• 60 Seconds with Swett: The Problem with CMS Interpretive Guidelines

    Just a day after we highlighted the potential downsides of overregulation of assisted living from the federal level, a case of regulatory overreach involving a nursing home just headed to the U.S. Court of Appeals for the Fourth District in hopes of overturning a $1.8 million civil monetary penalty. Without getting into the minutiae too much, the... Read More »
  • Kayne Anderson Fund Tops Target

    The familiar refrain continues, with more capital continuing to flow into the seniors housing industry, property prices should keep rising. Kayne Anderson Real Estate, the real estate private equity arm of Kayne Anderson Capital Advisors, L.P., has closed the largest opportunistic equity fund in its history, at more than 70% above its initial... Read More »
  • Well-Performing Full-Continuum Community Sells

    Blueprint announced its role in the sale of Morningstar at Golden Ridge, a seniors housing community in Peoria, Arizona (Phoenix MSA). Built in 2019, the community has 38 independent living, 65 assisted living and 35 memory care units. It is nearly fully occupied. The community is one of the newest and most well-appointed assets within a... Read More »
  • Kaplan Development Divests to Cedarwood Group

    Cedarwood Group closed its acquisition of Saranac Village at Will Rogers, a 75-unit independent living community in Saranac Lake, New York. The seller was Kaplan Development Group, which took over Will Rogers after the first year of it being open as a senior living community. The community was originally built in 1928 as a Tudor-style... Read More »
  • Omega Welcomes New CEO and CFO

    Omega Healthcare Investors, Inc.’s President, Matthew Gourmand will become the REIT’s Chief Executive Officer in conjunction with the planned retirement of Taylor Pickett, effective October 1, 2026. Pickett will also step down from the Board of Directors upon his retirement, and the Board of Directors intends to appoint Gourmand to the Board,... Read More »
Class-A Community Secures Financing

Class-A Community Secures Financing

Walker & Dunlop arranged $25.9 million in permanent financing for Rivertown Ridge, a seniors housing community in the Grand Rapids, Michigan MSA. Built in 2019, Rivertown comprises 152 independent living, assisted living and memory care units. It is a Class-A community that sits on a larger, 120-acre master-planned community. Mary Stuart Hurst and Russell Dey of W&D partnered with Inner Circle Holdings to structure the 10-year, fixed-rate Fannie Mae loan with three years of interest-only payments to Redstone Group Management Inc. 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 »

Spartan Healthcare Emerges as Minnesota’s Largest Skilled Nursing Operator

Spartan Healthcare LLC has established itself as the dominant skilled nursing facility operator in Minnesota, controlling 45 facilities across the state according to the most recent CMS data. This positions the company as the largest skilled nursing operator in Minnesota, narrowly outpacing competitors Yazoma Holdings, LLC and NIJ LLC, which each operate 44 facilities. Portfolio Concentration The company’s portfolio is exclusively concentrated in Minnesota’s skilled nursing sector, with no facilities in other states or healthcare segments. This strategic focus has allowed Spartan Healthcare to develop specialized expertise in Minnesota’s regulatory environment. Ownership... Read More »

LTC Management Services Dominates Missouri Skilled Nursing Market

LTC Management Services LLC has established itself as the dominant player in Missouri’s skilled nursing facility sector, according to the latest CMS data analysis. The company operates 37 skilled nursing facilities in Missouri, making it the largest owner in the state’s skilled nursing market. Portfolio Overview With a total of 42 skilled nursing facilities across two states, LTC Management Services LLC maintains a strong regional presence in the Midwest. The company’s portfolio includes 37 facilities in Missouri and 5 in Arkansas, all within the skilled nursing sector. This strategic concentration allows the company to leverage operational efficiencies while maintaining... Read More »

Regional Care LLC Dominates Mississippi Skilled Nursing Market

Regional Care LLC has established itself as the dominant player in Mississippi’s skilled nursing facility sector, operating 22 facilities across the state according to the most recent CMS data. This significant market presence positions the company as a key stakeholder in Mississippi’s long-term care landscape. Operational Footprint The company’s portfolio consists exclusively of skilled nursing facilities, all located within Mississippi. Regional Care LLC maintains operational and managerial control of these facilities rather than direct ownership, suggesting a management-focused business model. Regulatory Environment Impact Mississippi’s regulatory framework... Read More »

Sanford Health Emerges as Leading Skilled Nursing Provider in North Dakota

Sanford Health has established itself as one of the dominant players in North Dakota’s skilled nursing facility sector, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The non-profit healthcare system shares the top position with The Evangelical Lutheran Good Samaritan Society (which it merged with more than five years ago), with each organization operating 10 skilled nursing facilities in the state. Extensive Regional Footprint The healthcare giant’s presence extends well beyond North Dakota. Sanford operates a total of 106 skilled nursing facilities across 15 states, with its strongest presence in Minnesota (24 facilities), Iowa (15), Nebraska... Read More »

North Shore Healthcare Dominates Wisconsin’s Skilled Nursing Market

North Shore Healthcare LLC has emerged as the dominant player in Wisconsin’s skilled nursing facility sector, according to the latest CMS data analysis. The company operates 51 skilled nursing facilities in Wisconsin and 5 in Minnesota, making it the largest skilled nursing provider in the Badger State. Portfolio Overview The company’s footprint spans across two Midwestern states with a clear concentration in Wisconsin: Wisconsin: 51 facilities (91% of portfolio) Minnesota: 5 facilities (9% of portfolio) All 56 facilities in North Shore’s portfolio are skilled nursing facilities, with no diversification into other healthcare sectors based on the most recent CMS data. This... Read More »

Providence Health & Services Maintains Strong Foothold in Alaska’s Skilled Nursing Sector

Providence Health & Services, one of the nation’s largest not-for-profit Catholic healthcare systems, continues to maintain a significant presence in Alaska’s skilled nursing facility (SNF) sector, according to the latest CMS data as of January 2025. Alaska Portfolio Highlights The data reveals that Providence Health & Services operates four skilled nursing facilities in Alaska, positioning it as one of the top owners in the state’s SNF sector. This matches the footprint of related entities Providence Health & Services – Washington and Providence St. Joseph Health, which also operate four SNFs each in Alaska. Beyond skilled nursing, Providence Health... Read More »

Charles 1994 Family Grantor Trust Emerges as Virginia’s Dominant Skilled Nursing Operator

The Charles 1994 Family Grantor Trust has established itself as the largest skilled nursing facility operator in Virginia, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The trust currently operates 43 skilled nursing facilities across two states, with a significant concentration in Virginia. Portfolio Overview Analysis of the most recent CMS data reveals that the trust controls 35 skilled nursing facilities in Virginia and 8 in North Carolina. This substantial footprint makes it the dominant player in Virginia’s skilled nursing sector, where it has focused the majority of its operations. This specialized focus suggests a strategic commitment to the... Read More »

Legacy Healthcare Financial Services Expands Midwest SNF Portfolio to 38 Facilities

Legacy Healthcare Financial Services LLC has established itself as a significant player in the Midwest skilled nursing facility (SNF) market, operating 38 facilities across three states according to the latest CMS data. The company maintains a strong presence in Illinois, South Dakota, and Iowa, positioning itself strategically in markets experiencing regulatory and reimbursement changes. Portfolio Distribution The company’s portfolio is concentrated in Illinois with 18 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. All 38 properties operate within the skilled nursing facility sector, demonstrating the company’s focused approach to this... Read More »

HC Family Trust Emerges as Leading Skilled Nursing Operator in North Carolina

HC Family Trust has established itself as one of the dominant players in North Carolina’s skilled nursing sector, according to the latest CMS data. The organization ties with Zanziper Family Trust for the largest skilled nursing portfolio in the state, each operating 38 facilities. Multi-State Portfolio Beyond its significant North Carolina presence, HC Family Trust maintains a diversified geographic footprint across five states. The organization operates a total of 82 healthcare facilities, with 81 skilled nursing facilities and one home health agency. After North Carolina, Kentucky represents the trust’s second-largest market with 20 facilities, followed by Florida (12),... Read More »