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
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 »The affordability factor
One issue that we haven’t heard a lot in the sessions at the last couple of NICs is affordability. Much of what is currently being constructed today is a high-end assisted living/memory care product that is all private pay. And on the skilled nursing/transitional care side, developers like Mainstreet are looking to take on majority Medicare or private pay patients into their luxury rehab resorts. But what about that segment of the population that cannot afford most of the seniors housing and care options out there? And what about those luxury communities that simply can’t draw a large enough census of people who both want to leave their homes and can pay for it? These, among other... Read More »Mainstreet’s latest IN property
Trilogy Health Services recently announced the opening of its latest Mainstreet-built facility in Richmond, Indiana, but the facility is different than any other the developer has built in recent years. Namely, it has no assisted living. Typically, Mainstreet facilities are known for their combination 70 skilled nursing (transitional care) beds and 30 assisted living units. And in the state of Indiana, according to our records, the average cost to build one of those facilities has been approximately $165,000 per unit, or $227 per square foot. We have to assume the Richmond facility will cost about the same, but will feature just 70 beds of skilled nursing/transitional care, though with all... Read More »