• West Coast and Northeast Skilled Nursing Facilities Sell

    Walker & Dunlop’s Gideon Orion has announced several recent skilled nursing sales on the West Coast and the Northeast. First, he teamed up with Tony Cassie to sell a 69-bed skilled nursing facility in Bellevue, Washington, on behalf of a family office seller. The facility could use some operational improvements. An undisclosed buyer paid... Read More »
  • Investor Acquires Community Out of Receivership  

    Fortress Investment Group acquired an assisted living/memory care community in Palm Coast, Florida, in a court-approved sale process. Built in 2018 just a mile from the Atlantic Ocean, the community features 130 units on an 11.4-acre site. There are 86 assisted living units and 22 memory care units, along with 22 “enhanced” assisted living... Read More »
  • Seniors Housing Deals Close Across Several Markets

    Coming off of a successful 2025 with 32 separate transaction closings totaling more than $900 million in volume, the Walker & Dunlop investment sales team is off to a strong start in 2026 with a number of seniors housing and healthcare real estate transactions closed in the first quarter, so far. The deals spanned several markets, and the... Read More »
  • Selectis Health Divests Two SNFs to Journey

    Selectis Health is selling two skilled nursing facilities in Georgia to the skilled nursing operator Journey. The deal included the 101-bed Glen Eagle Healthcare in Abbeville and the 100-bed Rehab and Eastman Healthcare and Rehab in Eastman. Journey-affiliated entities will purchase the pair for $15.7 million, or $78,100 per bed, subject to... Read More »
  • Sonida Closes CNL Acquisition, Reports Q4 Results

    On the same day as fourth quarter and year-end 2025 financial results were announced, Sonida Senior Living closed on its previously announced acquisition of CNL Healthcare Properties (CNL). The transaction value was approximately $1.8 billion and included a combination of cash (32%) and stock (68%). Because Sonida’s share price had risen above... Read More »
Therapy and PDPM

Therapy and PDPM

We are now one week into the new PDPM reimbursement system, and already therapist layoffs have begun. Well, we are just one week into the new Patient-Driven Payment Model (PDPM) for Medicare reimbursement for skilled nursing facilities, and already the therapist layoffs have begun. Why? Because providers are no longer paid for the amount of therapy they provide patients. The new payments will be based on patient needs, especially for higher acuity patients. So, here is my question. If the patient profile has not changed from September to October, why were patients provided with a certain number of therapy hours in September if they actually did not need that much therapy, or if the extra... Read More »
Therapy and PDPM

Seniors Housing And NIMBY

When NIMBYism hits home, and in my mailbox. I put some mail in my mailbox at home this morning (yes, I still use the USPS), and overnight someone slipped a “Dear Neighbors” letter in the box. It wanted to make us aware of a “massive” new development planned just two blocks from the downtown area of town. And what is the plan? A CCRC, which is something our growing elderly population has been clamoring for for a few decades. It is sponsored by the local not-for-profit that already has a skilled nursing facility and a small IL community, which is really assisted living “lite.” But there has never been anything like a CCRC, which is what many of the elderly want. Large units, services,... Read More »
Therapy and PDPM

Acquisition Market Remains Strong

Transaction volume is still running ahead of last year’s record, fueled by liquidity and low interest rates. As of yesterday, seniors housing and care acquisition volume was still running ahead of last year’s record-setting pace. We are well over 300 transactions so far in 2019, and September is already looking to beat last year’s September, with several days to go. The question still remains, how long can this go on? The simple answer is as long as liquidity in the market remains at current levels. And that liquidity will remain as long as returns stay higher than alternative investments. They have, and low interest rates have not hurt.  The other question is, when will the slow... Read More »
Therapy and PDPM

2019 NIC Takeaways

The record crowd of 3,300 attendees were mostly positive about the market despite the headwinds. After spending four days last week in Chicago with my 3,300 best friends, my one big takeaway is the continued positivity that brought a record crowd to NIC. Not everyone was positive, but more capital keeps coming into the sector for a reason, even though returns have softened.  One topic that kept on coming up was that new development is beginning to slow. But what many people forget is that a national statistic has little meaning for a particular market. Some areas are slowing down because they got way overbuilt, but others keep on chugging along, like Sarasota, Florida, despite the... Read More »
Therapy and PDPM

Welcome To NIC

As more than 3,000 people descend on NIC in Chicago this week, we hope talk will also focus on operations and ideas and not just investments. Good luck with that one. If you can believe it, this is my 29th consecutive Fall NIC Conference. There may be 15 of us who can claim that. But boy has it changed from the days they were trying to educate capital so money would be invested in senior living. Today, there is certainly no shortage of capital. While NIC is known as a deal-making conference, there should be a lot of other things on attendees’ minds. Are they talking about affordable senior living? What about penetration rates, which seem to have stalled in the 10% to 11% range? We assume... Read More »
Therapy and PDPM

Growing Old in America

Instead of nursing facilities, a New York Times article goes after assisted living. As many of you are aware by now, there was a not too complimentary op-ed article last Sunday in the New York Times called “How Not to Grow Old in America.” The bottom line, according to the author, is that assisted living is not the answer for our elderly. One can argue about some statements and characterizations in the article, as ASHA did in a response to the paper, but at least one central theme is something I have been saying for a while. And that is, we are putting too much money into the physical plant and not enough into staffing and training. It’s kind of like golf, where you drive for show and putt... Read More »