• 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 »

Medicaid Managed Care Coming To You

May 19, 2015. 60 Seconds with Steve Monroe. The skilled nursing community had better get ready for the managed care tsunami… Is now the time to talk about Medicaid managed care? When managed care first entered the skilled nursing world, it was viewed as somewhere between private pay and Medicaid, but closer to the former in terms of daily rates. But that was in its infancy, and that was not involving Medicaid managed care plans. States are getting slammed with the expansion of Medicaid enrollees, and when the federal government’s commitment to cover the additional costs begins to decrease next year, watch out. The managed care companies will be very different from state Medicaid... Read More »

Brookdale Occupancy Declined As Expected

Brookdale Senior Living was no different from the rest of the market, posting sharp drops in first quarter occupancy. When we wrote the May issue of The SeniorCare Investor, we had to make some assumptions before Brookdale Senior Living announced its first quarter earnings. One assumption was that its occupancy rates had dropped given everything else we had heard in the market. Our assumptions were right. The legacy Emeritus properties posted a 110 basis point decline from the fourth quarter of 2014, and a whopping 200 basis point decline from a year ago. The legacy Brookdale properties dropped 80 basis points sequentially and 110 basis points from a year ago. This was not good news, but... Read More »

REIT Shares Under Pressure Again

Rising interest rates are sending health care REIT shares down, but will it last? The timing could not be worse. What am I talking about? The recent rise in interest rates and its impact on REIT share values, not to mention looming acquisitions. The 10-year Treasury rate hit a low of 1.65% in February, which most people did not think was sustainable. It has now risen by a third, or 55 basis points, to 2.20%. That is a huge percentage change in rates, even though still quite low from an historical perspective and much lower than the jump in the spring of 2013 that sent REIT share prices plunging by 25%, which was a big overreaction. Easy for me to say. But with the recent rise in rates,... Read More »

Brookdale May Be One Step Closer

With two new board members and some corporate governance changes, Brookdale Senior Living seems to be heading on the path of a major real estate event. What can I say, management at Brookdale Senior Living seems to be going down a path that I recommended they not take. Imagine that. Rather than have a public shareholder fight, they have added two new board members with some serious real estate experience, which is what activist investor Sandell Management wanted. The share price, however, closed early this week at its lowest level since March 6. Hmmm. We know that management and the board are supposed to make decisions to enhance shareholder value. I get it. But here is the problem. What... Read More »

Skilled Nursing M&A In 2015

After the record-setting valuations in 2014, the skilled nursing acquisition market is already off to a strong start. After the skilled nursing market hit a record for the average price per bed for the second year in a row last year, I wasn’t too sure what to expect for 2015. So far, I have not been disappointed, as buying interest continues to be relatively strong, especially at the higher price points. In 2014, there were 19 transactions with a price above $100,000 per bed. So far this year, there have been four sales with a range between $132,000 and $189,000 per bed. On the lower end of the scale, there have been just three transactions below $40,000 per bed, which either means the... Read More »

The Ventas Spin-off Has People Talking

Here are differing opinions as to what motivated Ventas to spin out most of its skilled nursing portfolio. There has been a lot of talk about the recent announcement by Ventas to spin out most of its skilled nursing properties into a new publicly traded REIT. In our April newsletter issue, we stated that it was a smart move for Ventas, and a great move for Ray Lewis, who will become CEO of the new spin out. But tongues have been wagging in terms of whether this was a defensive move on the part of Ventas, meaning that management has decided that the skilled nursing business is not something they want to focus on, at least not with small operators in their portfolio. Or, was it an offensive... Read More »