• 60 Seconds with Swett: The Republican Budget and Medicaid Cuts

    There will be significant political interest in what happens to Medicaid funding as Republicans work to pass a budget and tax bill with their very slim majority. Touching entitlements remains politically risky, and the party is divided on whether any Medicaid cuts would be acceptable heading into an election cycle. At this stage, per-capita caps... Read More »
  • Sonida Senior Living Continues Upward Trend

    We are at the end of the first quarter 2025 earning roll call, and Sonida Senior Living posted another solid quarter. Weighted average occupancy for its same-community portfolio (56 communities) increased by 100 basis points year over year to 86.8%, which is at the top end of many of its competitors. In addition, same-community RevPOR increased... Read More »
  • Regional Owner/Operator Purchases Turnaround SNF

    Evans Senior Investments was engaged by a regional owner in a partnership with the University of Michigan Health-West Hospital to facilitate the sale of a skilled nursing facility in Wyoming, Michigan. Opened nearly 10 years ago, Healthbridge Post Acute comprises 65 beds and was experiencing operational challenges, including an annual net... Read More »
  • Family Owner Divests CCRC to Not-For-Profit

    Senwell Senior Investment Advisors sold a family-owned/operated CCRC in Maumee, Ohio, to a not-for-profit organization. The community had been in the seller’s family for 75 years, but they are divesting to enter retirement. Established in 1949, Elizabeth Scott Community spans 51 acres and offers independent living, assisted living, memory care... Read More »
  • HUD-Backed Seniors Housing Community Opens on Long Island

    A HUD-financed seniors housing project has celebrated its grand opening in Bay Shore, New York. Netherbay at Bay Shore is a state-of-the-art assisted living/memory care community located at the historic Gulden family’s summer homestead on Long Island. It features 72 units and is operated by Meridian Senior Living. Greystone’s Lisa Fischman had... Read More »
CareTrust REIT’s Central Valley Expansion

CareTrust REIT’s Central Valley Expansion

CareTrust REIT made a major expansion into California’s Central Valley, acquiring two senior care facilities in a pair of off-market transactions. The targets were a 70-bed skilled nursing facility in Modesto, and a senior care campus in Sacramento with 99 skilled nursing bed and 72 assisted living units. Both were leased to an existing CareTrust tenant, Kalesta Healthcare, LLC, under a master lease with about 14 years left on the initial term. There are also two five-year renewal options. Scheduled cash rent for the first two years is expected to be about $3.9 million with CPI-based escalators thereafter. CareTrust also committed to provide a revenue-producing $1.0 million fund for... Read More »
Seniors Housing And NIMBY

Seniors Housing And NIMBY

When NIMBYism hits home, and in my mailbox. I put some mail in my mailbox at home this morning (yes, I still use the USPS), and overnight someone slipped a “Dear Neighbors” letter in the box. It wanted to make us aware of a “massive” new development planned just two blocks from the downtown area of town. And what is the plan? A CCRC, which is something our growing elderly population has been clamoring for for a few decades. It is sponsored by the local not-for-profit that already has a skilled nursing facility and a small IL community, which is really assisted living “lite.” But there has never been anything like a CCRC, which is what many of the elderly want. Large units, services,... Read More »
The Brookdale Restructuring Continues

The Brookdale Restructuring Continues

No one can say that Brookdale Senior Living hasn’t been hard at work restructuring its assets and balance sheet as it tries to steady the operational ship. Well, maybe we can think of a couple of people. Nevertheless, Brookdale announced that it reached a series of agreements with its landlord HCP Inc. to hopefully put the company on surer financial and operational footing. First, BKD will sell its unconsolidated JV interests amounting to 51% of a portfolio of 13 CCRCs and 5,641 total units to HCP for $510 million, or about $177,000 per unit assuming 100% interest. The deal nets Brookdale about $277 million in cash proceeds after pro rata debt on the properties. The transaction is expected... Read More »
SLIB Handles Small Pennsylvania Portfolio Sale

SLIB Handles Small Pennsylvania Portfolio Sale

Ryan Saul and Toby Siefert of Senior Living Investment Brokerage handled the sale of two senior care facilities in Wilkes-Barre, Pennsylvania. Local media reported the acquisition in March, naming Allied Services Integrated Health System, a locally based not-for-profit health system, as the buyer. Located less than one mile apart, these were the only skilled nursing/seniors housing assets owned by the not-for-profit seller, the Diocese of Scranton, which cited the industry’s increased complexity as its reason to exit. One of the properties was built in 1975 and 1998 with 133 skilled nursing beds and an attached 60-unit personal care community. The other property was built in the mid-1970s... Read More »
KeyBank Arranges Financing for Foundations Health Solutions

KeyBank Arranges Financing for Foundations Health Solutions

KeyBank Real Estate Capital secured an $11 million HUD loan for Foundations Health Solutions to pay down acquisition debt it used to buy a 150-bed skilled nursing facility in Columbus, Ohio. KeyBank had provided the original $87.5 million bridge loan, which supported the acquisition of this Columbus facility plus eight other facilities previously owned by Welltower. The facility was originally built in 1968, with renovations in 1995 and 2007. To this point, KeyBank has closed $47 million of HUD loans for the portfolio, including a $36.3 million loan for four facilities totaling 442 licensed beds located throughout Ohio. As with that transaction, John Randolph of KeyBank’s Commercial... Read More »
Contemporary Secures Another Mezz Loan

Contemporary Secures Another Mezz Loan

Contemporary Healthcare Capital helped finance another acquisition this month for a 50-bed skilled nursing facility in Gastonia, North Carolina. Ivy Senior Living was the borrower, obtaining both a senior loan from Millennium Bank and Alliance Bank, and a $504,750 mezzanine loan from Contemporary. The combined loans will fund the acquisition, a $200,000 working capital line of credit and $200,000 for facility renovations. This is the second acquisition mezzanine financing Contemporary has closed in the last month. In September, the firm helped affiliates of Opal Senior Living acquire a 115-bed assisted living/memory care community in Nashville, Tennessee. Opal received a $500,000 mezzanine... Read More »
Lancaster Pollard Refinances Denver-Area Portfolio

Lancaster Pollard Refinances Denver-Area Portfolio

Applewood Our House worked with Lancaster Pollard to refinance its entire portfolio of memory care communities in the Denver, Colorado market. The five memory care communities are all on the smaller side, totaling 76 units across the portfolio. They were built between 2007 and 2018 and range in size from 10 to 16 units with a mix of private and shared rooms. Applewood’s rent structure is something we don’t always see in assisted living or memory care, in that it offers a flat rate, all inclusive, pricing structure for private and shared rooms with no “add on” fees. Those extra care charges, while sometimes necessary to keep the community profitable, can often be an unwelcome surprise to... Read More »
Dwight Capital Closes Cash-Out Loan

Dwight Capital Closes Cash-Out Loan

Dwight Capital arranged a cash-out refinance for the owners of a 106-bed skilled nursing facility in Pikeville, Kentucky, paying off an acquisition loan that Dwight financed in 2018. Built in 1970 less than a mile from the 250-bed Pikeville Medical Center, the facility was previously owned by a publicly traded REIT and operated by Signature HealthCARE. It was well-maintained and over 90% occupied, but escalating liability insurance costs caused cash flow problems. A partnership between an investor and an operator emerged as the buyer, and both entered the Kentucky market with the acquisition. The facility also was subject to a ground lease owned by a group of local investors. Blueprint... Read More »
Brookdale Expands Dialysis Services at Four Texas CCRCs

Brookdale Expands Dialysis Services at Four Texas CCRCs

Brookdale Senior Living announced that the company would be partnering with Dialyze Direct to provide on-site dialysis at four of its CCRC campuses in Texas. Two of the locations began offering the service earlier this year, but one campus in Houston will open a Dialyze Direct suite with eight chairs this week, and the other property in Austin will start the service soon. This is just one of several expansions of on-site dialysis into senior care facilities that we have seen recently. Azria Health, which just bought a portfolio of 15 skilled nursing facilities in the Midwest from Senior Housing Properties Trust, also recently partnered with Concerto Renal Services to offer dialysis to its... Read More »
Spectrum Retirement Communities Gets New Investment Partner

Spectrum Retirement Communities Gets New Investment Partner

We heard many at the NIC Conference earlier this month talking about the abundance of capital and new capital providers in the senior living market. Some were optimistic, while others were lamenting it. Well, another alternative investment management firm has entered the senior living market. Oak Brook, Illinois-based Inland Private Capital Corporation (IPC) announced it has entered into a strategic relationship with Spectrum Retirement Communities, LLC to acquire, own and manage senior living communities across the country. Phil Shapiro Senior Living, LLC serves as IPC’s senior living advisor and was key in initiating and cultivating the relationship between them and Spectrum. IPC, which... Read More »