• Brookdale Boosts Short Term Stability

    Brookdale Senior Living completed a series of financing transactions totaling approximately $600 million that refinanced all of its remaining 2026 mortgage debt and maturities, around $350 million, and a portion of 2027 mortgage debt maturities, approximately $200 million. The company also secured more fixed-rate debt, helping to cut rate risk.... Read More »
  • Ikaria Announces $1 Billion in Q4 Volume

    Ikaria Capital Group closed out a successful 2025, announcing several significant transactions in the fourth quarter that exceeded $1 billion in volume. The activity comprises financings in the seniors housing, skilled nursing and behavioral health sectors across multiple states and borrowers.  The largest deal was a $595.5 million senior... Read More »
  • PE Group Enters Oklahoma after Medicaid Rate Bump

    A skilled nursing facility in Oklahoma that recently benefited from the state’s Medicaid rate bump sold to a national private equity firm looking to enter the state. Built in 1967, Maplewood Care Center features 180 beds on over three acres in Tulsa. It is located close to several major hospitals and healthcare campuses, but occupancy was sitting... Read More »
  • Community Purchased through HUD Assumption

    Chad Mundy of the Knapp-Stahler Group of Marcus & Millichap sold an 82-unit assisted living/memory care community in Lewiston, Idaho. Built in phases in the early 2000s, the community featured five separate buildings, one of which was vacant after sustaining damage from a flood. As a result, occupancy was lower, based on the 89 licensed beds,... Read More »
  • The Zett Group Rounds Out Q4

    The Zett Group closed out Q4 with several closings in the Pacific Northwest. First was the sale of Fox Hollow, a 58-unit seniors housing community in Eugene, Oregon. Built in 1988 and renovated in 2003, the community features 51 assisted living units and seven independent living “cottage-style” units. Set in a nice area of Eugene, it was owned by... Read More »

VSL Vetter Health Services’s Skilled Nursing Presence in Nebraska

Led by President Glenn Van Ekeren, VSL Vetter Health Services LLC is a not-for-profit senior care provider headquartered in Elkhorn, Nebraska, and has established itself as one of the top players in Nebraska’s skilled nursing sector, according to the latest CMS data analysis. Portfolio Overview and Ownership Structure The organization is affiliated with 30 healthcare facilities across two states, with a strong concentration in Nebraska. Their portfolio includes: 24 skilled nursing facilities (80% of portfolio) 3 home health agencies (10% of portfolio) 3 hospice providers (10% of portfolio) Nebraska represents the core of VSL Vetter’s operations, housing 29 facilities, while... Read More »

PACS Holdings Emerges as Major Skilled Nursing Owner with Strong South Carolina Presence

PACS Holdings, LLC, a subsidiary of PACS Group, Inc. (NYSE: PACS), has established itself as one of the largest skilled nursing facility owners in South Carolina, according to recent CMS data analysis. The company currently owns 19 skilled nursing facilities in South Carolina, matching its footprint in Colorado while maintaining a significant national presence across nine states. Portfolio Overview Data from the most recent CMS upload reveals that PACS Holdings owns a total of 181 skilled nursing facilities nationwide. The company’s portfolio is heavily concentrated in California with 118 facilities, representing 65% of its total operations. South Carolina and Colorado each host 19... Read More »

Doros Generation Trust: Major Midwest Skilled Nursing Facility Owner

“Doros Generation Trust U/A/D 1/3/12” has established itself as one of the dominant players in the skilled nursing facility (SNF) sector across the Midwest, with a particularly strong presence in South Dakota, according to the latest CMS data analysis. Portfolio Overview The trust currently owns 61 skilled nursing facilities across three Midwest states, with Illinois representing its largest market at 41 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. Doros Generation Trust is one of the top three owners of skilled nursing facilities in South Dakota, alongside Gpn Family Trust U/A/D 04/28/08 and Legacy Healthcare Financial Services LLC.... Read More »

Fundamental Healthcare Maintains Strong Nevada Skilled Nursing Presence

THI of Baltimore, Inc., a wholly-owned subsidiary of Fundamental Healthcare, continues to maintain a significant footprint in Nevada’s skilled nursing sector, according to the latest CMS data analysis. The Maryland-based company owns seven skilled nursing facilities in Nevada, matching Hunt Valley Holdings LLC for the largest ownership position in the state’s skilled nursing market. Portfolio Overview THI of Baltimore’s portfolio includes 42 healthcare facilities across six states, with 39 skilled nursing facilities and 3 hospitals. The company’s strongest presence is in South Carolina with 19 facilities, followed by Maryland (11), and Nevada (9). The Nevada... Read More »

Foundations Health Dominates Ohio Skilled Nursing Market with 57 Facilities

Foundations Health LLC, Ohio’s largest skilled nursing facility operator, maintains a commanding presence in the state’s skilled nursing market with 57 facilities, according to the latest CMS data. The company was founded and is led by CEO Brian Colleran. Market Leadership Analysis of the most recent CMS data reveals Foundations Health as the dominant player in Ohio’s skilled nursing landscape, with nearly five dozen facilities exclusively within state borders. The company offers a range of services including post-hospital care, skilled nursing, inpatient rehabilitation, long-term care, memory care, and ventilator services. Ownership Structure Foundations Health maintains... Read More »

National Healthcare Corporation Dominates Tennessee Skilled Nursing Market

National Healthcare Corporation (NHC) has established itself as the largest owner of skilled nursing facilities in Tennessee, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The Murfreesboro-based healthcare provider is affiliated with 34 skilled nursing facilities in Tennessee alone, highlighting its significant market presence in its home state. Extensive Portfolio Across Multiple States NHC’s operational footprint extends well beyond Tennessee, with a total of 89 healthcare facilities across eight states as of the most recent CMS reporting period. The company’s portfolio includes: 64 skilled nursing facilities 20 home health agencies 3... Read More »