• 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 »
Doom and Gloom for SNFs?

Doom and Gloom for SNFs?

Skilled nursing facilities are closing at an alarming rate, so should we be worried about a shortage of beds in 10 years? There have been a lot of reports in the media recently about skilled nursing facilities closing down, just shutting their doors, and this is not just in rural areas. Low Medicaid rates have been blamed for this, and in many states, reimbursement levels have not even come close to keeping up with wage inflation, not to mention other costs. And this is 10 years into our economic recovery. Imagine what will happen during the next recession when state tax receipts decline. But there is something else going on as well. Skilled nursing occupancy rates have been trending down... Read More »
Five Star Finally Restructures With Landlord

Five Star Finally Restructures With Landlord

Five Star Senior Living and Seniors Housing Properties Trust announce a dramatic restructuring of their relationship, and all shareholders seem to lose, at least for now. Five months after Five Star Senior Living issued its “going concern” announcement, the financially troubled company finally came to an agreement with its landlord, Senior Housing Properties Trust, to restructure its leases. Looking at the terms, it appears that both companies had a gun to their heads, as there really do not appear to be any winners here. Five Star will have the leases convert to a management contract by the end of this year, with reduced rents in the meantime, which obviously gives them a cash flow break,... Read More »
Five Star Finally Restructures With Landlord

Strong M&A Activity Continues

As we head to the end of the first quarter, seniors housing and care M&A activity may reach 100 transactions for the fourth consecutive quarter. I should no longer be amazed by how strong the seniors housing and care M&A market remains, given all the headwinds we hear about all the time. From the public companies, Capital Senior Living’s stock took another tumble last week and Five Star Senior Living continues to struggle, but may soon get some rent relief. Nevertheless, buyers keep on snapping up senior living and skilled nursing properties. We are approaching the end of the first quarter, and that often means a fair amount of deal announcements the last week. Before we get those,... Read More »
Five Star Finally Restructures With Landlord

Genesis Occupancy Stabilizes, Finally

After several years of declining occupancy, operations seem to be stabilizing at the largest skilled nursing provider in the country. It has not been an easy past few years for Genesis Healthcare, or for the entire skilled nursing sector. But we always thought there would be some light at the end of the tunnel, and that nursing facilities would not go away, despite predictions of that for two or three decades. Genesis had seen its occupancy decline pretty steadily for several years. But in the 2018 fourth quarter, census actually increased by 90 basis points from the year-ago quarter, to 85.6% based on operating beds. Genesis also posted sequential and same-facility increases. The company... Read More »
Five Star Finally Restructures With Landlord

Capital Senior Living Jumps

After plunging to a low of $3.82 per share after fourth quarter earnings were released, shares of Capital Senior Living are showing some bounce. We are sure the market has noticed that the C-Suite has been buying. The price is now up 26% in less than a week. Timing is everything, and the CEO added to her holdings with the purchase of 10,000 shares at $3.954 on March 7 and the CFO 5,135 shares at $3.886 the next day. Even two directors added to their holdings at the same time. I guess they all thought enough was enough. Investors always want to see insiders making purchases, especially on the price downturn, which demonstrates confidence in future performance.   Activist investor Cove... Read More »
Five Star Finally Restructures With Landlord

The Closing of Rural Nursing Homes

The New York Times recently wrote about the problems rural nursing facilities are having, but didn’t report on my solution. If you happened to see the front-page article in the New York Times this past Monday on the shuttering of rural nursing homes, you might be surprised that I spent more than 20 minutes on the phone with the reporter talking about some good ideas. Instead, he chose a flippant quote which really had nothing to do with the story. I spent my time trying to educate him about the industry, and then explained my solution to the problem. My solution was to turn these facilities into the central healthcare provider for the county, or a tri-county area, if they are very... Read More »