• Brookdale Boosts Short Term Stability

    Brookdale Senior Living completed a series of financing transactions totaling approximately $600 million that refinanced all of its remaining 2026 mortgage debt and maturities, around $350 million, and a portion of 2027 mortgage debt maturities, approximately $200 million. The company also secured more fixed-rate debt, helping to cut rate risk.... Read More »
  • Ikaria Announces $1 Billion in Q4 Volume

    Ikaria Capital Group closed out a successful 2025, announcing several significant transactions in the fourth quarter that exceeded $1 billion in volume. The activity comprises financings in the seniors housing, skilled nursing and behavioral health sectors across multiple states and borrowers.  The largest deal was a $595.5 million senior... Read More »
  • PE Group Enters Oklahoma after Medicaid Rate Bump

    A skilled nursing facility in Oklahoma that recently benefited from the state’s Medicaid rate bump sold to a national private equity firm looking to enter the state. Built in 1967, Maplewood Care Center features 180 beds on over three acres in Tulsa. It is located close to several major hospitals and healthcare campuses, but occupancy was sitting... Read More »
  • Community Purchased through HUD Assumption

    Chad Mundy of the Knapp-Stahler Group of Marcus & Millichap sold an 82-unit assisted living/memory care community in Lewiston, Idaho. Built in phases in the early 2000s, the community featured five separate buildings, one of which was vacant after sustaining damage from a flood. As a result, occupancy was lower, based on the 89 licensed beds,... Read More »
  • The Zett Group Rounds Out Q4

    The Zett Group closed out Q4 with several closings in the Pacific Northwest. First was the sale of Fox Hollow, a 58-unit seniors housing community in Eugene, Oregon. Built in 1988 and renovated in 2003, the community features 51 assisted living units and seven independent living “cottage-style” units. Set in a nice area of Eugene, it was owned by... Read More »
Are SNFs About To Go Out Of Business?

Are SNFs About To Go Out Of Business?

A recent survey by the American Health Care Association reveals some disheartening news. If you believe the results of a survey of 463 nursing home providers by the American Health Care Association, well, we are in bigger trouble than I thought. Apparently, 40% of the respondents said they would not be able to sustain operations for another six months at the current “pace,” which we assume to mean the current census and cost levels. A whopping 72% said they would not be able to sustain operations for another year. The problem is that they, unlike the private pay seniors housing industry, have already received several billion dollars of financial aid to help during the pandemic. If they... Read More »
Are SNFs About To Go Out Of Business?

Brookdale, Genesis Report Tough Quarters

Brookdale Senior Living and Genesis HealthCare, the two largest providers, were not spared from COVID’s devastation in the second quarter. The two largest providers in their respective sectors, Brookdale Senior Living in seniors housing and Genesis HealthCare in skilled nursing, did not escape COVID’s wrath. No one expected they would. Fortunately for Brookdale, they have negotiated most of their underwater leases, so that will lessen the economic pain. But consolidated occupancy fell 440 basis points from the first quarter to the second. As of July 31, occupancy was at 76.6%, 120 basis points below the June 30 level. And COVID is spreading in two of its largest states, Florida and... Read More »
Are SNFs About To Go Out Of Business?

HealthPeak, Welltower, Ventas and Others Report This Week

In the next 48 hours, six companies will report second quarter earnings. While it won’t be pretty, you have to think long term. Earnings season is here, and I am afraid it will not be very pretty. Unfortunately, it has not been pretty for a while, but we can always hope. Six companies will be reporting second quarter earnings over the next 48 hours. Everyone is trying to put as good a face on it as they can, especially since we all know that at some point in the future, it will get better. The questions are when, which sectors will start improving first, and how much better will it get? The thing I have a hard time reconciling is that there is still plenty of equity capital out... Read More »
Are SNFs About To Go Out Of Business?

You Can’t Make This Up

California’s nursing home inspectors aren’t being tested for COVID-19. Say what? Nursing homes have been vilified in the media for the number of deaths in their facilities due to the coronavirus. Yes, infection control protocols were not up to snuff at many of them, and certainly not for this virus. But when asymptomatic staff and visitors arrive and unknowingly infect the residents, well, there was not much you could do about it, especially in the early months of the pandemic. Testing has been crucial, as we have all learned. But then we come to find out there was one group that somehow didn’t get the memo. Apparently, the state health inspectors who are visiting all of the... Read More »
Are SNFs About To Go Out Of Business?

Pandemic-Driven Change in Senior Care

This pandemic is lasting longer than some people hoped for, and the longer it does, the greater likelihood of more change. I remember in April talking to a few industry professionals (you know who you are) who thought this “coronavirus thing” would be mostly history by July. So did President Trump. The problem is, hope is never a good business plan. I took the unpopular opinion back then that it was going to be a long, tough slog for the industry. I wish I had been wrong. Because of the pandemic, there have been all sorts of news stories about what is going to happen to the nursing home business. No one can predict the future, not even me. The reality is, however, that the number of beds... Read More »
Are SNFs About To Go Out Of Business?

What’s Wrong with Whistleblower Lawsuits

Consulate Health Care will have to defend itself again over a 2017 judgment. Three years ago, after a 22-day trial, a jury issued a $347.8 million judgment against Consulate Health Care, Florida’s largest nursing home chain. A year later it was overturned. Now, an Appeals court partially reversed the judgment, lowering it to $255 million. While a huge drop, it is still meaningless, because it will never be paid. Consulate was accused of upcoding therapy billing at a few of its nursing facilities. Except that at the time, these facilities were apparently operated by a different company that subsequently purchased Consulate and took on its name. I hate to say it,... Read More »