• National Health Investors Reports Its Most Active Year

    National Health Investors released its fourth-quarter and full-year 2025 results, and it made significant strides in 2025. The REIT completed $392.4 million in investments, marking its most active year yet. Its SHOP portfolio expanded from 15 communities to 26 during the year, and has kept the momentum going into 2026. So far this year, the... Read More »
  • American Healthcare REIT Continues Its Momentum

    American Healthcare REIT expanded both its Integrated Senior Health Campus and SHOP segments in 2025, completing $950 million of new investments across the two. The ISHC portfolio grew from 126 properties at year-end 2024 to 147 by the end of 2025, while the SHOP segment increased from 70 to 83 properties.  Same-community ISHC properties... Read More »
  • Town Lane and Arcole Acquire Their Fifth Community

    Town Lane and Arcole made the fifth seniors housing investment in their inaugural $1.25 billion real estate fund. Town Lane is a real estate investment firm, and Arcole is a recently launched seniors housing platform that partners with operators to acquire newer-vintage, full-continuum communities in high-growth markets. The joint venture will... Read More »
  • NYC’s First CCRC Development Secures Major Financing

    Ziegler closed River’s Edge, the largest senior living tax-exempt bond transaction to date, totaling more than $600 million. River’s Edge is the first CCRC project in New York City and will be located on the campus of its sponsor, not-for-profit RiverSpring Living, in the Riverdale section of the Bronx. An affiliate of the sponsor, RS Services,... Read More »
  • LTC Properties Buys into SHOP Growth

    LTC Properties released its 2025 fourth quarter results and 2026 guidance, and in it reiterated its shift toward its newly established SHOP segment. During the second quarter of the year, the company established the segment, marking its shift in focus from the skilled nursing sector. Later in Q2, it terminated its Anthem Memory Care triple-net... 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 »