‘Too Important to Fail’: With $735M in Nursing Home Investments in First Half, CareTrust Reaffirms Faith in Sector 

CareTrust REIT (NYSE: CTRE) CEO David Sedgwick believes the nursing home sector is “too important to fail,” and is a vital part of the healthcare continuum. This indispensable quality is the main reason the REIT continues to invest heavily in the sector. Sedgwick cited his long connection to skilled nursing as well, dating back to […]

‘Moments of Truth’: Nursing Home Giant Ensign on ‘One Clinical’ Model Behind Earnings Success, $850M Available for Investment 

Following a strong second quarter, Ensign Group (Nasdaq: ENSG) strengthened its outlook for the year, with executives highlighting Wednesday the high occupancy levels at its facilities backed by strength in key clinical metrics. “[Our Mission] is to dignify post-acute care in the eyes of the world through moments of truth,” Port said during the company’s […]

Avamere Moves Forward with Nursing Home Exit as Cascadia Expands Footprint with 22 Properties

Avamere is making good on its plan to exit the skilled nursing business, with landlord Sabra Health Care REIT (Nasdaq: SBRA) announcing plans Tuesday to transition all 26 of its leased Avamere properties to new operators, including 22 that would be taken over by Cascadia Healthcare.  The remaining four would be transferred to another existing Sabra tenant. It is unclear […]

Skilled Nursing Dealbook: Ensign Expands Texas Footprint; 6-Facility Ohio Portfolio Sold

A six-facility portfolio in Ohio, totaling 636 beds, changed hands. Meanwhile, Ensign added more nursing homes to its Texas footprint. Ensign Adds SNFs to Portfolio The Ensign Group (Nasdaq: ENSG) acquired two nursing homes in Texas via subsidiaries of its real estate investment trust, Standard Bearer REIT. The facilities total 250 beds and are located […]

How Bandera Works With Partners to Expand Nursing Home Service Lines 

Bandera Healthcare is expanding its nursing home service lines for residents through community partnerships and working with health plans and hospitals. And the company isn’t done. The Arizona operator and Ensign Group (Nasdaq: ENSG) affiliate is looking at more services that also align with taking on more risk, and align with the  needs of health […]

Nursing Home Admins Have New Role as Data-Translator, Relationship-Builder

The skilled nursing administrator position is ever evolving as a bridge between corporate leaders and frontline staff. These leaders often are assuming the role of data translator and CEOs of their buildings as more operators embrace decentralized business models. Having a sense of ownership over a building and what goes on inside of it makes […]

Skilled Nursing Dealbook: Ensign Acquires 17 Texas Facilities; PACS Expands in Alaska With Plans to Build 150-Bed Facility

The Ensign Group expanded its footprint, adding 15 skilled nursing facilities (SNFs) in Texas. Meanwhile, PACS Group announced plans Friday to expand in Alaska, including the development of a 150-bed SNF on adjacent land. Ensign expands in Texas The Ensign Group (Nasdaq: ENSG) announced Thursday the acquisition of the real estate and operations of 15 […]

Ensign CEO: Nursing Home Demand Is Strong Despite Fluctuating Volume, Payer Scrutiny

Leaders with the Ensign Group (Nasdaq: ENSG) pushed back on concerns about slowing demand for skilled nursing amid a continued shift toward home and community-based services, and increased scrutiny from payers in the nursing home sector, stating that while patient volumes may fluctuate, overall demand is strong. This is especially true for higher acuity cases, […]

Ensign Eyes In-House Nursing Home Construction Capabilities, Completes Two CA Projects

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 […]

Nursing Home Giant Expands Footprint in Arizona, Texas and Wisconsin

The Ensign Group (Nasdaq: ENSG) announced Tuesday that it expanded its portfolio with new additions in Arizona, Texas and Wisconsin. The nursing home giant said that it acquired the operations of Agave Grove Post Acute, a 225-bed skilled nursing facility located in Glendale, Arizona. “We are thrilled to be adding another facility to Arizona, continuing […]

NYT Article Links Nursing Home Staffing Mandate Repeal to MAGA Donations, Trump Private Meeting

Nursing home leaders pushed – with donations to the Trump campaign – to have the federal nursing home staffing mandate repealed permanently, arguing the rule would raise costs and force facilities to close. According to a report in the New York Times, about 40 corporate entities associated with nursing homes across the country donated nearly […]

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 […]