Long Term Care & Senior Living Industry Image

Long Term Care & Senior Living

Longer lives, tighter regulation, shifting care models — long term care and senior living demand legal strategies that operate across compliance, capital, and day-to-day realities.

Overview

Long term care and senior living providers operate amid significant generational shifts that have reshaped care delivery models and heightened regulatory oversight. The industry is now among the most highly regulated segments of the health care economy, with legal considerations intersecting operational and financial decision-making at every level.

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Our Focus

ArentFox Schiff works with organizations across the long term care and senior living continuum as they respond to evolving care models, regulatory requirements, and capital considerations. Our clients operate in an environment where compliance obligations, reimbursement structures, and operational planning are closely linked, requiring coordinated legal and business perspectives.

In practice, this means supporting client teams as they evaluate transactions, manage regulatory obligations, and navigate the ongoing demands of operating licensed facilities. Engagements frequently intersect with adjacent health care sectors, including hospitals and health systems, home health, and hospice services, where regulatory frameworks and business considerations overlap. 

What Do We Do?

  • Advise on acquisitions and dispositions of long term care and senior living companies and individual facilities
  • Structure and support financings involving long term care and senior living assets, including review and negotiation of loan documents
  • Counsel clients on operational and regulatory matters affecting licensed facilities and care delivery models
  • Coordinate legal considerations connected to ownership structures, management arrangements, and capital investment
  • Draft and negotiate management agreements and transition agreements

Who Do We Help?

  • Operators of skilled nursing, assisted living, continuing care, retirement, and independent living facilities
  • Owners and managers of long term care and senior living assets
  • Developers of senior living communities
  • Lenders and other capital providers, including institutional investors
  • Organizations operating across related health care sectors, including hospitals, home health, hospice, life sciences, and nonprofit entities

How Can We Help?

Legal support is often needed when organizations are pursuing acquisitions or dispositions, structuring or refinancing capital, responding to regulatory requirements, or addressing operational issues that arise in licensed care environments.

Our Experience

ArentFox Schiff represents a range of participants in the long term care and senior living industry, from regional operators to publicly traded companies. Our engagements include working alongside clients on transactional, financing, and regulatory matters affecting both organizations and individual facilities.

  • Represent operators, owners, and capital providers across the long term care and senior living sector
  • Advise entities ranging from regional operators to publicly traded companies
  • Work with clients connected to adjacent health care sectors where care delivery models intersect

Frequently Asked Questions

What types of facilities fall under long term care and senior living?

This includes skilled nursing facilities, assisted living communities, continuing care retirement communities, and independent living facilities, each subject to different regulatory frameworks.

What legal issues are most common in this industry?

Organizations often address regulatory compliance, licensing requirements, reimbursement structures, and legal considerations related to acquisitions, financing, and operations.

How does regulation affect transactions in this space?

Transactions involving licensed facilities may require regulatory approvals, compliance reviews, and careful evaluation of operational obligations that transfer with ownership or management.

When should legal counsel be involved in senior living or long term care matters?

Legal guidance is often helpful when organizations are evaluating and structuring transactions, responding to regulatory developments, or addressing operational challenges tied to licensed care environments.

Key Contacts