• 60 Seconds with Swett: SNFs Get a Boost from CMS

    Support for the skilled nursing sector continues to flow from the government, both state and federal, and CMS finalized its FY2026 SNF Prospective Payment System rate increase of 3.2%, based on the final SNF market basket increase of 3.3% plus a 0.6% market basket forecast error adjustment and a negative 0.7% productivity adjustment, amounting to... Read More »
  • LTC Properties and Sabra Up Their Guidance

    With $400 million of new investments now included in its guidance, LTC Properties upped its forecast for the rest of the year. Its SHOP portfolio will more than double in size as the REIT transforms itself from a mostly triple-net lease orientation to a more diversified investor, taking advantage of improving operating metrics. Over the next 60... Read More »
  • SLIB’s Strong Start to August

    There is certainly no summer slump for Senior Living Investment Brokerage, which started off August well with three closings. That activity included a portfolio of three well-performing seniors housing communities in Montana and Oregon selling to a West Coast not-for-profit. The properties are located in Sweet Home and Cottage Grove, Oregon, and... Read More »
  • Ensign Adds to Its Footprint

    The Ensign Group announced three transactions, growing in Wisconsin, Iowa and California. First, through two separate transactions on the same day, Ensign acquired the real estate and operations of Pine Crest Health and Memory Care, a 120-bed skilled nursing facility in Merrill, Wisconsin (with 70% occupancy and a 19.5% quality mix), and Crystal... Read More »
  • Regional Owner/Operator Acquires Class-A Community

    Blueprint facilitated the sale of a Class-A, cash-flowing seniors housing community in Glendale, Arizona. Built in 2015, the 85-unit assisted living and memory care community reflects institutional-quality construction and design, and has benefited from consistently strong occupancy. There was a competitive bidding environment, with nine offers... 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 »
Publicly Traded REIT Acquires in Colorado

Publicly Traded REIT Acquires in Colorado

The Walker & Dunlop Seniors Housing team started the year off strong, with two closings in January. W&D first represented a major Georgia-based not-for-profit health system in the divestment of three skilled nursing facilities totaling 448 beds. Despite their rural locations, operational challenges and capital expenditure needs, W&D secured multiple competitive offers over an elongated closing process, securing an attractive price per bed. Nick Hall handled the transaction.  The W&D team also closed the sale of a large institutional-owned seniors housing community in Colorado. The buyer was a publicly traded REIT, which retained the existing management team to sustain... Read More »
East Coast Owner/Operator Acquires First NJ Community

East Coast Owner/Operator Acquires First NJ Community

Evans Senior Investments facilitated the sale of The Heritage Assisted Living, an assisted living and memory care community in Hammonton, New Jersey. ESI was engaged by the independent owner and lender of the property and procured six competitive offers from institutional capital and regional owner/operators. The ultimate buyer was an East Coast owner/operator, with this community being the first it has acquired in the state. Read More »
California-Based Owner/Operator Acquires Note

California-Based Owner/Operator Acquires Note

An international bank engaged Blueprint to oversee the sale of its interest in a 180-bed skilled nursing facility in the Santa Rosa area of Northern California. The mortgage on the facility was in default despite the facility’s strong historical operating performance and occupancy. It demonstrated extremely high top-line revenue, strong-per-patient day revenues, and robust in-place cash flow.  Jacob Gehl, Dillon Rudy and Kristen Ahrens handled this transaction. There was widespread interest from California-based and national owners/investors before an experienced California-based owner/operator was selected as the buyer of the note for $18 million, or $100,000 per bed. Read More »
Welltower to Acquire NorthStar Healthcare

Welltower to Acquire NorthStar Healthcare

Welltower and NorthStar Healthcare Income announced that NorthStar Healthcare has entered into a definitive merger agreement to be acquired by an affiliate of Welltower, in an all cash transaction with an approximate enterprise value of $900 million, or around $185,000 per unit. Under the term of the merger agreement, NorthStar Healthcare’s stockholders will receive $3.03 per share in cash. This per share consideration exceeds the net asset value per share of $2.96 determined by NorthStar Healthcare’s board of directors as of June 30, 2024. NorthStar has a portfolio of 40 seniors housing communities with 4,886 independent living, assisted living and memory care units that have been... Read More »