• 60 Seconds with Swett: Sticks and Bricks in ’26?

    The talk around new development is getting a lot more serious in the seniors housing industry, leading us to wonder if our 2024 prediction of “Sticks and Bricks in ‘26” may actually come true, somewhat. Back then, we may have thought that interest rates would have come down a bit more by now, but that the FOMO of getting involved in seniors... Read More »
  • Wyoming SNF Sale Sets New State Record

    There was a new record set for skilled nursing pricing in the state of Wyoming with the sale of Big Horn Rehabilitation and Care Center in Sheridan. Built in the 1960s, the facility features 128 beds and was 61% occupied. It was owned by a regional operator that was looking to recycle capital.  Before the marketing process, Evans Senior... Read More »
  • Owner/Operator Acquires Facility Out of Bankruptcy

    A senior care facility in Worcester, Massachusetts, sold as part of a bankruptcy process with the help of Patrick Burke and Toby Siefert of Senior Living Investment Brokerage. Built in 1970, Donna Kay Rest Home features 60 licensed beds in 31 units, providing a higher level of care and supervision than assisted living but at a lesser acuity than... Read More »
  • Civitas Sells Community to Clarion

    Hap Knowles and Nick Stahler of the Knapp-Stahler Group at Institutional Property Advisors announced that they led the sale of a seniors housing community in the Phoenix, Arizona MSA, to the fast-growing real estate investment firm Clarion Partners. The deal appears to be The Retreat at Alameda, a 110-unit assisted living/memory care community in... Read More »
  • Blueprint Handles Recapitalization

    Blueprint handled the recapitalization of Forest Hills Commons, a 2017-developed, 119-unit assisted living/memory care community in the Louisville, Kentucky MSA. A Louisville-based senior living owner/operator/developer engaged Blueprint in the third quarter of 2025 to begin the process. The asset demonstrated strong in-place performance and... Read More »
Occupancy And Active Adult Communities

Occupancy And Active Adult Communities

Seniors housing occupancy hits a low because of new supply, while active adult communities begin to take off. As you know, occupancy in seniors housing now stands at a low point since the Great Recession, especially on the assisted living side. Eighteen months ago, “the market” was looking for a turn around by the second half of 2018. Not happening. Now it is the second half of 2019, with some looking at 2020. Maybe happening. New supply has obviously had its impact, and people keep on developing. But some developers are moving into what is variously called the 55+ market or “active adult” communities. They are easier to zone, cheaper to build and don’t require much staff, all important... Read More »
IPA Ratifies Constitution State Sale

IPA Ratifies Constitution State Sale

Charlie Hilding, along with Mark Myers, Joshua Jandris and Alex Vice, of IPA Seniors Housing handled the sale of a skilled nursing facility in rural Ohio. Representing the seller, IPA sold the facility, which features over 150 beds and several specialized care services (including a designated ventilator unit), for nearly $165,000 per occupied bed and approximately $116,000 per licensed bed, which is especially high for a rural location. The buyer is a growing regional owner/operator that is entering the Ohio market with this purchase. They recently purchased their first facility, an 80+ bed skilled nursing facility in northern Kentucky, with IPA also representing the seller in that... Read More »
Rock-Solid Relationship Leads to Lancaster Pollard’s Latest Financing

Rock-Solid Relationship Leads to Lancaster Pollard’s Latest Financing

Three years after acquiring a 48-unit assisted living community in Shawnee, Kansas, Granite Investment Group is refinancing it. Ross Holland of Lancaster Pollard led the way on the transaction (not LP’s first with Granite), securing a $6.9 million Fannie Mae loan with a seven-year term and a variable interest rate. Granite had bought the community in February 2015 from a local partnership that had originally developed the community in 2000. It was 90% occupied and operated at a 25% margin on approximately $2.4 million of revenues at the time of the transaction. It sold for $7.2 million, or $150,000 per unit, with an all-in cap rate of 8.4%. HUD bridge financing provided by GE Capital,... Read More »
Medicaid to the Rescue

Medicaid to the Rescue

The time came for a private equity firm to exit their investment in Shaker Heights, Ohio (Cleveland MSA), only after investing in substantial renovations and stabilizing the census. Situated downtown near a brand-new commercial development, the community was built in 1995 and features 122 assisted living and 50 licensed skilled nursing beds. It was originally acquired by the PE firm in 2012 as a value-add opportunity and has since improved its operations, with occupancy climbing from around 70% to 85%. Operations at the assisted living community in particular improved dramatically, as a steadier stream of residents who were enrolled in Ohio’s Assisted Living Waiver Program (now... Read More »
Cambridge Realty Capital Completes Illinois HUD Refinance

Cambridge Realty Capital Completes Illinois HUD Refinance

After Cambridge Realty Capital Companies announced that it funded a $32.75 million acquisition loan through HUD for a 211-unit affordable seniors housing property in Baltimore, Maryland, the firm followed up by refinancing a 162-bed skilled nursing facility in Glenwood, Illinois, also going through HUD. The owner, an Illinois limited liability company, obtained an $11.6 million loan, with a fully amortizing 30-year term. Located about 30 minutes outside of Chicago, the facility features a short-term rehab unit for Medicare and private insurance patients, and dialysis services, in addition to providing long-term care. Read More »
Occupancy And Active Adult Communities

The Warning Signs Were There

With assisted living occupancy now at an eight-year low, the reasons seemed very obvious a few years ago. I am a hoarder. I like to keep reports, articles, magazines and anything else of interest pertaining to seniors housing and care. So, last night I was cleaning up some papers stacked in my office and came across one of Jerry Doctrow’s first blogs since retiring from Stifel Nicolaus in 2015. Dated January 6, 2016, it was called, “Why Near-Term Trends Could Spell Trouble for Senior Housing.” As I re-read it, all I thought was, why didn’t more people see the problem back then? NIC MAP had just come out with its most recent quarterly data on occupancy and construction, and while not... Read More »
Live Oak Bank Growing Its Senior Care Business

Live Oak Bank Growing Its Senior Care Business

Still just less than a year after forming its senior care lending division (and hiring Adam Sherman of Blueprint Healthcare Real Estate Advisors as the new division’s industry expert), Live Oak Bank closed two more loans for seniors housing properties. First, working on behalf of a local owner/operator in Georgia, Live Oak provided a $5 million SBA 7a loan and a companion balance sheet loan to fund the construction of a 60-unit assisted living/memory care community in the town of Cartersville. The loans came with floating rates and fully amortize over 25 years, with no balloon payments. For the developer, this isn’t their first rodeo in northwest Atlanta (a market we have heard has seen... Read More »
HHC Finance Sizzles This Summer

HHC Finance Sizzles This Summer

The Capital Advisory Group at Housing & Healthcare Finance (HHC Finance) has impressed so far this summer, closing $157 million across eight loans in the last two months. Isaac Haas and Neil Gamss, who lead the group, went to Pennsylvania to close the largest transaction. Vita Healthcare Group was the borrower, after acquiring eight skilled nursing facilities and 1,050 total beds that were deemed to be non-core by the undisclosed seller, in a transaction handled by Ben Firestone, Christopher Hyldahl, Michael Segal and Gideon Orion of Blueprint Healthcare Real Estate Advisors. HHC Finance closed a $100.3 million bridge loan to fund the purchase. For another skilled nursing portfolio... Read More »
Capital One Refinances Massachusetts Skilled Nursing Portfolio

Capital One Refinances Massachusetts Skilled Nursing Portfolio

Just 18 months after they were purchased, three skilled nursing facilities in Massachusetts refinanced through HUD, with the help of Joshua Rosen of Capital One. The 2016 transaction involved these three facilities in Chelsea (195 beds), Fall River (152 beds) and Brockton (169 beds). There was a fourth facility involved in the sale that is not being refinanced in this transaction. Two principals who are experienced owner/operators of SNFs mainly in the Midwest ended up as the buyers, financing that deal with bank debt. Now, through Capital One, they received three fixed-rate loans, each with a 35-year term, totaling $47.2 million through HUD to refinance the portfolio. Read More »
Medicaid to the Rescue

Despite Declining Operations, Minnesota Skilled Nursing Facility Sells

It looks like Ray Giannini (of Marcus & Millichap) isn’t taking a vacation this summer, as he just closed the sales of a skilled nursing facility in Minnesota and a senior living community in Iowa. The Caledonia, Minnesota facility has a long history serving the health care needs of the area. Originally opened in the early 1900s as a hospital, the building expanded in 1962 and 1976, and now features 50 skilled beds, as well as a 16-unit assisted living community (added in 1987). Plus, the SNF was extensively renovated in 2012 at a cost of $1.4 million. Services there include physical, occupational and speech therapy programs, along with respite and hospice care. However, while the AL... Read More »
Continuum of Care Sells in Washington, D.C.

Continuum of Care Sells in Washington, D.C.

Healthcare Transactions Group managed to sell not only the operations of a 230-bed skilled nursing facility in Washington, D.C., but also a home health agency and a nursing school too. Annual revenues for the combined business totaled about $25 million, and census at the SNF was nearly full, at 98%. Also based in D.C., the home health agency is licensed for both Medicare and Medicaid patients, and the nursing school primarily trains CNAs and home health aides. That must help with staffing, which in turn may help in maintaining that 98% occupancy. The buyer, a Brooklyn, New York-based regional operator with several other skilled nursing facilities in Washington, D.C., did not purchase the... Read More »