• Ensign Acquires Iowa Skilled Nursing Facility

    Nick Cacciabando and Ryan Saul of Senior Living Investment Brokerage helped an industry veteran in Iowa sell his last solely-owned senior care facility, finding a publicly traded buyer in the process. The facility in question was Crystal Heights Care Center, a 72-bed skilled nursing facility in Oskaloosa, Iowa, about one hour southeast of Des... Read More »
  • Investor Group Enters the Seniors Sector Through Idaho Purchase

    An assisted living/memory care community in Twin Falls, Idaho, traded with the help of Chad Mundy and Nick Stahler of The Knapp-Stahler Group at Marcus & Millichap. The campus opened in 1989 with an eight-unit building, and added two 15-unit buildings in 2009 and 2015, respectively. Some units were added to each building in 2023 and 2024, and... Read More »
  • Value-Add Owner/Operator Grows in Texas

    Amy Sitzman, Giancarlo Riso, Connor Doherty and Ryan Kelly of Blueprint got a seniors housing deal across the finish line in Odessa, Texas. Built in 2013 as part of an expansion to an adjacent CCRC, the building has 67 assisted living and memory care units. It had gone through multiple operator changes over the years. The deal was marketed as an... Read More »
  • Seller Divests Its Only Out-Of-State Asset

    Senwell Senior Investment Advisors facilitated the successful sale of a 100-bed skilled nursing facility in Pennsylvania. Built in 1987, the facility was developed by an Ohio-based operator as part of a broader growth initiative. Its occupancy rate was consistently strong, often exceeding 95%. It was the seller’s only out-of-state asset, leading... Read More »
  • Joint Venture Adds to Its Seniors Housing Footprint 

    Foundry Commercial and funds managed by affiliates of Fortress Investment Group acquired the RoseWood Village Assisted Living and Memory Care communities in Charlottesville, Virginia. The two communities, RoseWood Village at Greenbrier and RoseWood Village at Hollymead, will be operated by Foundry Commercial’s management company, Allegro Living,... Read More »
Home Health Under New Pressure

Home Health Under New Pressure

New proposed reimbursement rules sent Kindred Healthcare and other home health stocks plunging, but it is necessary? Well, the home healthcare industry got hit with a jolt last week with proposed new reimbursement rules. The news sent Kindred Healthcare’s shares down 15%, which especially hurt since they are completing their exit from the skilled nursing business, and home health and hospice is taking on an increasingly important role at the company. What I find extremely annoying is that, on the one side, the government and elder care advocates continue to push for at-home supports and services, and just as health care providers are gearing up for it, the government seems to take away any... Read More »

Kindred Healthcare Sells SNF Division To BlueMountain

Kindred Healthcare announced an agreement to sell 89 skilled nursing facilities with 11,308 beds and seven assisted living communities with 380 licensed beds for $700 million, or $59,890 per bed. In today’s world, that can be considered cheap, since it is nearly 40% below the average price paid per bed in 2016, but there is more to it than meets the casual eye, since there is a group of leased facilities outside of the Ventas-owned properties that will be purchased from Ventas as part of the larger transaction. However, occupancy stands at 78%, which is below the historically low current national average of about 82%. The buyer is private equity firm BlueMountain Capital Management, LLC,... Read More »
Home Health Under New Pressure

Kindred Healthcare For Sale, Or Not

Kindred Healthcare disclosed that at least one buyer was in early talks to buy the entire company. Don’t you just love rumors? Last week, Kindred Healthcare disclosed that they were well on their way to divesting their remaining skilled nursing facilities, as planned, mostly in groups of facilities to different buyers. But we have also heard there was someone interested in the entire portfolio. Kindred also revealed that someone was in early discussions to buy the entire company. The shares jumped 15%. Now, readers may remember that we have been saying for some time now that the stock was undervalued, and that the components were worth well above the current market cap. Others do not... Read More »
Home Health Under New Pressure

Kindred Healthcare and Others Facing Labor Headwinds

Earnings season is almost over, and companies such as Kindred Healthcare, Genesis HealthCare and Brookdale Senior Living share the labor headwinds problem. Earnings season is almost over, and if there was one word coming from companies like Kindred Healthcare, Genesis HealthCare and Brookdale Senior Living, it was “headwinds.” Although there are different headwinds, one common denominator is labor, specifically its cost. A year ago, many companies were downplaying its significance. No longer. Genesis announced its earnings, and its stock dropped 16%. The Ensign Group announced, its stock also dropped 16%. Brookdale announced no news regarding a capital event and continuing occupancy... Read More »
Home Health Under New Pressure

Investors, and Congress, Ignore MedPAC

Since November’s crash, skilled nursing prices continue to rise. We sometimes wonder if the members of the Medicare Payment Advisory Commission, or MedPAC, ever get frustrated that their recommendations often go unheeded by Congress. This is certainly the case with recommendations for skilled nursing Medicare reimbursement. Last week, MedPAC recommended a Medicare rate freeze for SNFs through 2019, which Congress will surely ignore….again. Because Medicaid policy is not part of its charter, the MedPAC commissioners ignore it, even though they are keenly aware that in SNFs, Medicare payments subsidize low Medicaid payments. Medicare payment increases are usually quite small, but that... Read More »