Skilled Nursing Dealbook: 172-Bed Denver Portfolio Sold With New Ensign Lease, 80-Bed NY Facility Completes Sale

A Denver-based skilled nursing portfolio totaling 172 beds was sold, with a new capital buyer for the real estate and a new lease agreement with The Ensign Group (Nasdaq: ENSG). Also, a county-owned 80-bed nursing home in New York completed the sale. Colorado based 172-bed SNF portfolio sold Evans Senior Investments (ESI) announced the successful […]

Reputation vs. Affordability: Inside the Sale of a County-Owned Nursing Home to Ensign Amid Protests

The shrinking footprint of nonprofit nursing homes can be a source of concern for certain cash-strapped communities, especially in rural counties. However, one recent sale demonstrates how private ownership is often judged by its reputation, even when it proves to be a good option. The takeover of county-owned nursing homes – including those sought by […]

Biggest Nursing Home Deals of 2025: From Insider Bids to Global Growth

Nursing home dealmaking in 2025 was active but often contentious, notably with the ongoing sale of Genesis assets through December, following the company’s Chapter 11 bankruptcy announcement in July. The case has drawn scrutiny from lawmakers over private equity’s role in Genesis’ financial collapse, as the operator faces more than $2 billion in debt and […]

Skilled Nursing Dealbook: Ensign Adds a Facility in Alabama and 7 in Utah

The Ensign Group (Nasdaq: ENSG) acquired the real estate and operations of skilled nursing facilities in Utah and Alabama. Meanwhile, Blueprint facilitated the sale of properties in Colorado and Kentucky. Ensign expands footprint Ensign announced Monday that it acquired the real estate and operations of seven skilled nursing facilities (SNFs) in Utah and one in […]

Nursing Home Giant Ensign’s CEO Barry Port on Cluster Strategy, Facility Turnarounds, and Owning Real Estate

Driven by its cluster model, The Ensign Group (Nasdaq: ENSG) has pursued a deliberate and consistent acquisition strategy – focusing on markets where it already has a footprint. “Our goal isn’t necessarily to be in all 50 states,” Chairman and CEO Barry Port told the Orange County Business Journal, emphasizing that the company prefers expanding […]

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 […]

‘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 News Dealbook: Creative Solutions Adds 5 Nursing Homes in Texas; Ensign Acquires in Texas, Idaho

Ensign expanded its footprint to add facilities in Texas and Idaho. Meanwhile, Creative Solutions acquired five skilled nursing facilities (SNFs) from Diversicare. Creative Solutions Closes 5-SNF Acquisition Creative Solutions in Healthcare, the largest skilled nursing operator in Texas, has acquired five skilled nursing facilities from Diversicare, effective July 1. “This expansion allows us to bring […]

Risk-Sharing ‘Cluster’ Nursing Home Models Gain Traction as Genesis Eyes Future Implementation

A growing number of skilled nursing providers are adopting a regional “pod cluster” model  championed by nursing home giants such as Ensign Group (Nasdaq: ENSG), National HealthCare Corp., and PACS Group (NYSE: PACS), to gain operational efficiencies, foster collaboration, and drive better clinical and financial outcomes.  And now, Genesis too is eyeing the pod cluster […]

SNN Dealbook: Ensign Acquires 117-Bed Washington Nursing Home From Providence

The Ensign Group acquired the real estate and operations of a 117-bed skilled nursing facility in Washington from Providence Home and Community Care. Meanwhile, CIBC Bank closed a $32 million cash-out commercial mortgage refinance related to two skilled nursing facilities located in Kentucky and Tennessee. Ensign acquires Washington SNF The Ensign Group (Nasdaq: ENSG) acquired […]

Ensign, CareTrust, Diversicare Among Nursing Home Chains Expanding Footprint

Larger nursing home chains have been selective in making acquisitions amid an abundance of facilities for sale. However, now seems to be a good time for growth, as several industry players announced on Wednesday the acquisition of nursing homes and other long-term care assets. Ensign and CareTrust partnered in a transaction involving a California-based campus […]

Investors Sue Nursing Home Giant PACS

PACS Group (NYSE: PACS) leaders are facing a shareholder lawsuit tied to an alleged scheme to submit false Medicare claims. Five PACS executives, including CEO Jason Murray and CFO Derick Apt, are named as defendants in the now-consolidated federal securities fraud class action lawsuit. According to the complaint filed on March 21, these PACS executives […]

Ensign Announces String of New Nursing Home Acquisitions in Four States

The Ensign Group (Nasdaq: ENSG) on Monday announced a slew of new acquisitions of skilled nursing and senior living across four states – Washington, Alaska, Oregon and Arizona. In most of the transactions, the real estate was acquired by a subsidiary of Standard Bearer Healthcare REIT, Ensign’s captive real estate company. The acquisitions are effective […]

Sabra Execs: Abundance of PE Deals, Newer Financing Options Easing M&A Environment Amid Medicaid Cuts Uncertainty

Skilled nursing deals are plentiful, and private equity has a large role to play in their abundance, according to leaders at Sabra Health Care REIT (Nasdaq: SBRA). This trend comes amid the possibility of Medicaid cuts, which could be watered down eventually from the current package presented by House Republicans, they noted. Speaking during Sabra’s […]

Ensign Has More Deals Than They Could ‘Ever Dream of Doing,’ With 2025 M&A Pace Set to Match Last Year

The Ensign Group (Nasdaq: ENSG) in the next few months expects to close on assets in two new states, Alaska and Oregon, and leadership says the operator has significant bandwidth to grow in 35 other states. Ensign’s footprint spans 15 states currently, including 12 new operations added in the fourth financial quarter alone, which includes […]

Ensign Expands Real Estate in Texas with Five Nursing Homes

The Ensign Group (Nasdaq: ENSG) and its captive real estate company Standard Bearer REIT acquired five skilled nursing facilities in Texas for undisclosed amounts, between Jan. 31 and Feb. 3. Standard Bearer exercised its purchase option for Texas properties Beacon Harbor Healthcare & Rehabilitation, a 190-bed facility, along with 126-bed Pleasant Manor Healthcare & Rehabilitation, […]

Average Nursing Home Occupancy Grew Slightly to 80.5%, With PACS Surpassing Industry Norms

Average occupancy for the nursing home sector grew slightly to 80.5% towards year-end, posting a 10-basis-point increase month over month. Over the course of last year, occupancy levels showed a recovery back to pre-pandemic levels. Moreover, according to Stephens Inc.’s latest figures updated through Dec. 1 and released Wednesday, average occupancy for two large sector […]

Skilled Nursing Dealbook: Majestic Adds Six Facilities in Ohio; Ensign Closes on TN, AL Properties, Some Jointly Owned With CareTrust

Indiana-based Majestic Care added six properties in Ohio to its portfolio. Meanwhile, Ensign announced its part in a recent acquisition of Alabama and Tennessee properties formerly operated by American Health Communities and Rehab America. Majestic Care Adds Six Nursing Homes in Ohio Indiana-based Majestic Management added six long-term care facilities to its portfolio effective Dec. […]

Skilled Nursing Dealbook: Strawberry Fields to Acquire 6 Facilities; $400M, 29-Facility Portfolio Refinancing

Strawberry Fields to Buy Facilities in Kansas for $24M Strawberry Fields REIT (NYSE American: STRW) is set to purchase six long-term care facilities in Kansas for $24 million using current working capital, consisting of five nursing homes and one assisted living property. All 354 licensed beds will be leased to Advena Living, led by Willie […]