Decades-long data on nursing home closures reveals that ownership changes have become an increasingly important pathway for facilities to remain open, while homes that don’t undergo a change in ownership may be more likely to close. While nearly half of nursing homes from 1985 to 2025 followed a simple entry-to-exit pathway, one-fifth remained open via […]
Category: Development & Renovation
Rethinking hospitality in the nursing home has been a main focus for leadership at Larry H. Miller Senior Health, with targeted facility upgrades to support resident comfort and in turn boost quality and star ratings. The Utah operator’s facilities routinely outperform with 5-star ratings and quality metrics, President Joe Walker said at the LTC 100 […]
Skilled nursing occupancy gains are slowing but still continuing in 2026 as development stays near record lows and investors put dollars into Sun Belt markets with demographic growth and net migration. That’s according to a report Marcus & Millichap released last week. The report’s authors cited NIC MAP data showing the skilled nursing sector added […]
The Ensign Group (Nasdaq: ENSG) is turning to new construction in addition to continuing its strategic plan to acquire and turnaround properties across a number of states. Most recently, two development projects in California were completed by the San Juan Capistrano, Calif.-based company, a 40-bed expansion at Vista Knoll Specialized Healthcare and a replacement facility […]
Many skilled nursing providers across the United States have pivoted in recent years to diversify and build up other business lines. Santa Ana, California-based Generations Healthcare has been one such company, focusing on behavioral health – but with a newly opened SNF, the organization is returning to its roots in a familiar market. The new […]
By Kristin Carroll Ignite Medical Resorts is bucking industry trends by bringing newly constructed skilled nursing facilities (SNFs) to market. The organization recently opened a newly constructed SNF in St. Peters, Missouri, and is set to open another new facility in Batavia, Illinois, on Sept. 18. The Batavia location brings Ignite to 28 locations across […]
Launching a brand new nursing home business right now is not for the faint of heart. But for those with deep clinical and operational expertise – and a mission to help the industry evolve – it’s worth the struggle. Kimberly Green, founder of Sage Integrated Health, aims to do just that, drawing from more than […]
Two veterans of the sector have launched a new company aimed at offering skilled nursing and senior living financing options. Jason Dopoulos and Ken Gould founded the new company, which is dubbed Ikaria Capital Group. The new finance firm will be based out of Cleveland, Ohio, initially with 15 staff members and plans to bring […]
For some nursing home providers, adding new business lines and more brick-and-mortar locations ensures greater longevity by providing better cushioning against larger economic forces. This philosophy allows for a lot of freedom when growing the business, and it keeps nursing home operators from sitting still in a challenging and constantly changing environment. According to Leslie […]
Ninety-two nursing homes have filed a federal lawsuit against the New York State Department of Health (DOH), as the agency approved no reimbursement for older facilities needing capital improvements in 2025. This is an addendum to the state’s 10% reduction for the industry approved in April. The cost-cutting amendment adopted by the state DOH and […]
While many providers offer a continuum of care for older adults, Trilogy Health Services CEO Leigh Ann Barney describes the company as something of a “unicorn” in its commitment to offering a full continuum — including skilled nursing — at scale. Indeed, the commitment to skilled nursing as part of a larger continuum is part […]
Discarding the ‘Red Ocean’ Mindset: Inside Ignite and A.G. Rhodes’ Paths to Growth for Nursing Homes
Growth strategies for nursing homes can vary greatly, depending on nonprofit versus for-profit status and especially the geographic market in which an operator is currently operating. But growth and innovation – no matter the sector or region – require risk and a lot of vision to properly execute. Providers will have to reimagine a grander […]
Evans Senior Investments (ESI) has arranged the sale of Holmes Lake Rehabilitation and Care Center, a nursing home in Lincoln, Nebraska for an undisclosed amount. The transaction was executed on behalf of an independent owner-operator who was ready to transition out of the industry after years of service in the community, ESI said in a […]
Georgia nonprofit A.G. Rhodes’ CEO, Deke Cateau, is all about solutions. To that end, he has had a busy couple of years, successfully expanding one of the operator’s three campuses to be all private rooms with a dementia area built with the household model in mind – a $37.5 million endeavor. Cateau said he would […]
Texas-based Touchstone Communities hasn’t been slowing down this year, with the operator busy acquiring and building properties. On top of brick-and-mortar updates, Touchstone also partnered with Longevity Health in January to offer institutional special needs plans (I-SNPs) to its residents. It’s very thoughtful, controlled growth aimed at diversification of assets, said Leslie Cunningham Campbell, COO […]
Renovating nursing homes to uplift the resident experience can improve not only property value and overall quality of care, but also regulatory compliance. Staffing and retention are ever-present roadblocks at nursing facilities, and upgrading the overall atmosphere can actually help alleviate some of these roadblocks, with caregivers wanting to be in a building that’s easier […]
The Ensign Group (Nasdaq: ENSG) has added two skilled nursing properties to its portfolio, bringing its overall portfolio to 312 skilled nursing facility operations, inclusive of 29 senior living operations, across 14 states. The latest acquisitions were 32-bed Wellsprings of Gilbert in Arizona, and 58-bed The Springs at St. Andrews Village in Aurora, Colorado. Ensign […]
CareTrust REIT (NYSE: CTRE) on Monday announced two strategic transactions totaling $180 million, five- and eight-facility skilled nursing portfolios both located across the Southeast and Mid-Atlantic. The larger transaction, which consists of 1,011 beds and 150 assisted living beds, was funded by a $90 million senior mortgage loan and $9 million preferred equity investment, the […]
The Ensign Group (Nasdaq: ENSG) on Wednesday announced eight facility acquisitions across six states – Utah, Arizona, Tennessee, Texas, Kansas and Iowa. The additions bring Ensign’s growing portfolio to 310 healthcare operations across 14 states. Twenty-nine of these operations also include senior living operations. Real estate in Arizona, River park Post Acute and Elmwood Senior […]
National Health Investors Inc. (NYSE: NHI), much like other real estate investment trusts (REITs), is looking at deals across the continuum of skilled nursing and senior housing and looking into different ways to invest, including through joint ventures, executives said. “We’re hopeful that we’re seeing the tip of the iceberg,” said NHI Chief Investment Officer […]
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