• Berkadia Announces 2025 Activity and Latest Deal

    Berkadia recorded another successful year, with more than $2 billion in mortgage banking closings for the second consecutive year. In 2025, Berkadia’s financings were spread across 123 properties including active adult, independent living, assisted living, memory care and skilled nursing communities. Multiple lending sources were utilized, such... Read More »
  • Bank Closes Refinance and Acquisition Financing

    Coastal States Bank announced that it recently closed $9 million in financing to refinance a 60-unit purpose-built memory care community near Centerville, Ohio, and to acquire a 53-unit memory care community in Creve Coeur, Missouri. Following the closing, the sponsor’s affiliated management company, Kauhale Healthcare Management, began managing... Read More »
  • SLIB Sells Ohio Assisted Living Portfolio

    Jeff Binder and Ryan Saul of Senior Living Investment Brokerage sold a portfolio of three seniors housing communities in Ohio. Built between 1987 and 2009, the three buildings consist of 314 total units. They were in receivership. Working on behalf of the out-of-state owner, which has other seniors housing communities throughout Ohio, SLIB... Read More »
  • AHR’s New Interim CEO

    American Healthcare REIT, Inc.’s Chief Executive Officer and President, Danny Prosky, has taken a medical leave of absence, effective February 3, 2026, due to a recent medical event. So, the Company’s Board of Directors appointed Jeffrey T. Hanson, the Chairman of the company’s Board, to serve as Interim CEO and President, effective... Read More »
  • NHI Acquires Nine Communities

    National Health Investors made a large SHOP purchase, adding nine communities consisting of 460 total units across Kentucky, South Carolina and Tennessee. The properties will be managed by Allegro Living Management, an affiliate of Spring Arbor Management. NHI has an existing relationship with Spring Arbor totaling approximately $227 million in... Read More »

An Optimal Size for Skilled Nursing?

As the skilled nursing market evolves, lengths of stay and occupancy decline, and new entrants like Mainstreet change the way we view skilled nursing/post-acute care facilities, what is the ideal size of facility now? Based on 2016 sales according to the 22nd Edition of The Senior Care Acquisition Report, the average size of skilled nursing facilities sold dropped for the first time in three years to 122 beds, and was closer to the historical norm of 120 beds. That fell from 130 beds in 2015, and is the lowest since 2013, when facilities averaged 121 beds. The smallest facility sold in 2016 was 40 beds, compared with 30 beds in 2015, while the largest facility sold in 2016 was 744 beds,... Read More »
Mainstreet growth

Mainstreet growth

Mainstreet Health Investments (Mainstreet) is adding seven seniors housing and care properties to its portfolio from several sellers, representing a total purchase price of approximately $152 million. First, the company bought four Mainstreet Property Group (MPG)-developed transitional care/assisted living facilities, which are scheduled to open between November 2016 and March 2017 in Texas and Kansas, for $92.8 million, or almost $247,000 per bed, with a year-one cap rate of 7.7%. The Ensign Group will manage the facilities. Second, Mainstreet is acquiring one transitional care/memory care facility in Evanston, Illinois from its existing operating partner Symphony Post-Acute Network for... Read More »
Mainstreet goes to Liverpool

Mainstreet goes to Liverpool

Most people know Mainstreet as a developer in the post-acute care world, and a prolific one at that. After all, it’s the company’s high-end, amenity-rich transitional care developments that have made a big splash in the industry. But Mainstreet’s most recent acquisition involved a senior living community, which features 186 independent and assisted living units. The community is located just outside of Syracuse, New York, in the town of Liverpool, and was built in phases in 1992 and 1996. Owned and operated by a locally-based manager, The Hearth, the community also carried the Enriched Housing Program licensure designation. The Hearth will lease the community back from Mainstreet, which... Read More »
Age before location

Age before location

Highlighting a growing issue for the country’s aging skilled nursing facility inventory, a facility’s regional advantage may not matter much for owners of facilities in high barrier-to-entry markets looking to maximize value. Surprisingly, the Northeast region, because of its higher average income, property values and barriers to entry, saw the highest average cap rate of any region in 2015, at 13.3%. This is up 70 basis points from the average in 2014 of 12.6%, and up 90 basis points from 2013, when the region averaged the lowest cap rate in the country. Conversely, the North Central region, which has seen tremendous growth in skilled nursing development (buoyed by Mainstreet’s pipeline),... Read More »
Phoenix rises

Phoenix rises

There has been an uptick in seniors housing and care construction in the Phoenix area in just this year. First, Mainstreet announced its first development in the state of Arizona, breaking ground in mid-February on its 94-bed skilled nursing/assisted living facility at a cost of $21.9 million, or $233,000 per bed. The facility also is the first to be operated by Mainstreet Health, the developer’s new operating company. Then, Love Funding announced that it provided a $15 million bridge loan to finance the construction of a 90-unit assisted living/memory care community in the adjacent town of Peoria. The private pay community, which will feature 58 memory care units and 32 assisted living... Read More »