• Brookdale’s Portfolio Stumbles in February

    Brookdale Senior Living reported its February 2026 occupancy numbers, and if the remaining cold weather months even closely resemble what the company has posted so far this winter, they will need to do some serious heavy lifting this summer to progress in its census rebound.  All of its reported occupancy figures, including consolidated and... Read More »
  • 60 Seconds with Swett: The State of the Healthcare M&A Market

    I attended the McDermott Will & Schulte Healthcare Private Equity Conference in Miami Beach last week, and the buzz mostly centered around increased investment in outpatient care, AI in healthcare and a persistent bid-ask spread that has kept healthcare M&A relatively steady, and down when comparing it to the seniors housing and care... Read More »
  • Newmark Reports Slew of February Deals

    The Newmark seniors housing team reported an active February, with six investment sales and four significant debt transactions. First, outside of Chicago, the team sold Clarendale of Mokena, a 156-unit seniors housing community featuring independent living, assisted living and memory care services. The community was built in 2015 by Ryan... Read More »
  • Improving SNF Sells to Newer Skilled Nursing Entrant

    A regional skilled nursing owner/operator divested one of its senior care facilities in western Nebraska after deciding to refocus its operational efforts in a more condensed regional footprint. The owner/operator engaged Michael Segal and Daniel Waldhorn of Blueprint to run the process.  Built in 1960, Monument Rehabilitation and Care... Read More »
  • AEW Capital Management Divests to Joint Venture

    Berkadia Seniors Housing & Healthcare handled the sale and financing of The Sheridan of Green Oaks, which Town Lane and Arcole acquired, marking the joint venture’s fifth seniors housing investment in their inaugural $1.25 billion real estate fund. Built in 2016 by Senior Lifestyle Corporation, the Class-A community comprises 78 independent... 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 »