• 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 »

Honor X Enterprises Dominates Texas Skilled Nursing Market with 117 Facilities

Honor X Enterprises, LLC has emerged as the dominant player in Texas’s skilled nursing facility sector, controlling 117 facilities across the state according to the latest CMS data. The company’s portfolio consists exclusively of skilled nursing facilities, with all 117 properties located in Texas. This geographic concentration allows for operational efficiencies and specialized knowledge of local regulations and reimbursement structures. Honor X Enterprises maintains complete ownership (100%) of 114 of its 117 facilities, with ownership details for the remaining three facilities not specified in the available data. This high rate of full ownership indicates a preference for... Read More »

GPN Family Trust Emerges as Major SNF Owner in Midwest

“GPN Family Trust U/A/D 04/28/08” has established itself as a significant player in the skilled nursing facility (SNF) sector across three Midwest states, with a particularly strong presence in Illinois and South Dakota, according to the latest CMS data. Portfolio Overview The trust currently owns 62 skilled nursing facilities across three states. Illinois represents the largest concentration with 42 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. GPN Family Trust is one of the top owners of skilled nursing facilities in South Dakota, where it ties with other major owners including Doros Generation Trust U/A/D 1/3/12 and Legacy Healthcare... Read More »

Prestige Care Dominates Oregon’s Skilled Nursing Market with 18 Facilities

Prestige Care Inc. has established itself as the dominant player in Oregon’s skilled nursing facility sector, affiliated with 18 facilities across the state, according to the latest CMS data. Market Leadership Position According to the latest Centers for Medicare & Medicaid Services (CMS) data, Prestige Care Inc. is affiliated with the largest number of skilled nursing facilities in Oregon, significantly outpacing competitors in the region. The family-owned company has built a substantial footprint across the Western United States, with a total portfolio of 32 skilled nursing facilities spanning five states. Geographic Distribution The company’s focus on the Pacific... Read More »

Life Care Centers of America Maintains Strong Foothold in Washington’s Skilled Nursing Market

Market Position Life Care Centers of America, Inc. has established itself as a dominant player in Washington’s skilled nursing sector, tying for the position of largest owner with 15 facilities in the state. This places Washington among the company’s top three states by facility count, alongside Tennessee (26) and Colorado (22). The Cleveland, Tennessee-based company maintains a substantial national presence with 192 skilled nursing facilities across 27 states, according to the most recent CMS data. Their strongest regional concentrations include Tennessee, Colorado, Florida, Massachusetts, and Washington. Ownership Structure Founded in 1970 by Forrest Preston, Life Care... Read More »

Hurlbut Health: New York’s Largest Skilled Nursing Operator

Hurlbut Health Consulting, LLC has established itself as the largest operator of skilled nursing facilities in New York State, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The company maintains 100% ownership in five of its nine facilities. Portfolio Overview The company’s portfolio consists of nine facilities across New York State: Avon Nursing Home, LLC Hamilton Manor Nursing Home LLC Latta Road Nursing Home East, LLC Latta Road Nursing Home West LLC Newark Manor Nursing Home Seneca Nursing And Rehabilitation The Brightonian, Inc. The Hurlbut, LLC The Shore Winds, LLC Leadership and Legacy The company continues the Hurlbut family’s... Read More »

Pennant Healthcare Dominates Washington’s Skilled Nursing Market with 15 Facilities

The Pennant Group, Inc. (NASDAQ: PNTG) subsidiary Pennant Healthcare, LLC has established itself as a leading player in Washington’s skilled nursing sector, according to the latest CMS data analysis. Market Leadership Pennant Healthcare, LLC has emerged as one of the largest skilled nursing facility operators in Washington State, with 15 facilities under its management, according to ownership data from CMS. This positions the company as a top player in the region, sharing the top spot with Life Care Centers of America, Inc., which also operates 15 facilities in the state. Portfolio Overview Beyond Washington, Pennant Healthcare maintains a significant presence in Idaho with 11... Read More »