• 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 »

Assisted Living “Lite” Or Not

Whether you think you operate your assisted living community under a hospitality model or a healthcare model, there will only be more health care in the future. Recently, there have been some stories in the senior care media about the hospitality model for assisted living compared with the healthcare model. That was a big debate in the late 1990s when 20 assisted living companies went public as some companies didn’t want to be labeled as “healthcare” companies, with all the regulatory and reimbursement baggage that comes with it. Some preferred to call the hospitality model “assisted living lite.” In fact, the founder of Sunrise Senior Living was famously quoted as saying Sunrise did not... Read More »

Time To Move Forward

Activist shareholders can distract management from focusing on growth and cash flow, and maybe Brookdale and Capital Senior Living can move forward in peace. Don’t you just hate distractions. Andy Smith at Brookdale has had to deal with a bunch of activist shareholders for the past year while trying to right his ship. Larry Cohen of Capital Senior Living had his activist several years ago, who then went on his board and became aligned with management’s goals. In round two this year, he has come to agreement with another one, Lucas Advisors, known by some as the trust fund baby hedge fund. Capital has agreed to appoint a new independent Board member, consulting with Lucas on the... Read More »

Senior Care Investment Rebound

After a dismal first six weeks this year, stocks have rebounded in a big way. Many of you know that I have been talking and writing about the change in investor sentiment that was taking place from late last year and into 2016. It really culminated in mid-February when pretty much all the senior care provider stocks and REITs collapsed to their new lows. It was all rather depressing, but also counterintuitive because things were not all that bad at the time. Sure, there was some negative news, but the overreaction in the market was just plain astounding. Many people thought it represented a major buying opportunity, even though they were still nervous and wondered if we were really at the... Read More »

The Elderly Deserve Better

The presidential candidates are ignoring the real problems, and people should be sick of it. I don’t know about you, but I am getting very irritated at this election. And not just because my guy did not win much of anything on Super Tuesday. I am sick of hearing about spray tans, goofy hair, liars, small hands, short stature, building walls paid for by someone else, tax returns…..is that enough? I really wonder, where have all the grownups gone? Although I don’t agree with him on everything, at least John Kasich is being mature about the issues and his opponents. But one thing is missing from him and all the other candidates. When was the last time you heard them talk about the elderly... Read More »

Public-Private Market Disconnect Continues

Record prices again for skilled nursing facilities in 2015, while some of the larger players still struggle. You know I have been talking about the disconnect in the public equity markets for a few months. Some of the largest skilled nursing companies have seen a rough patch recently, and rougher for some than others. One would think that this would also translate into the acquisition market, where buyers might become more conservative as Medicare lengths of stay shorten amid reimbursement pressure, especially with Medicare Advantage plans. But no, the skilled nursing acquisition market is as strong as ever. After setting a record in 2014, the average price per bed soared again in 2015 to... Read More »

Senior Care Valuation Market Weirdness

Asset valuations are out of whack amid continued investor appetite for properties but not companies. I will be honest, sometimes I just don’t get it. I know some of you think I do, but the level of weirdness out there is greater than I have seen in my 30 years covering this sector. In today’s world, you have a group of investors that will pay a publicly traded company $325 million for their owned properties, but the entire company, including the owned properties, has a market value of only $100 million. Healthcare REITs, the most efficient buyers and owners of real estate, are trading at yields that would make a junk bond salesman blush, even though in most cases they have a lot of good... Read More »