• 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 »
Greystone Centers In On Brooklyn

Greystone Centers In On Brooklyn

Six years since being acquired by Centers Health Care (then Centers for Specialty Care), a 510-bed skilled nursing facility in Brooklyn, New York is refinancing through HUD with the help of Greystone’s Fred Levine. The transaction comes at a good time for the facility, which has significantly improved its operations since Centers took over in 2011. The company has so far invested over $20 million in renovating the facility, which now maintains a five-star rating from CMS. Built in 1973, it is 97% occupied with a 49% Medicaid, 25% Medicare and 26% private pay census. Its services are comprehensive as well, including amputee recovery and training, cardiac care, palliative care, dental... Read More »
Strawberry Fields REIT Forever

Strawberry Fields REIT Forever

Strawberry Fields REIT just added a 58th skilled nursing facility to its growing portfolio, at a price of $1.0 million, or $15,625 per bed, in cash. The company bought the 64-bed facility in Lebanon, Indiana and leased it to The Waters under a 10-year term with two five-year extensions. Strawberry Fields certainly got a good price for the property, but for good reason. Built in the 1970s, it was only 47% occupied with an 80% Medicaid, 7% Medicare and 13% private pay census. We can’t imagine cash flow was high either. And while we hear the facility is in relatively good condition, Strawberry Fields will invest in improvements. The seller is Hickory Creek Healthcare Foundation, a skilled... Read More »
Is The Carlyle Group Going To Sell HCR ManorCare?

Is The Carlyle Group Going To Sell HCR ManorCare?

While we are sure Carlyle would like to divest HCR, they may sell their German SNF company first. Okay, so is The Carlyle Group going to sell its HCR ManorCare portfolio company or not? Well, we may not know that answer for a few weeks, maybe days, but the large PE firm is on the move to dispose of other nursing facility assets. Just not in this country. Apparently, Carlyle is planning to sell its German nursing home company, Alloheim, which is the third largest nursing home company in Germany with more than 124 facilities in 2016. Carlyle bought it in 2013 for about 180 million euros when the company had just 49 facilities, up from 13 when London-based private equity firm Star Capital... Read More »
Aurora Boreali-SNF

Aurora Boreali-SNF

Recent operational difficulties certainly affected the value of a recently sold skilled nursing facility in Aurora, Colorado, but it is certainly on the upswing. Built in 1973, this 120-bed facility was traded back and forth in the 1990s (selling for $4.85 million in 1995 and for $6.62 million in 1998) and eventually became part of a California-based publicly traded REIT’s portfolio. It recently ran into some operational difficulties (including a stint on the special facility focus list), prompting the REIT to hire a new operator and get the facility back on track towards regulatory compliance and improved operations. The operator had succeeded in turning around the property, but the REIT... Read More »
Assisted Living Purchase in the Idaho Panhandle

Assisted Living Purchase in the Idaho Panhandle

Jason Punzel and Brad Goodsell of Senior Living Investment Brokerage helped a local operator in Rathdrum, Idaho (in the state’s panhandle) sell their only seniors housing asset. Despite its rural location, the assisted living community operated well. Built in 2005 with expansions in 2007 and 2013, it operated at over a 35% margin on approximately $2.2 million of revenues, and occupancy reached 98%. However, its remote location certainly did not push up the price, as the community sold for $8 million, or a below-average $166,700 per unit. To put it in perspective, the national average price for assisted living, according to the 2017 Senior Care Acquisition Report, is $193,650 per unit. An... Read More »

Trust In SunTrust Bank

SunTrust Bank pulled double duty for an entrance fee CCRC in Stone Mountain, Georgia, providing permanent financing for both the existing community and a new addition in the form of a $74.4 million loan on behalf of the owner/operator, Isakson Living. Through its Aging Services practice, SunTrust provided a mix of fixed- and floating-rate debt, about 60% of which went towards refinancing the existing 398-unit CCRC, known as Park Springs. Built in 1999, the community was over 90% occupied and was ready to expand. So, the remaining 40% of the financing (about $27.8 million) funded a brand-new health center to feature an 18-unit skilled nursing rehab facility next to a new physical therapy... Read More »
What Do The Experts (and the Audience) Say On The Labor Crisis?

What Do The Experts (and the Audience) Say On The Labor Crisis?

On Thursday, July 13, we hosted a webinar entitled, “The Coming Labor Market Shock to Senior Care,” with panelists Glenn Barclay of Quality Senior Living, John Gonzales of SDG Senior Living and Lori Porter of the National Association of Health Care Assistants. For 90 minutes, the panel discussed how the industry will deal with a labor shortage, improving retention rates, improving onboarding and training practices, an increased minimum wage to $15 per hour in the coming years, technology’s impact on labor demands and how middle market operators will be able to deal with these changes. If you’d like to hear a recording of the webinar, click here. Needless the say, the industry has a lot of... Read More »

Seniors Housing Occupancy Weakens

NIC announced their second quarter occupancy and development trends, and unfortunately it was not pretty. After a first quarter which suffered from the ubiquitous flu season census declines, we had expected, at worst, a small sequential decline in the second quarter, but perhaps a small 10 to 20 basis point uptick, maybe even better. For majority assisted living in the top 31 MSAs, for those properties open for two years (stabilized properties) average occupancy dropped 50 basis points from the first quarter to 88.9%, but down 80 basis points from the year-ago quarter. Historically, the average second quarter sequential decline is 10 basis points, and the current 50 basis point drop was... Read More »

Walker & Dunlop Obtains HUD Financing For Senior Living Project

A group of local owners in Colorado went to HUD to receive construction financing for their 137-unit senior living development in Monument, Colorado (between Denver and Colorado Springs). Having just broken ground last month, the community will feature 80 assisted living, 30 memory care (in two separate 15-unit neighborhoods) and 27 independent living units on a scenic 6.4-acre property. It is scheduled to open in late-2018, with a host of amenities, including several dining areas, guest apartments, a barber and beauty salon, community store and concierge services. Lakewood, Colorado-based WellAge Senior Living will manage the community. Ralph Lowen of Walker & Dunlop structured a... Read More »

Ensign Extends Its Reach In Colorado

Always a prolific buyer, The Ensign Group is keep up its steady pace of acquisitions in 2017, most recently adding two more communities in Colorado to its portfolio. Already this year, the firm has bought several properties in Texas and Wisconsin, four in Utah and one each in Iowa and Nevada. Now, in Colorado, Ensign purchased two CCRCs: a large 64-acre campus in Thornton with 134 skilled nursing beds, 198 independent living units and 35 assisted living units and a community in Colorado Springs with 60 skilled nursing beds, 64 IL units and 44 AL units. Previously operated by a faith-based not-for-profit, CHI Living Communities, we imagine the properties could improve their operations. At... Read More »