• Focus Healthcare Partners Acquires Bankrupt CCRC

    A judge approved a $133 million bid by Focus Healthcare Partners through Focus SH Acquisitions LLC to acquire a 495-unit CCRC in Houston, Texas. Previously owned by the not-for-profit Buckingham Senior Living Community Inc., The Buckingham had filed for bankruptcy protection in November 2025.  Focus’s bid includes... Read More »
  • Incumbent Operator Secures Two Acquisition Financings

    Jay Healy and Director Andrew Lanzaro of Berkadia utilized the company’s balance sheet to provide $39.7 million of bridge-to-HUD financing for a Fort Worth-based skilled nursing owner/operator. The intent is to close the two subsequent HUD 232/223(f) refinancings in the second half of 2026. The loans facilitated the acquisition of three Texas... Read More »
  • MONTICELLOAM’s 2025 Activity

    MONTICELLOAM reported its 2025 activity, completing 49 senior care and multifamily transactions totaling over $2.2 billion in bridge, mezzanine and working capital financing throughout the year. In one of the notable transactions, one of the largest financings the firm has ever completed, MONTICELLOAM funded $470.5 million in bridge and working... Read More »
  • CBRE’s Active 2025 and Q1:26 Projections

    CBRE’s National Senior Housing team announced its 2025 activity, with $3.1 billion in total transaction volume. Debt originations and equity placements comprised $1.95 billion of that total, and were completed across 25 states. Meanwhile, the investment sales side closed $1.15 billion in deals, selling 27 properties across 14 states. The... Read More »
  • Underperforming AL/MC Assets Sell in Michigan

    A buyer with operational expertise and capital resources acquired two seniors housing communities that were not stabilized at the time of sale. The new owner intends to stabilize performance, implement targeted management improvements and reposition the assets. Current rates are priced below local competitors, offering upside through rate... 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 »