Here we honor the facts.

Data doesn't make headlines without people reporting on the distilled version. Our datas context has the capacity to make any deck of any decision maker, any legal brief, or any choice needed for a loved one. Headline worthy, because it's been distilled for your use case.

Valuations

How we honor buyers.

As owners continue to optimize for real estate, reimbursement, and returns through related parties, staffing, ownership, and penalty levels are becoming a public farce, at least on the absolute level. Our analytics showcase data efficacy from independent, alternative sources.

From how investors price the sector (almost solely matrix pricing), to the peer-reviewed caveats. A glimpse into the value we place on staffing, ownership, penalties, and the other facets worth measuring.

What buyers actually price~12%

Median cap rate on skilled-nursing sales. These are valued as real estate off net operating income, not care quality.

Lument, Skilled Nursing State of the Market · 2025

The price of a bed$83,800

What a nursing-home bed traded for on average in 2024. Quality assets cleared over $110,000; the average was pulled down by distressed sales.

Irving Levin Associates, Senior Care Acquisition Report · 2025

The margin that pleads poverty0.4% vs 22%

Reported all-payer margin next to the Medicare-only margin the government's own advisers found for freestanding homes.

MedPAC March 2025 report, via CLA · 2025

Profit off the books68%

Share of industry profit routed to owner-controlled sister companies by 2019, so the books the government relies on show about a third of it.

Gandhi & Olenski, NBER WP 32258 · rev. 2025

Value off the balance sheet$54,396

Asset value, per bed, that a single related-party sale-leaseback moves out of reach of a family's claim.

Gandhi & Olenski, NBER WP 32258 · rev. 2025

The return that changes everything4.83% → 13.11%

The implied return on buying a home, before and after counting hidden profit and tunneled assets. It nearly triples.

Gandhi & Olenski, NBER WP 32258 · rev. 2025

Legal

How we honor cases.

The results illustrating the changing landscape. Whether it's skirting the line, outright fraud, or partial negligence. The industry leaves breadcrumbs the competition picks up.

Finding · Staffing record

Brighton Rehab & Mt. Lebanon

W.D. Pa. · jury conviction 2023 · affirmed 3rd Cir. 2026

$15.35M restitution

A federal jury convicted both homes of padding staffing sheets with people who were not working, to fake the minimum ratio and keep the funds. The payroll record was the fraud and the proof.

DOJ, W.D. Pa.; Third Circuit affirmance · 2026
Finding · Staffing record

Ledesma v. Mariner Health Central

Alameda County, CA · jury verdict 2021

$13.5M verdict

Payroll staffing filings attesting that staff worked were cross-referenced against state sign-in sheets. Named employees could not be found. The public staffing dataset carried the fraud finding.

Alameda County jury verdict; trial-counsel account · 2021
Finding · Therapy billing

Ruckh v. Consulate Health Care

11th Cir. · jury verdict reinstated 2020

~$255M reinstated

A jury's False Claims Act liability was restored on appeal, on inflated therapy levels submitted to Medicare and false care-plan certifications. The reimbursement record was the case.

963 F.3d 1089 (11th Cir. 2020)
Settlement · Ownership tracing

NY AG v. Centers for Care

New York Attorney General · 2024

$45M resolution

The investigation traced public dollars out through owner-controlled companies. Rent to a sister landlord at one home rose from about $600,000 to $2 million after the owners bought it.

NY AG press release · Nov 2024 (settlement, no admission)
Settlement · Billing claims

ReNew Health Group

C.D. Cal. & California · 2024

$7.08M resolution

Claims data showed skilled care billed under a COVID waiver for residents who had no qualifying need. A first-of-its-kind waiver case, carried by the billing record itself.

DOJ, C.D. Cal. · Apr 2024 (no admission)
Settlement · Inspection record

St. Margaret's Center

N.D.N.Y. · 2026

$1.3M resolution

State surveys and a Special Focus Facility designation, with immediate jeopardy for over a month, carried a worthless-services resolution at a facility for medically fragile children.

DOJ, N.D.N.Y. · Feb 2026 (no admission)

BreadcrumbsA Finding is an adjudicated outcome, a verdict, a conviction, an affirmed appeal. A Settlement resolves allegations without an admission of liability.

Facts are the standard

How we honor the data.

Our novelty is in data filtration, the practical data that is referenceable. Loved by humans and agents alike, because it's vetted and anchored in a structure that ensures citability.

Paid on the honest number2% at stakeMedicare withholds 2% of a home's pay and returns it as a bonus or a penalty on measured quality. For 2026 it scores payroll-sourced staffing and turnover.SNF Value-Based Purchasing (CMS-1827-F) · 2025
Denials go publicDue Mar 2026For the first time, big insurers must post how often they deny care and how often a denial is overturned on appeal.CMS-0057-F, Federal Register 89 FR 8758 · 2024
Staffing became payrollBy lawNursing hours are auditable payroll data now, not a self-reported snapshot, with weekends and turnover public and in the star rating.ACA §6106; CMS QSO-22-08-NH · 2022
Ownership left the black boxSearchableYou can now ask who else an owner runs and how those affiliated homes score, the chain-level question the old record could not answer.CMS QSO-23-18-NH · 2023
The rating punishes gaming1-star floorA home is cut to one staffing star for failing to report, for days with no registered nurse on duty, or for failing an audit of its numbers.CMS Five-Star staffing domain · 2022
The gap, named honestlyStalledThe 2023 rule to name private-equity and REIT owners is on the books, but its data collection was suspended indefinitely on Dec 11, 2025, and has not reached the public.Fed. Register 88 FR 80141 (2023); CMS suspension (2025)

This all is designed for the data slop of today: our data policy is beyond the misnomers rampant everywhere today. Notice there are no paid placements anywhere on elderfacts, no referral fees. The data is identical no matter the client. The analytics decides.

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Have our data on your side.

Whether you are building a case, looking for investment opportunities, or helping someone you love, we have context worked up.

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