• 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 »

Doros Generation Trust: Major Midwest Skilled Nursing Facility Owner

“Doros Generation Trust U/A/D 1/3/12” has established itself as one of the dominant players in the skilled nursing facility (SNF) sector across the Midwest, with a particularly strong presence in South Dakota, according to the latest CMS data analysis. Portfolio Overview The trust currently owns 61 skilled nursing facilities across three Midwest states, with Illinois representing its largest market at 41 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. Doros Generation Trust is one of the top three owners of skilled nursing facilities in South Dakota, alongside Gpn Family Trust U/A/D 04/28/08 and Legacy Healthcare Financial Services LLC.... Read More »

Fundamental Healthcare Maintains Strong Nevada Skilled Nursing Presence

THI of Baltimore, Inc., a wholly-owned subsidiary of Fundamental Healthcare, continues to maintain a significant footprint in Nevada’s skilled nursing sector, according to the latest CMS data analysis. The Maryland-based company owns seven skilled nursing facilities in Nevada, matching Hunt Valley Holdings LLC for the largest ownership position in the state’s skilled nursing market. Portfolio Overview THI of Baltimore’s portfolio includes 42 healthcare facilities across six states, with 39 skilled nursing facilities and 3 hospitals. The company’s strongest presence is in South Carolina with 19 facilities, followed by Maryland (11), and Nevada (9). The Nevada... Read More »

Foundations Health Dominates Ohio Skilled Nursing Market with 57 Facilities

Foundations Health LLC, Ohio’s largest skilled nursing facility operator, maintains a commanding presence in the state’s skilled nursing market with 57 facilities, according to the latest CMS data. The company was founded and is led by CEO Brian Colleran. Market Leadership Analysis of the most recent CMS data reveals Foundations Health as the dominant player in Ohio’s skilled nursing landscape, with nearly five dozen facilities exclusively within state borders. The company offers a range of services including post-hospital care, skilled nursing, inpatient rehabilitation, long-term care, memory care, and ventilator services. Ownership Structure Foundations Health maintains... Read More »
Luthercare Secures Bond Financing

Luthercare Secures Bond Financing

Ziegler announced the closing of Luthercare’s $31.52 million Series 2025A and 2025B bonds (together the “Series 2025 bonds”). Luthercare is a Pennsylvania-based not-for-profit that currently operates two communities in Lancaster County, Pennsylvania: Luther Acres and St. John’s Herr Estate. They collectively feature 678 units.  Luther Acres is on 55 acres in Lititz and comprises 357 independent living units, 70 personal care units and 86 skilled nursing beds. St. John’s Herr Estate is on 48 acres in Columbia and includes 125 independent living units and 40 personal care units. Residents of St. John’s Herr Estate have priority access to the skilled nursing beds at Luther Acres, which... Read More »
Ikaria Capital Group Launches

Ikaria Capital Group Launches

Ikaria Capital Group, led by Jason Dopoulos and Ken Gould who were formerly with White Oak Healthcare Partners and Lancaster Pollard, announced its launch. Headquartered in Cleveland, Ohio, Ikaria specializes in financing skilled nursing and seniors housing communities. Ikaria brings more than 100 years of collective experience in financing, structuring, underwriting, servicing and asset-managing bridge and FHA/HUD loans.  Ikaria’s platform specializes in debt solutions, including bridges for acquisitions, recapitalizations, refinances and construction, permanent (long-term) debt structures, FHA/HUD loans and working capital lines for skilled nursing, hospitals and other healthcare... Read More »
Omega Healthcare Investors Continues Improvement

Omega Healthcare Investors Continues Improvement

It has been a slog for owners of nursing homes, but Omega Healthcare Investors continues to improve from the COVID messes it encountered. Major tenant LaVie, which entered into bankruptcy protection last June, paid its full monthly rent of $3.0 million from June 2014 through January 2025. And Maplewood, which ran into some serious problems, paid $4.5 million in rent in January and $12.3 million in the fourth quarter of 2024.  The REIT is also growing, having completed $340 million in new investments in the fourth quarter, and $939 million for the full year. The fourth quarter investments included $179 million in real estate acquisitions and $162 million in new loans. The new loans... Read More »

National Healthcare Corporation Dominates Tennessee Skilled Nursing Market

National Healthcare Corporation (NHC) has established itself as the largest owner of skilled nursing facilities in Tennessee, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The Murfreesboro-based healthcare provider is affiliated with 34 skilled nursing facilities in Tennessee alone, highlighting its significant market presence in its home state. Extensive Portfolio Across Multiple States NHC’s operational footprint extends well beyond Tennessee, with a total of 89 healthcare facilities across eight states as of the most recent CMS reporting period. The company’s portfolio includes: 64 skilled nursing facilities 20 home health agencies 3... Read More »

Honor X Enterprises Dominates Texas Skilled Nursing Market with 117 Facilities

Honor X Enterprises, LLC has emerged as the dominant player in Texas’s skilled nursing facility sector, controlling 117 facilities across the state according to the latest CMS data. The company’s portfolio consists exclusively of skilled nursing facilities, with all 117 properties located in Texas. This geographic concentration allows for operational efficiencies and specialized knowledge of local regulations and reimbursement structures. Honor X Enterprises maintains complete ownership (100%) of 114 of its 117 facilities, with ownership details for the remaining three facilities not specified in the available data. This high rate of full ownership indicates a preference for... Read More »

GPN Family Trust Emerges as Major SNF Owner in Midwest

“GPN Family Trust U/A/D 04/28/08” has established itself as a significant player in the skilled nursing facility (SNF) sector across three Midwest states, with a particularly strong presence in Illinois and South Dakota, according to the latest CMS data. Portfolio Overview The trust currently owns 62 skilled nursing facilities across three states. Illinois represents the largest concentration with 42 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. GPN Family Trust is one of the top owners of skilled nursing facilities in South Dakota, where it ties with other major owners including Doros Generation Trust U/A/D 1/3/12 and Legacy Healthcare... Read More »

Prestige Care Dominates Oregon’s Skilled Nursing Market with 18 Facilities

Prestige Care Inc. has established itself as the dominant player in Oregon’s skilled nursing facility sector, affiliated with 18 facilities across the state, according to the latest CMS data. Market Leadership Position According to the latest Centers for Medicare & Medicaid Services (CMS) data, Prestige Care Inc. is affiliated with the largest number of skilled nursing facilities in Oregon, significantly outpacing competitors in the region. The family-owned company has built a substantial footprint across the Western United States, with a total portfolio of 32 skilled nursing facilities spanning five states. Geographic Distribution The company’s focus on the Pacific... Read More »
National Owner/Operator Acquires in Texas

National Owner/Operator Acquires in Texas

Matthew Alley and Ryan Saul of Senior Living Investment Brokerage were engaged by a local independent owner in Texas in the divestment of its only skilled nursing facility, as he looks to exit the industry. He was leasing the property to a regional operator. Built in 1961 and renovated in 1994, Bender Terrace is in Lubbock, with 120 beds. It sits on 2.65 acres and comprises 45,664 square feet. It was 43% occupied at the time of sale. Under the previous ownership, the facility was making $4.19 million in revenues and $270,000 of EBITDAR, not including additional QIPP revenue. The buyer, a national owner/operator that operates several Texas SNFs, paid $5.85 million, or $49,000 per bed. ... Read More »