• Ensign Makes a Splash in Texas

    The Ensign Group closed out April with a bang, announcing the acquisition of the real estate and operations of 17 skilled nursing facilities spread across Texas, plus the real estate of two seniors housing communities in Wisconsin.  The Texas portfolio is majority-SNF, with 2,080 skilled nursing beds. There are also some seniors housing... Read More »
  • Public REIT Sells Value-Add Community to Joint Venture

    Kandu Capital, a family office specializing in real estate and healthcare, and its operating company, Bloom Senior Living, acquired an assisted living/memory care community in Ohio after strategically divesting a number of skilled nursing, behavioral health and seniors housing assets at healthy valuations. Those dispositions were initially... Read More »
  • Not-for-Profit Divests Its CCRC Portfolio to Another Not-for-Profit

    A portfolio of CCRCs in South-Central Pennsylvania changed hands from one faith-based not-for-profit organization to another, with Toby Siefert and Dave Balow of Senior Living Investment Brokerage handling the process. The pair represented the seller, SpiriTrust Lutheran, an 80-year-old operator based in York, Pennsylvania, in the sale of six... Read More »
  • AL/MC Community Trending Towards Stabilization Sells

    Blueprint’s suite of services was on display in the sale and financing of an assisted living/memory care community in Fredericksburg, Texas. Built in 2018, The Villages of Windcrest was performing well at the time of marketing, and was trending towards stabilization. Newer, performing properties are getting the most interest in the M&A market... Read More »
  • Montgomery Intermediary Group Brings on New Advisor

    Continuing its momentum in 2026, Montgomery Intermediary Group (MIG) announced that it hired Colin Thomas, CFA as an investment sales advisor. In this role, Thomas will lead seniors housing and skilled nursing transactions across Texas, Oklahoma, Arkansas and Louisiana, expanding MIG’s coverage and capabilities in these markets. Thomas’s... Read More »
Welltower Continues Asset Reshuffle

Welltower Continues Asset Reshuffle

The major M&A moves keep on coming from Welltower, as the REIT giant continues to reshuffle assets. And this is as good a time as any, since according to The Senior Care Acquisition Report (which will be published later this month), seniors housing values are currently at a record high, averaging $244,200 per unit sold in 2019. Cap rates are also near record lows, making for some very happy sellers. Welltower announced that it was selling a “prominent Seniors Housing Operating portfolio in the western United States” for a gross sale price exceeding $740 million. The properties, which were assisted living, are located in California, Nevada and Washington, and were 97% occupied. They... Read More »
X-Caliber Capital Secures Bridge Loan in Keystone State

X-Caliber Capital Secures Bridge Loan in Keystone State

X-Caliber Capital helped fund the purchase of a large skilled nursing facility in Pennsylvania with an acquisition bridge loan closing. Located in Harrisburg, the facility has 400 beds and about 200,000 square feet. It was occupied in the low-90s at the time of the sale. The undisclosed buyer obtained the $45 million bridge loan, with a three-year term. That debt comes out to $112,500 per bed, putting the value of the facility surely above that. We know buyers put a premium on larger SNFs, since these properties can better scale the higher labor and care costs, but this facility must have been operating well. Read More »
Plainview Group Affiliate Acquires Akron Skilled Nursing Facility

Plainview Group Affiliate Acquires Akron Skilled Nursing Facility

The team at Dwight Capital helped provide a $6.8 million bridge loan to fund the acquisition of a skilled nursing facility in Akron, Ohio. Originally built in 1984 with 174 beds, the facility was significantly renovated in 2008, and its bed count has decreased to 120 beds. It currently offers short-term rehabilitation, occupational therapy, respiratory care, trach care and behavioral care. An entity affiliated with the Plainview Group emerged as the buyer. According to our database, the facility previously sold in 1993 for $5.9 million, or about $34,000 per bed, a relatively high value back then. With the lower bed count and a loan-to-cost of 85%, the per-bed value rises to more than... Read More »
Capital Funding Group Funds Acquisition of Pennsylvania SNF

Capital Funding Group Funds Acquisition of Pennsylvania SNF

Craig Casagrande and Andrew Jones of Capital Funding Group secured a bridge loan for a client to acquire a 139-bed skilled nursing facility in Christiana, Pennsylvania (about halfway between Philadelphia and Lancaster). Formerly on the SFF list as recently as 2016, the facility has since achieved a five-star rating from CMS. That’s quite the turnaround. It was formerly owned and operated by Harrison Senior Living, but a new owner (Chaim Steg, according to public records) took over. They secured a $10.8 million loan from Capital Funding Group, plus a $3.5 million line of credit. CFG ultimately expects to refinance the debt through HUD. Read More »
What To Do About Medicaid Payments

What To Do About Medicaid Payments

The games that states and skilled nursing providers have to play to try to get appropriate Medicaid funding has got to change. There has been a lot of talk about what may happen to supplemental Medicaid payments, most of which come under the guise of “provider bed taxes” and UPL payments, short for upper payment limits. As far as I am concerned, these are all little games that skilled nursing providers, and the states they are located in, play in order to get more federal funding for Medicaid. They are all absurd and should be abolished. Now, before you tar and feather me, here me out. Skilled facilities with a high Medicare and private pay census do not like provider taxes because they... Read More »
PDPM Pushes Up Skilled Nursing Values in 2019

PDPM Pushes Up Skilled Nursing Values in 2019

Skilled nursing values rebounded in 2019 to a near-record high of $93,000 per bed. That is still shy of the highest average value ever recorded ($99,200 per bed in 2016), when a number of high-quality, high-Medicare/private pay census transitional care facilities sold. But it was still a very strong year. Most in the industry never fathomed that average would ever approach $100,000 per bed, but it is true that excluding certain high-barrier-to-entry markets, traditional long-term care facilities with majority-Medicaid censuses should never really reach that value. The 2019 average was 20% higher than the $77,500 per bed average in 2018, likely driven by a lot of optimism surrounding the... Read More »
Cushman & Wakefield Sells Miami-Dade Portfolio

Cushman & Wakefield Sells Miami-Dade Portfolio

It took a couple of years, but Cushman & Wakefield has finalized the sale of a portfolio of 10 senior care facilities in Miami-Dade County, Florida, on behalf of the seller, A.D.M.E. investment partners. Totaling 1,289 beds and over 370,800 square feet, the properties consisted of a mix of assisted living and skilled nursing facilities. The AL communities ranged in size from 12 units and 50 beds to 65 units and 118 beds, and sold between $38,200 per unit and $90,500 per unit. The SNFs ranged in size from 120 beds to 203 beds, and sold between $25,000 per bed to $119,900 per bed, with one deal also involving the termination of a ground lease on the property for $5.8 million. The last... Read More »
Greystone Closes Pennsylvania Portfolio Refinance

Greystone Closes Pennsylvania Portfolio Refinance

Greystone provided HUD financing to a portfolio of five skilled nursing facilities in the eastern part of Pennsylvania. The 622-bed portfolio, located in Easton, Millville, Orangeville and Stevens, was acquired by Maybrook Holdings in 2017 for an undisclosed price. Whatever changes were made or renovations were completed must have worked out, as Maybrook sought out a permanent debt solution. Fred Levine originated the deal, which consisted of $62.98 million in non-recourse, self-amortizing HUD loans that also came with low, fixed rates. Read More »
Portopiccolo Group Adds to Its Skilled Nursing Portfolio

Portopiccolo Group Adds to Its Skilled Nursing Portfolio

The Portopiccolo Group has been one of the most active investors in the skilled nursing space in the last couple of years, with four acquisitions in 2019 and three in 2018. It looks like that growth is continuing in a big way into 2020, with the New Jersey-based private equity firm announcing the acquisition of three skilled nursing facilities in North Carolina (2) and Maryland. The acquisition consisted of a total of 450 skilled nursing and 50 assisted living beds. It did not disclose a purchase price, but Oxford Finance secured a $64.6 million term loan and a revolving line of credit. This was the second transaction between Oxford and Portopiccolo, and it may not be the last. Just last... Read More »
Regions Bank and Cushman & Wakefield Finance Auctus-Owned Community

Regions Bank and Cushman & Wakefield Finance Auctus-Owned Community

Regions Bank Healthcare Real Estate Group announced a balance sheet loan closing at the start of February for a client in northern California. Originally built in 1975 in Carmichael, the property being refinanced is a 98-unit independent living community. Auctus Capital Partners acquired it in 2015, with plans to invest in capital improvements. So, it underwent a significant renovation and conversion project in 2018, and is now in the final stages of lease-up. Auctus put an operating affiliate, Altum Senior Living, in place to manage the community. Working with a new customer for the bank, Chris Honn secured a $5 million loan, with a three-year term and three years of interest only, to... Read More »