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September 5, 2024

Sale of Skilled Nursing Facility in Missouri

ESI sold a skilled nursing facility located in Western Missouri.

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The transaction was executed on behalf of an independent owner-operator seeking to exit the industry.


Built in 1987 and situated on over 4 acres of land, the facility is licensed for 199 skilled nursing beds. At the time of marketing, it faced several operational challenges, including a 2-star CMS rating, 54% occupancy, and negative cash flows. In light of these circumstances, the property offers substantial value-add potential. Its location, just a short distance from a large city and within a 15-mile radius of four prominent hospitals, makes it an ideal fit for investors looking to tap into the growing demand for post-acute rehabilitation services.


ESI ran a competitive and discreet marketing process that targeted a select group of qualified buyers. ESI effectively showcased the facility’s untapped potential and positioned it as a highly attractive investment in the Missouri market. This approach emphasized the opportunity to boost its post-acute rehab census by attracting more Medicare residents, in turn increasing occupancy and financial performance. 


During the process, ESI navigated the Right of First Refusal (ROFR) held by the existing operator, carefully managing it to maximize the transaction’s value. By bringing in a new buyer, ESI made sure the asset sold at a competitive market price, benefiting the seller. ESI ultimately selected a regional owner-operator with an existing presence in the state, allowing the new owner to leverage operational synergies and local relationships to restore the community.


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