• Strawberry Fields REIT’s 2025 Growth

    Strawberry Fields REIT reported its 2025 operating results, noting that it was the best year since its inception more than 10 year ago. The company posted significant increases in FFO and AFFO, and it completed more than $110 million in several new acquisitions. Its portfolio now includes 131 skilled nursing facilities, 10 assisted living... Read More »
  • Owner/Operator Exits SNF Sector

    An independent owner/operator exited the skilled nursing sector through its divestment of Sunrise Country Manor, which has 80 beds in Milford, Nebraska, and features a mix of private and semi-private units. It maintained an 83% occupancy rate at the time of the sale. A regional operator looking to expand its footprint in Nebraska acquired the... Read More »
  • Assisted Living Providers Join Forces 

    Majestic Residences recently expanded its footprint, adding 17 assisted living communities and six in active development, through its acquisition of Avendelle Senior Living. Avendelle will be integrated into the Majestic Residences platform, with Avendelle’s corporate team retained. The combined organization will operate under the Majestic... Read More »
  • Investor Secures Financing and Acquires Class-A Community

    BWE’s Seniors Housing Capital Markets Team sold and financed The Capstone at Station Camp, which sits in the Nashville, Tennessee MSA. Built in 2021, the Class-A assisted living and memory care community comprises 100 units in Gallatin. It is operated by TerraBella Senior Living.  BWE represented the seller, Hunt Midwest. The buyer was a... Read More »
  • Multiple SNFs Sell in Separate Transactions

    A large skilled nursing company sold its 181-bed skilled nursing facility to a private investment firm based in New York, exiting South Carolina in the process. The buyer had an existing skilled nursing footprint, and will be leasing this facility to a regional operator. The building was older, built in the 1980s, and was around 80% occupied at... Read More »
Reflections on NIC Conference

Reflections on NIC Conference

Change is coming, and while some people will be prepared for it, others will struggle. With a record turnout at last week’s NIC Conference, we wanted to see what the mood was, and whether there was any primary theme. The mood was decent, perhaps not as upbeat as in years past, but it really depended on whom you asked. The old-timers are a bit nervous, the newcomers more bullish. On the skilled nursing side, going from fee for service payments to bundled payments and ACOs is going to be more painful than many believe it will be, and could result in many small providers hanging it up and selling. It will not cause the value disruption that came after the PPS change to Medicare in the late... Read More »
Reflections on NIC Conference

Welcome to NIC

As we all descend upon D.C., please take some time to stop and chat with us at the conference. So, the 26th annual NIC Conference is upon us. I wonder what the big topic will be this year, if any. In years past there have been exciting developments right before or during the conference, such as Sunrise Senior Living’s share price plunging, or Formation Capital’s billion dollar plus sale of SNFs to GE, or last year the spin-off of skilled nursing assets by Ventas into a new REIT. Will people be talking about Welltower’s billion-dollar acquisition of Vintage Senior Living? Or will it be the upcoming skilled nursing spin-off by HCP? Whatever it is, we will be listening and trying to discern... Read More »
Reflections on NIC Conference

Home Healthcare Is Not The Answer

Costs are rising everywhere, putting increased pressure on seniors’ choices. So, what’s happening in the home healthcare world? On the one hand, you have CMS cutting Medicare payments, with MedPAC suggesting the cuts should be even higher. In addition, wages rates are rising, and home care workers in Washington state have won a $16 per hour wage in the future. On the other hand, new home healthcare startups are raising a lot of money, including $42 million earlier this month by California-based Honor, which is expanding into Texas. And then we read about a small home health provider in California who decided to get into the seniors housing business because home health has become too... Read More »
Reflections on NIC Conference

No Summer Vacation From Deal Flow

August used to be the month for vacations, but for some, not this year. August is supposed to be a sleepy month. But as soon as I left on a summer vacation, the biggest deal of the year was announced, and we had a series of uneven earnings reports from the few remaining public companies. The large acquisition by Welltower was a bit of a surprise because we thought that deal had died late last year. And it did, a few times. And with a sub-6% in-place cap rate with occupancy for the portfolio so low, Welltower is obviously counting on a change in management to spruce up the cash flow. Great locations yes, but we thought the Big Three were taking a break from the high-priced portfolios. I... Read More »
Reflections on NIC Conference

Five Star and Senior Star… Again

Oh boy, here we go again. Bill and Bob Thomas have sent another letter to shareholders of Five Star Quality Care, of which they own about 3.4 million shares, or 6.8% of the company. As shareholders, they are glad that management realized that they had some valuable assets, the full value of which is not reflected in the share value. It rarely is. But, as we pointed out a few months ago when Five Star sold a few assets for a big price, and a big gain, with seven properties worth more than the market cap of the entire company, they are also subjecting themselves to a big lease payment liability, which will cut into cash flow. As shareholders, this is not making the Thomas brothers happy.... Read More »