• Berkadia Announces 2025 Activity and Latest Deal

    Berkadia recorded another successful year, with more than $2 billion in mortgage banking closings for the second consecutive year. In 2025, Berkadia’s financings were spread across 123 properties including active adult, independent living, assisted living, memory care and skilled nursing communities. Multiple lending sources were utilized, such... Read More »
  • Bank Closes Refinance and Acquisition Financing

    Coastal States Bank announced that it recently closed $9 million in financing to refinance a 60-unit purpose-built memory care community near Centerville, Ohio, and to acquire a 53-unit memory care community in Creve Coeur, Missouri. Following the closing, the sponsor’s affiliated management company, Kauhale Healthcare Management, began managing... Read More »
  • SLIB Sells Ohio Assisted Living Portfolio

    Jeff Binder and Ryan Saul of Senior Living Investment Brokerage sold a portfolio of three seniors housing communities in Ohio. Built between 1987 and 2009, the three buildings consist of 314 total units. They were in receivership. Working on behalf of the out-of-state owner, which has other seniors housing communities throughout Ohio, SLIB... Read More »
  • AHR’s New Interim CEO

    American Healthcare REIT, Inc.’s Chief Executive Officer and President, Danny Prosky, has taken a medical leave of absence, effective February 3, 2026, due to a recent medical event. So, the Company’s Board of Directors appointed Jeffrey T. Hanson, the Chairman of the company’s Board, to serve as Interim CEO and President, effective... Read More »
  • NHI Acquires Nine Communities

    National Health Investors made a large SHOP purchase, adding nine communities consisting of 460 total units across Kentucky, South Carolina and Tennessee. The properties will be managed by Allegro Living Management, an affiliate of Spring Arbor Management. NHI has an existing relationship with Spring Arbor totaling approximately $227 million in... Read More »

60 Seconds With Steve Monroe: The Biden Administration Does It Again

The new requirement issued by the Biden Administration to force all nursing home workers to be vaccinated by late September, or else the facility will lose all Medicaid and Medicare funding, has unintended consequences that even a moron could see. The rationale was to “level the playing field,” by which I assume they mean preventing workers from leaving one facility with a vaccine mandate policy for another that does not have one. So gee, make all employees get vaccinated or the facility loses 90% of its revenue sources. If they don’t have staff, they can’t take care of people anyway. The problem is that by picking on nursing homes, the employees who don’t want to get jabbed can go work... Read More »
A CMS Study Not “Common Sense” Checked

A CMS Study Not “Common Sense” Checked

Last week the Centers for Medicare and Medicaid Services released a study comparing Medicare beneficiaries in nursing homes (about 1.4 million of them) to those Medicare beneficiaries in the general community at large (60.6 million) between March and December of 2020. They were trying to see if there was a difference between the two groups in terms of becoming infected with COVID-19, hospitalized as a result, and then death from it.  One article about the story was titled “Medicare nursing home residents more likely to be diagnosed, hospitalized and die from COVID-19 than beneficiaries not in facilities.” Thank you, Captain Obvious. And surprisingly, this did not come from The New York... Read More »

Cap Senior Shareholder Battle Continues

At this point, all we can say is that there have been a lot of pissed off shareholders of Capital Senior Living, and not just this year. It goes back several years when the stock price was just over $27 ($416 in today’s post-split equivalent price) and the market was riding high in general. Shareholders thought management and the board should take advantage of the environment and sell. The rest, of course, is history. Companies were being sold at premium values, such as the sale of Emeritus to Brookdale Senior Living (which never should have happened). And later on, the 49% interest in Enlivant sold to Sabra Health Care REIT nearly $200,000 per unit. Cap Senior’s assets were much better.... Read More »
High-End Medicaid Assisted Living

High-End Medicaid Assisted Living

More than 25 years ago, when private-pay assisted living burst on the scene, there was a large percentage of nursing home residents that had no other choice in their local communities, but had the financial resources to pay out-of-pocket. Many of them turned to assisted living. For those on Medicaid, the choices were slim.  We have long advocated that states could save money with their Medicaid-funded residents if Medicaid covered more assisted living for those who truly can’t afford any private pay living arrangement, especially those needing any kind of nursing care. The fear, of course, was that the Medicaid pie would expand as opposed to merely shifting where the money... Read More »
Capital Senior Living Corrects Earnings Statement

Capital Senior Living Corrects Earnings Statement

Early today, Capital Senior Living announced revisions to its second quarter earnings report, most likely as a result of our reporting last Friday of the very misleading error, as well as management’s denial of any reporting issue during the earnings call. No one else caught the mistake, and it was not an insignificant one.  In today’s release, they called it an “inconsistency” in the preparation of the supplemental information with regard to operating expenses and operating margin. As a result, the operating margin for the second quarter was 21.5% and not 28.7% as was originally reported. The originally reported 860-basis point sequential increase in operating margin should... Read More »
A CMS Study Not “Common Sense” Checked

Capital Senior Living, Mixed Messages

Capital Senior Living released its second quarter earnings yesterday, and there was some good news with the bad. On the good news front, occupancy has increased from the February low of 75.3% to 81.8% at the end of July, for a whopping 650 basis point increase. That is among the best we have heard in the industry. Some of the increase came from discounting early on in the recovery, and management said these incentives have begun to decline.  The bad news on the occupancy front is that the rate of increase has significantly slowed. April saw a 143-basis point increase, followed by 134 bps in May, and then slowed to 85 in June and a paltry 25 in July. Now, as we have statistically... Read More »