HUD’s Senior Care Loan Programs No “Free Lunch,” But They’re Effective

Much has been discussed about the pros and cons of the HUD 232 New Construction or Substantial Rehabilitation (sub-rehab) program for the financing of Skilled Nursing and Assisted Living construction. Although challenges do exist, there are certainly ways to make the program work effectively for health care projects. The Advantages While there is no “free […]

People “Will be Dead” Before Transitioning from SNF to Community at Current Rate

A multi-billion dollar federal initiative to move low-income elderly and disabled people from long-term care facilities into the community has fallen far short of its goals, as many states have struggled to cobble together housing and other services. Launched in 2007 during the Bush administration, the states initially projected placing 35,380 Medicaid recipients in the […]

Staff Preparedness the Key to Maximizing Benefits of EHRs

With the shift to electronic health records comes the promise of safe and secure resident and patient records, right? Not necessarily. Protecting personal health information goes beyond new technology and meeting compliance mandates. While new technology and ongoing network health assessments are essential, equally as important is the readiness of clinical staff in adopting new […]

How Senior Care Operators Can Use HUD to Finance Multi-Property Portfolios

In the current credit environment, financing through the U.S. Department of Housing and Urban Development (HUD) has become a favorite of borrowers. With its low, long-term fixed rates, flexibility, nonrecourse feature and other benefits, HUD is often the best available option for a borrower seeking to refinance or finance new construction or rehabilitation of a […]

Will ACOs Help Assisted Living Overthrow the CCRC Model?

In the 1970s and 80s, when they first emerged in large numbers, the Continuing Care Retirement Community (CCRC) product was the most progressive vehicle for caring for older adults as they aged. Residents entered CCRCs able-bodied and independent knowing they could move through the CCRC’s various levels of care—assisted living, memory care, and skilled nursing—as […]

Care Continuum Partnerships Multiply; Medicare Announces 27 New ACOs

Senior Housing News has covered Accountable Care Organizations (ACOs) and their connection to the skilled nursing industry here (a changing referral model dependent on coordination among post-acute care providers) and here (positioning facilities to partner with hospitals and other networks), and also wrote about several senior housing/care REITs and operators who are looking into ACOs. The […]

Senior Living Financing—It Exists, But You Gotta Get Creative. Here’s How.

The financial crisis that began in 2008 was like a large-magnitude earthquake, its aftershocks can still can be felt today by lenders and borrowers. It dramatically changed funding opportunities for both for-profit and nonprofit senior-living providers. So after this seismic shake-up, what does the financing landscape look like for 2012? For starters, although interest rates […]