Long Term Care – Fenigstein & Kaufman has a proven track record advising owners, operators, investors, and lenders in transactions involving skilled nursing facilities and assisted living communities nationwide. Our long-term care practice is grounded in a deep understanding of the regulatory, operational, and financial considerations unique to these highly regulated assets.

We represent clients in the acquisition, leasing, disposition, and financing of long-term care facilities, ranging from single-facility transactions to complex portfolio acquisitions and recapitalizations. Our attorneys work closely with clients to structure transactions that account for regulatory requirements, operational realities, and reimbursement considerations while maintaining focus on business objectives and execution.

Our attorneys are well-versed in the regulatory framework governing long-term care facilities, including state and local licensing requirements, change-of-ownership approvals, and transaction-driven operational considerations. We structure transactions with careful attention to CMS regulations and Medicare and Medicaid reimbursement issues, allowing compliance matters to be identified and addressed early in the process and reducing the risk of unanticipated liability.

A significant component of our long-term care practice involves transactions utilizing HUD Section 232 mortgage financing. Fenigstein & Kaufman has closed more than $1 billion in HUD-insured loans and regularly represents both borrowers and lenders in navigating the program’s underwriting standards, regulatory requirements, and closing mechanics. Our experience with HUD financing allows us to manage these transactions efficiently while aligning financing structures with broader transactional and operational goals.

Whether advising owner-operators, institutional investors, or lenders, Fenigstein & Kaufman provides practical, experienced counsel tailored to the unique demands of the long-term care marketplace. We bring the same level of focus, care, and diligence to each transaction, regardless of size or complexity.

Our Long-Term Care & Nursing Home Practice Includes:

• Acquisition and disposition of skilled nursing and assisted living facilities

• Operating leases for skilled nursing facilities, including master lease and sublease structures

• Transfers of operations

• Single-facility and portfolio transactions

• Long-term care financing and refinancing, including HUD Section 232 loans

• Management and consulting arrangements