• Brookdale Occupancy Stalls

    Brookdale Senior Living released its November occupancy results, and its census growth has stalled this Fall. In its consolidated portfolio, weighted average occupancy fell by 10 basis points from 82.6% in October to 82.5% in November, while month-end occupancy dropped more significantly from 83.7% to 83.4%. Same-community results were not... Read More »
  • Well-Performing Facility Sells for Strong Price

    A rare skilled nursing and behavioral health facility in Tucson, Arizona, sold for a strong price to a partnership between a regional healthcare equity investor and a national skilled nursing operator. Featuring more than 140 beds, the facility is licensed by the state for both medical and behavioral health services, being the only SNF in the... Read More »
  • AL Community with Attached SNF Trades

    An assisted living community with an attached, vacant 65-bed skilled nursing facility in Faribault, Minnesota, sold with the help of Ray Giannini of Marcus & Millichap. Built in 1998, Pleasant View Estates features 36 units and a 75% elderly waiver census. The community was well-occupied and operated at a strong margin. It was previously... Read More »
  • Regional Bank Funds Dallas Development

    Construction projects, although rare, can still get done these days. Tremper Capital Group successfully secured an $84 million non-recourse loan from a regional bank to fund a development in the Dallas, Texas MSA. The 164-unit independent living, assisted living and memory care project is being built by Harbert South Bay Partners in the... Read More »
  • UMRH Expands Two CCRCs in North Carolina

    Ziegler closed The United Methodist Retirement Homes’ (UMRH) $92.125 million Series 2025A, 2025B and 2025C bonds. UMRH is a North Carolina-based not-for-profit corporation that owns and operates three CCRCs in North Carolina: Croasdaile Village Retirement Community in Durham, Wesley Pines Retirement Community in Lumberton, and Cypress Glen... 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 »