Skilled Nursing Operator National HealthCare Corp. In Default With NHI 

An affiliate of National HealthCare Corporation (NYSEAMERICAN: NHC) is in default under its master lease with National Health Investors (NYSE: NHI) due to non-compliance with certain non-monetary provisions. The NHC affiliate operates 32 skilled nursing facilities (SNFs) and three assisted living facilities in the NHI portfolio, according to a Securities and Exchange Commission (SEC) document […]

PACS CFO Resigns Following Board Investigation Into Violation Of Company Policies

PACS Group (NYSE: PACS) is seeking a new chief financial officer following the resignation of Derick Apt. This marks a C-suite change for one of the nation’s largest nursing home companies, as independent subsidiaries of PACS operate more than 300 post-acute and senior living facilities across the country. Apt tendered his resignation at the request […]

PACS President Exits, Company Enters Forbearance Agreements With Lenders, Omega

One of the nation’s largest nursing home companies, PACS (NYSE: PACS), has entered into a forbearance agreement with lenders as well as landlord Omega Healthcare Investors (NYSE: OHI), and is also undergoing a change in executive leadership. Effective as of Aug. 15, P.J. Sanford exited as PACS’ president, the company announced in a filing with […]

‘The Halo Effect’: As Lower Reimbursement Rates Loom for the Nursing Home Sector, Exit Planning Advised

Amid economic uncertainty and a phased rollout of significant federal funding cuts over the next three to five years, future reimbursement projections appear grim, and nursing homes shouldn’t delay dealmaking, especially if operators are planning to sell. This view is held by financial experts who note that while the so-called One Big Beautiful Bill Act […]

Skilled Nursing Dealbook: Greystone Provides $64.9M for PA Portfolio, Blueprint Assists in Sale of 963-Bed Ohio, Kentucky Portfolio

Greystone provided a $64.9 million bridge loan for a portfolio in Pennsylvania. Meanwhile, Blueprint advised on the sale of a skilled nursing and senior housing portfolio in Ohio and Kentucky for an undisclosed amount. Greystone Provides $64.9M for PA Portfolio Commercial real estate finance company Greystone provided a $64.9 million bridge loan for a health […]

American Healthcare Execs: Nursing Home Occupancy, Rate Gains, Medicare Advantage Fuel 2Q Growth

Strong revenue management and favorable payor mix at Trilogy assets helped drive a solid second-quarter performance for American Healthcare REIT (NYSE: AHR). And the outlook is only expected to get rosier in the months ahead for the Irvine, California-based real estate investment trust (REIT), executives said Friday. “As we move into the second half of […]

Private Equity Influence in Nursing Homes at Center of Stalled State Bill

A bill in Pennsylvania that would increase oversight of nursing home acquisitions by private equity is now stalled in a Senate committee. The bill, which passed the state House in June and applies to all health care acquisitions, was prompted by recent hospital closures and the bankruptcy of Genesis HealthCare, whose private equity ties drew […]

Nursing Home Turnover Rate Declines as Salaries Rise Slightly in 2025 

Turnover rates in U.S. nursing homes declined overall in 2025, while salaries for clinical roles and leaders saw a slight increase. This is according to the 2025–2026 Nursing Home Salary & Benefits Report released Tuesday by the Hospital & Healthcare Compensation Service (HCS). The report notes that average annual salaries rose across roles in 2025. […]

‘Really Good Place’: Sabra Eyes More Skilled Nursing Opportunities, With OBBBA Being ‘Non-Issue’

The One Big Beautiful Bill Act (OBBBA) has been a “non-issue” for Sabra Health Care REIT (Nasdaq: SBRA) when it comes to dealmaking conversations. The sector also appears to be in a different place now, given the continued decline in supply relative to occupancy, Sabra CEO Rick Matros said Tuesday. The skilled nursing sector’s lobbying […]

‘Recycling Capital’: LTC Sells 7 Nursing Homes Amid Plans to Expand Senior Housing as Genesis Makes Rent

LTC Properties (NYSE: LTC) is under contract to sell seven skilled nursing facilities (SNFs) tied to an unnamed operator in the second quarter, as part of its broader goal to reduce exposure to older nursing homes in favor of senior housing, LTC executives said Tuesday. The disposition of these properties, which the unnamed operator chose […]

Nursing Home Giant Ensign Adds More Than 1,200 Beds Across California, Iowa and Wisconsin

The Ensign Group, Inc. (Nasdaq: ENSG) announced Monday that it is expanding its footprint across California, Wisconsin and Iowa. The acquisitions in California were effective on August 1, 2025, and are subject to new triple net lease arrangements with affiliates of CareTrust REIT (NYSE: CTRE) and International Equity Partners. “We are thrilled to get this […]

Omega Executives on Genesis Bankruptcy, PACS, and OBBBA Fallout Amid Improving Operational Dynamics

Omega Healthcare Investors (NYSE: OHI) raised its earnings guidance despite the bankruptcy filing of its nursing home tenant, Genesis Healthcare, with executives on Friday citing confidence in the company’s reorganization plans and ability to meet rent obligations. “With our strong acquisition pipeline, a favorable operating environment and over $2 billion in liquidity with very low […]

[UPDATED] CMS Finalizes 3.2% Skilled Nursing Medicare Rate Increase, With Updates to Quality Reporting Program 

The Centers for Medicare & Medicaid Services (CMS) finalized its 2026 Skilled Nursing Facility Prospective Payment System (SNF PPS) rule, approving a net increase of 3.2%, or approximately $1.16 billion in Medicare Part A payments for next year. It’s a jump compared to the proposed 2.8% increase released by CMS in April. For fiscal 2026, […]

‘Bad Situation Only Made Worse’: Sen. Sanders, LeadingAge and AG Rhodes Explain OBBBA Impact on Nursing Homes

With Medicaid already falling short of covering the cost of care in nursing homes, the One Big Beautiful Bill Act (OBBBA) will exacerbate a lot of issues already seen in the sector, driving providers to close, reducing access to services and worsening the workforce shortage. Nursing home association LeadingAge and operator A.G. Rhodes joined Sen. […]

Skilled Nursing Dealbook: MONTICELLOAM Provides $435M for Skilled Nursing Transactions in Kentucky, New York

MONTICELLOAM closed $218 million in financing for a portfolio of 18 skilled nursing facilities across Kentucky, along with $217 million in bridge loans for four SNFs in New York. $218M in financing for 18 SNFs in Kentucky MONTICELLOAM announced the closing of $218,300,000 in combined bridge, mezzanine, and working capital financing for 18 skilled nursing […]

‘Worst Is Behind Us’: Ensign Execs on OBBBA, Larger Nursing Home Deals, and Decentralized Model Paying Off

The Ensign Group (Nasdaq: ENSG) expressed gratitude that the skilled nursing industry was largely protected from direct cuts to Medicaid in the One Big Beautiful Bill Act (OBBBA). Mission Viejo, California-based Ensign plans to use its good working relationships with state legislators and governors’ offices to remind those in power of how important funding for […]