• 60 Seconds with Swett: Sticks and Bricks in ’26?

    The talk around new development is getting a lot more serious in the seniors housing industry, leading us to wonder if our 2024 prediction of “Sticks and Bricks in ‘26” may actually come true, somewhat. Back then, we may have thought that interest rates would have come down a bit more by now, but that the FOMO of getting involved in seniors... Read More »
  • Wyoming SNF Sale Sets New State Record

    There was a new record set for skilled nursing pricing in the state of Wyoming with the sale of Big Horn Rehabilitation and Care Center in Sheridan. Built in the 1960s, the facility features 128 beds and was 61% occupied. It was owned by a regional operator that was looking to recycle capital.  Before the marketing process, Evans Senior... Read More »
  • Owner/Operator Acquires Facility Out of Bankruptcy

    A senior care facility in Worcester, Massachusetts, sold as part of a bankruptcy process with the help of Patrick Burke and Toby Siefert of Senior Living Investment Brokerage. Built in 1970, Donna Kay Rest Home features 60 licensed beds in 31 units, providing a higher level of care and supervision than assisted living but at a lesser acuity than... Read More »
  • Civitas Sells Community to Clarion

    Hap Knowles and Nick Stahler of the Knapp-Stahler Group at Institutional Property Advisors announced that they led the sale of a seniors housing community in the Phoenix, Arizona MSA, to the fast-growing real estate investment firm Clarion Partners. The deal appears to be The Retreat at Alameda, a 110-unit assisted living/memory care community in... Read More »
  • Blueprint Handles Recapitalization

    Blueprint handled the recapitalization of Forest Hills Commons, a 2017-developed, 119-unit assisted living/memory care community in the Louisville, Kentucky MSA. A Louisville-based senior living owner/operator/developer engaged Blueprint in the third quarter of 2025 to begin the process. The asset demonstrated strong in-place performance and... Read More »
PDPM and Skilled Nursing: Profit or Peril?

PDPM and Skilled Nursing: Profit or Peril?

We attended the 2019 Zimmet Healthcare Seminar: The Theory of Reimbursementivity in Atlantic City a couple of weeks ago, and let’s just say the mood was…cautiously optimistic. Most of you have seen the numbers. CMS proposed a 2.8% increase to the Medicare market basket rate in the final rule, resulting in $851 million more in payments for nursing facilities in the coming fiscal year, which begins in just five weeks on October 1. Well-operating SNFs should see a healthy revenue bump under PDPM, or Patient Driven Payment Model. But there’s a key word there: “should.” A big takeaway from the Zimmet conference is that, the industry won’t really know the real impact of PDPM until it is actually... Read More »
Is Alaska’s Problem A Look At Our Future?

Is Alaska’s Problem A Look At Our Future?

Cuts to Alaska’s elderly funding was front-page news recently. I figured it was fate when, on my first day on vacation in Alaska last week, the headline of the major newspaper talked about the elimination of senior benefits. Then, in the hotel lobby was a separate publication, Senior Voice, and a story about the ABCs of selecting an assisted living “home.” Let’s just say, I felt right at home. That lead story told how more than 13,000 Alaskan seniors would be losing a monthly benefit check of just under $200, with the governor vetoing a plan to restore it with just three days’ notice. Sounds like chump change, until you consider that many of these people relied on that and a social... Read More »
Is Alaska’s Problem A Look At Our Future?

The Skilled Nursing Rebound

Average prices per bed ticked up over the past four quarters, and Genesis Healthcare posted better results. In this month’s SeniorCare Investor, I talked about the recent rise in the average price per bed for skilled nursing facilities for the most recent trailing four quarters. A small rise, but up nonetheless. Perhaps the start of a SNF rebound. And then Genesis Healthcare reported its second quarter results, and while they still have a ways to go, they too have seen some improvement. Small, but we will take it. Compared with the year-ago quarter, occupancy was up 250 basis points to 86.6% and the EBITDAR margin was up 79 basis points to 13.6%. Now, some of this improvement most likely... Read More »
Brookdale and Capital Senior Living Earnings Disappoint

Brookdale and Capital Senior Living Earnings Disappoint

We are not sure why investors continue to think there may be some break-through news every quarter when the big seniors housing companies report earnings. This has been, and is going to continue to be, a slog to get through the mess created by too much development exacerbated by labor problems. Brookdale Senior Living’s management put a positive spin on the quarter, such as associate turnover improving by 5% compared with last year, and same-community move-ins showing positive year-over-year growth. That is all good news, but it will not be enough to pacify shareholders who want to see much more to move the valuation needle. And while some categories of occupancy showed improvement, such... Read More »
Is Alaska’s Problem A Look At Our Future?

The Great Development Slowdown

Everyone is talking about development slowing down, but over development is just part of the problem. We have been hearing it for a few months: seniors housing development is slowing down, based on fewer new construction starts. We have heard it from NIC MAP, from HCVenTower, and now Brookdale Senior Living. They are all saying that in many of their markets, they are seeing light at the end of the over-development tunnel. Maybe. It is one thing if new starts are declining, but it is quite another to fill the current empty units plus the new supply that is currently opening, and going to open. Let’s just say, we are not out of the woods yet, and census is only one part of the problem. Not... Read More »
Is Alaska’s Problem A Look At Our Future?

Land and Buildings Strikes Again

Still trying to get two board nominees, Land and Buildings steps up its criticism and need for change. Well, well, well. Jonathan Litt of Land and Buildings is at it again, this time with a six-page letter to Brookdale Senior Living shareholders, eviscerating Brookdale’s management and board, past and present, for the company’s severe underperformance over the past 10 years. So, what else is new? Look, management and much of the board has changed and the only ones who can be blamed for the disastrous Emeritus acquisition are the old management, the former board and perhaps their advisors, who should have known better.  Highlighted in his letter was the underperformance of Brookdale... Read More »