
Senior Living & Post-Acute Care
Senior living and post-acute projects are financed on occupancy and regulated by level of care. The building has to match the license it will operate under, and renovations have to keep residents safe and census stable while work goes on around them.
Project types
Independent and assisted living
Memory care
Skilled nursing facilities
Post-acute and rehabilitation units
Continuing care retirement communities
Repositioning and renovation of existing communities
Where projects fail in this sector
These are the failure modes that recur in this sector — and the questions the firm examines to surface them early.
Licensure category not matched to the building
Assisted living, memory care, and skilled nursing are licensed differently and carry different construction and life-safety requirements. We examine whether the building's design matches the license the owner intends to operate under, including any future change in level of care.
Phasing that ignores census
In an occupied community, every wing taken offline is lost revenue and a set of residents to relocate. We test whether the phasing plan reflects census targets, resident moves, and the operator's capacity to manage them.
Memory care security and wayfinding left to finishes
Secure perimeters, door controls, outdoor space, and wayfinding shape layouts and life-safety approvals. We look at whether these were decided with the operator before design detail, not added at the end.
Pro forma dates that the approvals cannot meet
Lease-up and financing assumptions depend on an opening date. We examine whether that date allows for plan review, inspections, and licensure surveys, and what the model does if it slips.
Resident safety during construction under-planned
Residents are often frail, and some cannot evacuate unaided. Interim life-safety measures, noise, dust, and access routes need planning with the operator. We look at whether those plans exist and who is accountable for them.
How we engage
The platforms most relevant to this kind of facility.
Readiness & Execution Assessment
Before a development or repositioning decision, testing licensure fit, phasing, opening date, and budget against the pro forma.
Capital Planning & Investment Assurance
Independent cost and schedule monitoring for investors and lenders funding development or renovation.
Program Management & Owner Representation
Coordinating the operator, design team, builder, and regulators on the owner's behalf.
Common questions — Senior Living & Post-Acute Care
Why does the licensure category matter so much in senior living construction?
How should a community renovation be phased around residents?
What does an owner's representative do for a senior living developer?
When should a senior living investor commission an independent review?
Insights — Senior Living & Post-Acute Care
Owner-side notes on the constraints that shape projects in this sector.
