Fresh Off Acquisition, American Health Partners Plots Diverse Post-Acute Growth — With SNFs at Center

Even before the pandemic, American Health Partners saw growth potential by expanding beyond a core of skilled nursing facilities. The Franklin, Tenn.-based firm operates 29 SNFs through its American Health Care arm, but it also provides a wide range of other services, from home health and hospice to psychiatric care to a nurse practitioner organization. […]

From Funding to Fines, Why ‘More of Everything’ Won’t Solve Endemic Nursing Home Problems Alone

To improve the quality issues in nursing homes — many of which pre-dated COVID-19 but were brought into a harsh spotlight because of the pandemic — the entire system of skilled nursing care needs to be completely overhauled, according to one physician in the space. “I believe that our consistent failures in nursing home quality […]

As COVID-19 Puts New Focus on Caring in Place, Skilled Nursing Facilities Continue to Explore Dialysis

For skilled nursing facilities, the ability to treat patients in place has far-reaching implications, perhaps most prominently in reducing unnecessary hospitalizations. Usually that reduction is framed in terms of cost, with penalties for hospitals and SNFs alike if a patient returns to the acute care setting too soon. SNFs that perform well in preventing resident […]

By Focusing on an Underserved Population, a New SNF Draws Referrals Before Opening Day

A range of people involved in the skilled nursing profession on many different levels — from hospitalists to reimbursement experts — have over the years consistently preached a key of success for skilled nursing facilities: Identify the needs of hospitals, and try to meet those needs. This is typically understood to mean taking on older […]

How Otterbein Built a Green House Nursing Home Network — With a $12M Plan to Grow

Like many senior living and care executives, Jill Wilson’s first reaction to the “small home” model of nursing homes was a mixture of curiosity and skepticism. The year was 2004, and Wilson was the chief financial officer of Otterbein SeniorLife, a Lebanon, Ohio-based non-profit that runs senior living communities and standalone nursing campuses. The CEO […]

$13.5M Acquisition Financing for Four Oklahoma SNFs; $41M Private-Room Renovation in Florida

Vi at Bentley Village in Naples, Fla., announced a $41 million redevelopment project for its skilled nursing facility, the Bentley Care Center, and its assisted living residences, both part of a campus that includes independent living and coach homes. The redevelopment is scheduled to begin in the third quarter of 2021, and includes redesigning the […]

With Private Rooms ‘Non-Negotiable’ Moving Forward, Time to Renovate Nursing Homes is Now

Whether COVID-19 will usher in a permanent demographic shift toward post-acute and long-term care in the home remains uncertain, but there’s clear evidence that single-occupancy rooms are becoming less of a nursing home luxury and more of the baseline cost of doing business. The demand for privacy had been growing before the pandemic, consulting firm […]

COVID Hasn’t Caused Flood of Distressed Nursing Home Transactions, But Deals Reflect Lower Bed Counts

With federal relief propping up nursing home operations during the ongoing COVID-19 crisis, the mergers-and-acquisitions market has remained relatively stable over the past year — but buyers and sellers are already starting to adjust to a world where the full licensed bed capacity is more of a pipe dream than a realistic benchmark. Amy Sitzman, […]

Bank Leumi, Prestige Care Team for $23.5M Rehab Deal; Hill Valley’s $21.7M, Three-Building Growth Move

Bank Leumi USA this week announced the completion of a $23.5 million deal covering four skilled nursing facilities and one assisted living property operated by Prestige Care. The family operator used the cash to refinance an existing asset-based loan revolver and a real estate term loan, with the goal of boosting liquidity and funding future […]

COVID-19 Shows Need for New Nursing Home Model — But That Won’t Happen Without New Operators, Investors

Operators of skilled nursing facilities for years have dealt with the aging post-acute and long-term care infrastructure across the U.S., coping with problems ranging from multi-resident rooms to poor plumbing to outdated building design. During the COVID-19 pandemic, it became apparent that poor building design was more than a headache for cash-strapped operators; in the […]

Investing in Home-Based Senior Care Can’t Come at Expense of Nursing Facilities

The COVID-19 pandemic has rightfully prompted lawmakers at the state and federal level to reconsider the way government payers incentivize or discourage the use of nursing homes relative to other options, such as home- and community-based services (HCBS). But one prominent long-term care researcher this week warned against looking at the reform equation as a […]

As COVID Reveals Fatal Flaws in Nursing Home Design, Industry Vet Levin Sees Opportunity in Renovations

Of all the systemic flaws that led to the still-unfolding disaster in American nursing homes, the design of the buildings themselves stands among the most plainly visible. Shared rooms where residents live up to four abreast, with double occupancy still the norm in most facilities. Communal bathrooms where, in addition to suffering the indignity of […]

Berkadia Closes $40M in Skilled Nursing Deals; Ensign Expands Again in Texas

Skilled nursing heavyweight The Ensign Group (Nasdaq: ENSG) last week took over operations of the Hays Nursing and Rehabilitation Center, a 116-bed property in San Marcos, Texas. The deal expands the San Juan Capistrano, Calif.-based Ensign’s total portfolio to 228 properties across 13 states. “We are excited to strengthen our presence in the state of […]

To Build the Next Generation of Nursing Homes, Players May Need to Live with Lower Profits

The COVID-19 crisis exposed countless vulnerabilities in the nation’s long-term care infrastructure, but the design of the buildings themselves might loom the largest: With multiple-person rooms the norm in aging physical plants across the country, today’s nursing homes simply weren’t built with infection control in mind. And as the industry and the government look ahead […]

Paragon’s $16M Skilled Nursing Refinance in Hollywood; $34M SNF Project Planned in Downtown Chicago

Paragon Mortgage late last month announced the successful completion of a $16.3 million refinance loan for All Saints Healthcare in North Hollywood, Calif. The 128-bed skilled nursing facility now has permanent financing through the Department of Housing and Urban Development’s (HUD) 232/223 program, according to the Phoenix-based Paragon. All Saints provides skilled nursing care to […]

Green House Senior Director: If Nursing Homes Can’t Embrace Change Post-COVID, ‘Shame on Us’

After a disheartening experience working in nursing homes, former director of nursing Susan Ryan spent years working on initiatives designed to keep the elderly out of institutional care settings at all costs. But over time, she came to believe that there would always be a need for skilled nursing facilities to serve a specific portion […]