• Brookdale Boosts Short Term Stability

    Brookdale Senior Living completed a series of financing transactions totaling approximately $600 million that refinanced all of its remaining 2026 mortgage debt and maturities, around $350 million, and a portion of 2027 mortgage debt maturities, approximately $200 million. The company also secured more fixed-rate debt, helping to cut rate risk.... Read More »
  • Ikaria Announces $1 Billion in Q4 Volume

    Ikaria Capital Group closed out a successful 2025, announcing several significant transactions in the fourth quarter that exceeded $1 billion in volume. The activity comprises financings in the seniors housing, skilled nursing and behavioral health sectors across multiple states and borrowers.  The largest deal was a $595.5 million senior... Read More »
  • PE Group Enters Oklahoma after Medicaid Rate Bump

    A skilled nursing facility in Oklahoma that recently benefited from the state’s Medicaid rate bump sold to a national private equity firm looking to enter the state. Built in 1967, Maplewood Care Center features 180 beds on over three acres in Tulsa. It is located close to several major hospitals and healthcare campuses, but occupancy was sitting... Read More »
  • Community Purchased through HUD Assumption

    Chad Mundy of the Knapp-Stahler Group of Marcus & Millichap sold an 82-unit assisted living/memory care community in Lewiston, Idaho. Built in phases in the early 2000s, the community featured five separate buildings, one of which was vacant after sustaining damage from a flood. As a result, occupancy was lower, based on the 89 licensed beds,... Read More »
  • The Zett Group Rounds Out Q4

    The Zett Group closed out Q4 with several closings in the Pacific Northwest. First was the sale of Fox Hollow, a 58-unit seniors housing community in Eugene, Oregon. Built in 1988 and renovated in 2003, the community features 51 assisted living units and seven independent living “cottage-style” units. Set in a nice area of Eugene, it was owned by... Read More »
The Most-Active Acquirers of 2019, So Far

The Most-Active Acquirers of 2019, So Far

This may sound familiar, but CareTrust REIT and The Ensign Group have been the two most prolific acquirers of senior care assets so far this year, with four announced acquisitions each since January 1. This comes at a time with public operators and REITs are very publicly trimming their portfolios of either non-performing or non-core businesses. But, this isn’t simply a 2019 trend for CareTrust and Ensign, which announced 18 and 17 acquisitions, respectively, from 2017 to 2018. Neither company has shied away from a turnaround opportunity either, but they are clearly doing something well, as both are trading near their historical high share prices. CareTrust made the biggest splash in April... Read More »
Ensign Expands California SNF Portfolio

Ensign Expands California SNF Portfolio

One of the reasons big seniors housing and senior care operators (by big, we mean Brookdale- or HCR ManorCare-big) so often run into problems is that the business is difficult to scale. It is still largely a local business, with the Executive Directors and Marketing/Sales Directors responsible for filling units and maximizing cash flow. When you have a large firm, your key staff at the community-level, who may not be receiving enough attention or enough incentive to do well, could be inclined to jump ship. Just look at the number of Brookdale ED resumes floating around following the Emeritus acquisition. One company that seems to have figured out how to scale correctly is The Ensign Group,... Read More »
Capital Senior Living Misses the Mark, Again

Capital Senior Living Misses the Mark, Again

As we were watching the share price of Capital Senior Living drop for several days in a row before announcing their fourth quarter earnings results, we were wondering whether something had leaked out, or whether it was the usual sell off because the company had underperformed relative to expectations for too many quarters in a row. We may never know which it was, and maybe a bit of both, but underperformance was there again. Now, we can’t shoot the messenger because Kim Lody took over as CEO at the beginning of this year and was just a Board member before that, but the results were probably worse than anyone expected. Sequential occupancy declined by a whopping 110 basis points from the... Read More »
The Secret Sauce To Success

The Secret Sauce To Success

Empowering your Executive Directors may be the way to go. I finally found out the secret sauce for success in the senior care market, at least for The Ensign Group. It is called empowerment. Simplistically, the home office does not interfere with the operations at each local community. Other than property, casualty and health insurance, the executive directors are pretty much free to do what they want with expenses. But, they have to succeed. Here’s the deal. A young ED is given full P&L responsibility, with certain benchmarks, of course. He or she is then part of a local team of a few other EDs, and they meet regularly and compare notes on costs and revenues. They can even decide on... Read More »
The Ensign Group Is At It Again

The Ensign Group Is At It Again

The Ensign Group started off 2019 with a skilled nursing acquisition right in its wheelhouse. Located in southwest Utah, in the town of Cedar City, this 120-bed skilled nursing facility was just 50% occupied at the time of sale. That kind of turnaround opportunity seems to be Ensign’s specialty. Indeed, occupancy at its last couple of skilled nursing acquisitions ranged from 67% to 70%. So, they’ll hope to use that experience turning operations around at the Utah facility. Read More »