Recruiting and retaining qualified clinical staff continues to be one of the greatest operational and financial concerns for nursing homes and other long-term care providers, according to the July 2026 Ziegler CFO Hotline survey released Wednesday. And although staffing conditions across all senior living segments have improved, maintaining workforce gains remains top of mind for […]
Ziegler
PACS Group (NYSE: PACS) acquired the real estate of four skilled nursing facilities across California and Arizona. Meanwhile, its subsidiaries acquired the operations of three post-acute facilities totaling 230 beds. PACS Acquisitions PACS Group announced that independently operated subsidiaries of the company have acquired the operations of three post-acute care facilities – two in Alaska […]
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 […]
Saber Healthcare Group expanded its Pennsylvania footprint by announcing a new affiliation with four skilled nursing facilities (SNFs), while a 160-bed facility in Las Vegas sold for a record price of $325,000 per bed. Saber expands Pennsylvania footprint Ohio-based Saber Healthcare Group expanded its Pennsylvania footprint by announcing a new affiliation with four SNFs. The […]
MONTICELLOAM facilitated two loans totaling over $117 million, supporting 1,000 nursing home beds across the East Coast. Meanwhile, a skilled nursing facility was sold in Kentucky. $70M bridge loan for SNF portfolio in Massachusetts and Rhode Island MONTICELLOAM announced the financing of $70 million in senior bridge loan for eight skilled nursing facilities in Massachusetts […]
Good Samaritan remains the largest non-profit provider of nursing home care in the United States. The Sioux Falls, South Dakota-based organization ranks as the largest nonprofit multi-site senior living organization by number of nursing care beds in the annual LZ 200 report, released Wednesday. The report is compiled by specialty investment bank Ziegler and nonprofit […]
Staffing shortages have led providers to limit admissions – most commonly in Skilled Nursing units – with 25% of single-site communities and 18% of multi-sites affected, according to the latest July 2025 Ziegler CFO Hotline survey. The survey offers a glimpse into staffing trends, vacancy and turnover rates, reliance on agency staff, as well strategies […]
Superior Living Foundation completed a $250.2 million acquisition of 14 skilled nursing facilities in eastern Texas. Meanwhile, a vacant assisted living and skilled nursing facility was sold in Waco, Texas. Superior Living Acquires 14 SNFs in Texas for $250.2M Superior Living Foundation, a Maryland-based nonprofit, completed a $250.2 million acquisition of 14 skilled nursing facilities […]
Ensign Group’s (Nasdaq: ENSG) acquisition of a Nebraska-based health care campus with an 83-bed skilled nursing facility expands its portfolio to 324 operations across 14 states. Meanwhile, Ziegler closed $48.7 million in acquisition financing for EveryAge and $82.27 million in financing for Presbyterian Retirement Communities Ensign acquires health 83-bed care campus in Nebraska The Ensign […]
The rising acuity at nursing homes alongside increasingly stringent government regulation, is raising operational risk – and litigation – leaving facilities “overwhelmed” in its wake. As residents increasingly age in place for longer, they are arriving at skilled nursing facilities with more serious health conditions. This trend, combined with regulatory pressures and heightened scrutiny from […]
CIBC Bank provided an $85 million acquisition financing term loan and a $2 million working capital revolving line of credit for a portfolio of skilled nursing facilities in Wisconsin. Historical performance trended positively over the last year as the facilities improved census and operating leverage, CIBC said in a press release. Going forward, occupancy and […]
Privately owned real estate and private equity firm Pacifica Companies has added more than 560 skilled nursing beds to its portfolio in the $180.5 million acquisition of a 15-community portfolio from Retirement Housing Foundation, which is pivoting away from post-acute care. That’s according to an April 19 press release from Chicago-based specialty investment bank Ziegler, […]
Labor costs continue to be top of mind for nursing home operators as the workforce shortage persists and operators anticipate the finalized version of the federal minimum staffing rule. Operators reported average wage increases for their employees of 4.43% in 2023, dropping to 3.64% thus far for 2024, according to the Ziegler CFO Hotline survey […]
It’s becoming harder than ever to operate standalone skilled nursing facilities amid inadequate government funding, and innovative business models that deal with challenges, especially those related to staffing, have and will be borne from necessity. “Innovative models are going to present themselves in some way to stop this train,” said Dan Hermann, president and CEO […]
Operating a skilled nursing facility today is considered a difficult business with regulations and reimbursement woes making the space “tougher every day.” As a result, some operators say they regularly budget a loss for skilled nursing services, and if it weren’t for other lines of business, skilled nursing would be unsustainable. This dire view of […]
As patient preference continues to shift away from nursing homes, public attention is increasingly on alternate modes of skilled nursing care as well, including continuing care retirement communities (CCRCs). Newsweek, for one, came out with a ranking of such communities in partnership with global market and consumer data firm Statista. The companies expect rankings to […]
The Ensign Group (Nasdaq: ENSG) announced Wednesday that it has acquired Rehabilitation and Nursing Center of the Rockies to further strengthen its position in the skilled nursing and senior living sector in Colorado. The facility, a 96-bed skilled nursing facility based in Fort Collins, Colo., was acquired along with its operations and real estate by […]
Bloomfield Capital, direct lender and equity investor in commercial real estate assets, announced the closing of a $12.0 million senior bridge loan, which was used to refinance a maturing loan on a skilled nursing facility located in Southern California. The loan’s sponsor purchased and restructured multiple senior living assets throughout the Western U.S. and is […]
Three skilled nursing properties in Pennsylvania comprising 395 beds and 32 senior housing units were purchased for $39M, or $91,000 per unit. The seller, represented by Evans Senior Investments (ESI), exited the long term care industry. “The ESI Team was successfully able to showcase how a new regional owner/operator could eliminate the agency staffing issues […]
Bank of America strategists point to nursing homes, among other riskier sectors, being behind more defaults in the $4 trillion municipal bond market this year. Expectations come after a 122% surge in first-time payment defaults for January 2023 compared to a year ago, according to a report published by Bloomberg on Tuesday. That translates to […]
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