Instead of building mass by stringing together operators with national reach, skilled nursing operators and owners should instead concentrate on finding smaller, nimble partners.
The CEO and chairman of Sabra Health Care REIT, Rick Matros, said Thursday he would have no issue with going through bankruptcy proceedings for tenant Signature Healthcare as a way to "cleanse" its balance sheet.
A giant new skilled nursing-assisted living chain was given birth in August, when shareholders of Sabra Health Care REIT and Care Capital Properties voted to approve a deal that would combine the two into one real estate investment trust.
Care Capital Properties and Sabra Health Care REIT will join forces to create a "premier" healthcare real estate investment trust, the companies announced in May.
Aviv REIT Inc. netted nearly $279 million in an initial public offering of common stock. The Chicago-based company first tried to go public in 2008 but was stopped by the economic crisis, and a 2009 attempt was met with investor resistance.
Stocks of the real estate investment trusts that serve nursing homes have been on a downward slide since July's announcement of a $3.87 billion cut in Medicare reimbursements.