Nursing Home Giant Ensign Touts $1B for Future Investments, Census Momentum and New CMS Survey Performance in 3Q 

Ensign Group’s (Nasdaq: ENSG) third quarter was marked by solid occupancy and skilled-mix growth, with CEO Barry Port calling attention Wednesday to the nursing home giant’s outperformance among peers on new survey inspection results and other metrics.   Port said his company’s operating results were evidence that its clinical model and staffing practices were producing […]

SNN Dealbook: New Nursing Home Builds Gain Traction in Kentucky, West Virginia 

Majestic Care is investing $50 million to build three new nursing homes in West Virginia. Meanwhile, Signature HealthCARE announced a JV with the University of Kentucky to add 105 nursing home beds, bolstering an existing partnership. University, Signature Partner to Build Nursing Home in Kentucky SIgnature HealthCARE and the University of Kentucky are partnering to […]

Large East Coast Nursing Home Chain Acquires 12-Facility Portfolio With $180M in Financing 

An East Coast-based nursing home chain secured $180 million in bridge and working capital financing to fund its acquisition of a 12-facility nursing home portfolio spanning Massachusetts and Rhode Island. The owner-operator plans to use the $160 million bridge loan proceeds to fund the acquisition encompassing more than 1,100-beds, according to MONTICELLOAM, a specialized seniors […]

Nursing Home Care Prices Rise 3.7% as Care Spending Growth Slips

Nursing home care prices continued to rise faster than overall health care prices in September 2026, increasing 3.7% year over year, amid nursing home spending declines. According to Altarum’s health care spending brief for October released Thursday, this represents an acceleration of 0.9 percentage points over two years. Nursing home care price growth exceeded the […]

No RegalCare Repeat: State Blocks Sweetwater Deal, Saying Operator ‘Unsuitable’ 

Sweetwater Care affiliates were blocked from acquiring 11 Next Step Healthcare nursing homes in Massachusetts, according to a ruling by the state Department of Public Health. Affiliates of Carlsbad, California-based Sweetwater were found “unsuitable” to acquire the Massachusetts facilities by state officials.; Sweetwater can appeal the decision but isn’t allowed to obtain a license for […]

‘Future-Proofing’: Inside Risk Factors Derailing Nursing Home Expansion 

A multitude of risk factors are influencing expansion in the nursing home sector, including building repair and renovation costs, which are forcing many to press pause despite rising demand for skilled nursing services. These considerations are dampening expansion even aside from ongoing concerns related to big picture risks stemming from the ups and downs of […]

Skilled Nursing Dealbook: Midwest Nursing Home Deals Mark Owner Exit and Regional Expansion 

An Indiana-based private owner exited the nursing home business by selling its final skilled nursing facility (SNF) to an East Coast-based operator. Separately, an Ohio-based chain sold three SNFs to an operator expanding into the Midwest. SNF sold in Indiana Senior Living Investment Brokerage facilitated the sale of Northwest Manor, a 126-bed skilled nursing facility […]

Skilled Nursing Dealbook: CFG Finances $806M for 36-SNF Acquisition; Dwight Closed $624M in September 

A 36-SNF acquisition received $806 million in financing from CFG, while Dwight Capital and its affiliate closed $624 million in real estate financings in September. CFG Finances $806M for 36-SNF Acquisition CFG closed on an $806 million unitranche bridge-to-HUD loan on behalf of unnamed nationally recognized borrowers. CFG was the sole provider of the B-tranche, […]

Genesis Bankruptcy Plan Limits Compensation for Affected Nursing Home Residents

After a federal judge approved Genesis HealthCare’s Chapter 11 liquidation plan Wednesday, one consequence across the nursing home giant’s nationwide operations is that patients and families with claims against the company will likely recover about a quarter of what they are owed.  The outcome has renewed concerns among plaintiffs’ attorneys about a broader pattern in […]

‘A Screening Signal’: The Link Between Nursing Home Sales, Ownership Changes and Agency Use 

There’s a correlation between agency use and change in ownership (CHOW) among nursing homes, with facilities that rely on agency staff substantially more likely to experience a CHOW within two years. That’s according to a report published by 3G Healthcare Real Estate, which found that agency staffing is an early indicator of operational pressure that […]

Skilled Nursing Dealbook: 30-Property Portfolio Gets $600M in Financing; 116-Bed Nursing Home Sold in Florida 

A 30-property skilled nursing and assisted living portfolio in Kentucky and Tennessee received $600 million in bridge financing. Meanwhile, a 118-bed skilled nursing facility in Pensacola, Florida, changed hands. $600 Million in Financing for 3,050 Plus Bed Portfolio MONTICELLOAM funded $600 million in total bridge financing for a thirty-property skilled nursing and assisted living portfolio […]

Genesis HealthCare Wins Court Approval for Nearly $1B Sale of 175 Nursing Homes to New Generation Affiliate

Genesis HealthCare secured court approval Wednesday for the sale of its nationwide nursing home business to an affiliate of New Generation Health LLC for nearly $1 billion as part of its bankruptcy proceedings. Buyer 101 West State Street LLC will take over Genesis HealthCare’s operations and employees, including those related to 22 Pennsylvania nursing homes, […]

As Nursing Home Occupancy Growth Slows, Quality Emerges as an ‘Economic Flywheel’ Amid Managed Care Shift – CLA Report 

As occupancy gains slow and lower-reimbursing managed care plans continue to reshape patient admissions, skilled nursing providers must focus on right-sizing occupancy rather than simply filling beds, according to CliftonLarsonAllen’s 41st Annual SNF Cost Comparison and Industry Trends Report, released Friday. The report includes managed care data for the first time. And future profits for […]

Skilled Nursing Dealbook: Two Hospital Systems Selling Their Nursing Homes, Including a 99-Bed Facility in Missouri 

A 99-bed nursing home connected to a hospital in Missouri was sold to Strawberry Fields REIT. Meanwhile, New York-based ArchCare, a nonprofit Catholic healthcare system, plans to sell one of its skilled nursing facilities (SNFs). ArchCare sells SNF ArchCare, a nonprofit Catholic health care system affiliated with the Archdiocese of New York, plans to sell […]

Cascadia Healthcare Expanding Oregon Footprint With Acquisition of Sapphire Health’s Nursing Home Portfolio 

Cascadia Healthcare is on track to become Oregon’s largest post-acute care provider with plans to acquire 11 facilities from Sapphire Health Services, a Salem-based senior care provider. Cascadia Chief Financial Officer and Principal Steve LaForte shared the latest deal news exclusively with Skilled Nursing News on Wednesday during the RETHINK 2026 conference in Philadelphia. The […]

Gaps in CMS’ Payment Model: How TEAM’s Communication, Interoperability, and 3-Day Stay Waiver May Affect Nursing Home Revenue 

The value-based care payment model, Transforming Episode Accountability Model (TEAM), is confronting challenges related to communication and interoperability across hospitals and nursing homes, including the timely identification of potential TEAM-eligible patients.  Moreover, some clinical leaders believe the three-day inpatient stay waiver for TEAM could use a revamp to include additional episodes of care to account […]

Skilled Nursing Dealbook: $180M in Financing for a 7-Facility Portfolio in North Carolina and Virginia

August Healthcare Group and 980Investments received $180 million in financing for a portfolio of seven nursing homes across North Carolina and Virginia. Meanwhile, a healthcare organization operating 15 facilities across various post-acute care settings, including skilled nursing, received $10 million in financing. $180M in financing for 7-SNF portfolio August Healthcare Group and 980Investments received $180 […]

In With the Old: How Clinical Dashboards and Existing Tech Is Helping SNFs Maximize Reimbursement, Reduce Payer Burden 

To maximize payments, nursing homes don’t necessarily need to deploy more technology but instead make better use of existing software, especially clinical dashboards, which are currently underutilized. Data derived from clinical dashboards can prevent attrition of payment. And, more widespread use of clinical dashboards should be a standard practice across nursing homes, according to Danielle […]

Skilled Nursing Dealbook: 4 Nursing Home Sales Across Florida, Tennessee 

Several transactions involving skilled nursing facilities (SNFs) included the sale of three facilities in Florida and one in Tennessee. Florida SNF sales Forest Healthcare Advisors closed two Florida transactions, including the sale of a 99-bed skilled nursing facility in Daytona Beach that traded at a high per-bed price for the state and the sale of two skilled nursing facilities on […]