Evaluating home based assisted living facility

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March 13, 2025

by a searcher from Stanford University in Texas, USA

Does any one have expertise around evaluating home based assisted living? including valuation, key risks and exit options as rollups. If you are open to chatting let me know

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Reply by a searcher
from University of North Texas in San Antonio, TX, USA
^redacted‌ I’m currently looking into these types of deals, and like with most acquisitions, it’s crucial to lean on your board or trusted professionals for guidance. Start with the end goal in mind and work backward—whether that’s scaling through a roll-up, optimizing for cash flow, or positioning for an eventual exit.

Valuation can vary based on factors like occupancy rates, private-pay vs. Medicaid/Medicare mix, and the quality of care provided. Key risks include regulatory compliance, staffing challenges, and real estate considerations if the business leases or owns its property. Roll-ups can be a strong exit strategy, but ensuring operational efficiency and compliance across multiple locations is critical to maximizing value.

I see you’re also exploring other verticals. My advice—figure out what you truly want and commit to it. Don’t overanalyze. With what you bring to the table, you’ll do just fine.
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Reply by a searcher
in Austin, TX, USA
^redacted‌, I'm currently converting two of my rental properties into personal care homes, with completion expected within the next two months. Once the model proves successful, I plan to expand. I've invested significant time in understanding this sector and would be happy to discuss it further. I'm not looking to acquire existing personal care homes at this time, as the primary value lies in the real estate, and operating business multiples are generally low, unless pursuing a roll-up strategy
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