• Evans Arranges New SNF Lease

    Evans Senior Investments arranged a new lease for a skilled nursing facility in Denver, Colorado, securing a 293% increase in rent on a per-bed, per-month basis in the process. At the time of marketing, the facility was 62% occupied with minimal Medicare Part A referrals. However, the 1960s-built facility has 16 private units and is proximate to... Read More »
  • Cross River Bank Closes Large Acquisition Loan

    Cross River Bank recently closed a large acquisition loan for a portfolio of seven skilled nursing facilities and one assisted living community in Georgia, Tennessee and Missouri. Raina Yoo was the Loan Officer on the transaction. The portfolio features a total of 1,339 licensed beds, and occupancy stood at 88%, overall.  Read More »
  • Local Operator Closes Lease-to-Purchase Deal

    A skilled nursing facility in Mississippi faced a time-sensitive CHOW with frozen Medicaid rates under appeal after the outgoing operator was planning to leave before the ownership transfer occurred, posing meaningful risk to the facility’s financial performance and operational continuity. The facility was older and around 50% occupied at the... Read More »
  • Mainstay Senior Living Grows in Georgia

    Mainstay Senior Living acquired two seniors housing communities in Savannah, Georgia. The properties are located about five miles apart from each other. Grace Manor Savannah was built in 1997, while Habersham Manor was built in the late-1980s. They feature a total of 143 assisted living and memory care units. Florida-based Mainstay now has 46... Read More »
  • Private Equity Firm Divests Portfolio to Chicago Investor

    Trinity Investors, a Texas-based private equity firm, sold a 224-unit portfolio of three seniors housing communities in Alabama that it acquired in tranches between 2022 and 2023 with a regional owner/operator. After the portfolio stabilized and capital was injected into the communities, Trinity recapitalized the venture in March 2025 with... Read More »
Senior Care Staffing Woes Continue

Senior Care Staffing Woes Continue

Too many stories about employee theft and abuse, and Medicaid and Medicare fraud, cloud the senior care industry’s future. I don’t know about you, but I am always surprised by how many stories I read about employee theft in senior care communities, Medicaid and Medicare fraud by skilled nursing owners, assaults by employees on residents who they are supposed to take care of. What is it about this industry that seems to attract people with, well, less than good intentions? On the fraud side, there is one answer, of course, and that is greed. The problem, however, is that some of these people get caught, and then come back under a different name or using a front LLC and start all over... Read More »
Senior Care Staffing Woes Continue

March Madness and Washington Madness

While March Madness for basketball may be over, the madness in Washington with healthcare reform and Medicaid block grants may be just beginning. First of all, although I am not a gambler, and do not like to speculate in stocks, I do love to fill in my brackets for March Madness. And I have been participating in Randy Bufford’s Trilogy Health Services Madness group for about 10 years now. And….this year I came in fourth out of 695 participants, my second top five finish in 10 years. That’s the good news. The other good news is that, although we were subject to quite a bit of dysfunction in Washington two weeks ago, it looks like the skilled nursing industry has been spared the chaos that... Read More »
Senior Care Staffing Woes Continue

Record Skilled Nursing Prices Have Peaked

After setting record prices for four straight years, the 2016 record price may have some staying power. As you know, the average price per bed for skilled nursing facilities hit a record in 2016 for the fourth year in a row. The number of properties selling for more than $100,000 per bed, which used to be reserved for only the very best facilities, also hit a record. I hate to be the bearer of bad news, but I believe last year’s record average price may have some staying power. As I said last week, I have been accused of being Mr. Doom and Gloom, but realistically, when looking at the landscape, there is little positive that would push prices higher. Medicare Advantage is pushing down... Read More »
Senior Care Staffing Woes Continue

Seniors Housing Sentiment on Eve of NIC Conference

As we ready ourselves for attending the NIC Conference, it should be interesting from a sentiment perspective. Good morning San Diego! For those of you attending the NIC Conference I hope to be able to chat a little with you, maybe later tonight or Thursday night. You know where to find me. This will be an interesting conference from a sentiment perspective. Are people still on a high from some of the record pricing in the acquisition market of the past few years? Or will we be seeing continued caution from those worried about occupancy, labor, rising interest rates and the new community openings this year? The party is definitely not over, but if you were to balance out the positives with... Read More »
Senior Care Staffing Woes Continue

Senior Care And Labor

No talking about deals, values, stock prices and cap rates, not even Brookdale Senior Living. It’s time to talk labor. I know you usually hear me talking about deals, values, stock prices and cap rates, and let’s not forget Brookdale Senior Living. But I am going to digress a bit from the usual. The entire seniors housing and care business seems to be avoiding what I really believe is going to be a labor meltdown. Cost is one thing, and it is already impacting the bottom line of many providers. But the quality, the training, or lack of, is just something that I think is still missing, and it will begin to poke holes into the marketing pitch for seniors housing and care. For all of... Read More »
Senior Care Staffing Woes Continue

Ventas Not interested in Brookdale, but Diversicare Soars

We may never know if Ventas was really interested in buying Brookdale Senior Living, but it made little sense. We may never know if Ventas was really interested in buying Brookdale Senior Living, but it was just something we did not think made any sense, so we are glad they publicly said they are not pursuing it. The only thing that made possible sense was to buy a 100 or so properties. But again, would it really be worth it? I still think there are suitors sniffing around, but not at prices that will get shareholders excited. Unless a Chinese investor really wants a large toehold in the U.S. Moving on, have you noticed what has been happening with Diversicare Health Services? Late last... Read More »