing well at the time of marketing, and was trending towards stabilization. Newer, performing properties are getting the most interest in the M&A market... Read More »
  • Montgomery Intermediary Group Brings on New Advisor

    Continuing its momentum in 2026, Montgomery Intermediary Group (MIG) announced that it hired Colin Thomas, CFA as an investment sales advisor. In this role, Thomas will lead seniors housing and skilled nursing transactions across Texas, Oklahoma, Arkansas and Louisiana, expanding MIG’s coverage and capabilities in these markets. Thomas’s... Read More »
60 Seconds with Swett: Two Cheers for the SNF Rate Bump

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: Two Cheers for the SNF Rate Bump

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

60 Seconds with Swett: Q2:23 M&A Activity Rebounds Above 100 Transactions

The M&A market rebounded, sort of, in the second quarter of 2023, rising to 110 publicly announced transactions, compared with 99 in the first quarter. Considering the economic shock of fast-rising interest rates, and how many deals died in all stages of the transaction pipeline last fall, the volume was actually impressive. Most of the dealmakers we talk to say that their pipelines are healthy, albeit moving slower and with more difficulty than before. We are still way down from the 147 transactions recorded in the second quarter of 2022, which annualized would have resulted in nearly 600 deals for the year. But a lot has changed in a year, clearly.  We are missing the larger... Read More »
60 Seconds with Swett: Two Cheers for the SNF Rate Bump

60 Seconds with Swett: What Will the Boomers Want?

The baby boomers have been referenced as the reason for investors to enter the seniors housing market for more than a decade, even though we are still several years away from the front end of them aging into the vast majority of seniors housing communities. But there is no guarantee that boomers will move into seniors housing, especially if new tech can better solve for health care, activities of daily living, property maintenance and socialization in the home, not to mention economic factors that may prevent seniors from selling their homes or may impact their savings and investment accounts to render seniors housing services unaffordable to them. Beyond all that, what if the current... Read More »
60 Seconds with Swett: The Persistence of Higher Capital Costs

60 Seconds with Swett: The Persistence of Higher Capital Costs

After the Fed held interest rates steady following 10 consecutive increases but left the door open for potentially two additional increases this year, you can’t help but think, what has gone as planned, or as predicted, in the last several years? Very little, unfortunately. Inflation has persisted in the economy, and rates will have to remain elevated for longer than earlier projections. Sounds a little familiar to the overly optimistic predictions of a seniors housing occupancy and margin recovery, post-pandemic, which is taking longer to materialize, and may never happen in many markets. We’re just saying that a little more conservatism may be needed in people’s projections or proformas... Read More »