skip to Main Content

Assisted Living and Nursing Home Facilities

Refinance or Refi Cash-Out Loans

FHA-HUD 232/223(f)


$3.5 Million to $100 Million+ per property

2.4% to 2.75% fixed 35 yrs or 75% of the remaining economic life both fully amortizing.

Prepayment and Assumption

Rate lock deposit 0.5% refunded @closing.

Our fee is built into the interest rate

Term: 35 years fully or 75% of the remaining economic life amortizing

Refinance or Refi Cash-Out at 80% of Appraised Value

No balloons



Prepayments: none after 10 years

Borrower requirements:

(1) Must have been on title 2+ years for similar sized senior healthcare project last 3 years 

(2) Net worth must equal loan amount (combined all key principals)

(3) Liquidity must equal 10% of loan amount (combined all key principals)

(4) 660+ credit

(5) No bankruptcy, foreclosure or short sales in last 3 years

(6) Borrower: single asset LLC, Corporation or Partnership

(7) No tax returns required

Occupancy requirements: 6 months 85%+ average occupancy with last 3 months trending up

May take surplus cash distributions from operating account twice/year

Eligible properties: Licensed Nursing Homes, Assisted Living, Intermediate Care and Board & Care
a) Must provide continuous protective oversight.
b) Must offer 3 meals per day.
c) Must be state licensed.
d) Non-resident day care up to 20% of gross area and income.
e) May include up to 25% non-licensed independent living units.
f) 3 years must have passed since last certificate of occupancy issued

Commercial Space: up to 20% of net rentable area and gross income

Borrower Type Maximum Loan to Value Minimum Debt
Service Coverage
Maximum Loan to
Refinance Cost
Maximum Loan to
Acquisition Cost
For-Profit 80% 1.45x 100% 80%
Not-for-Profit 85% 1.45x 100% 90%

Escrows: Capital needs reserve will be maintained with monthly deposits in accordance with HUD guidelines on a property-specific basis.

Professional Liability Insurance: HUD requires minimum coverage of $1 million per occurrence; $3 million aggregate with a max deductible of $25,000. Waivers may be granted in cases where premiums are high and claim history is clean.

Mortgage Insurance Premium: 1% due HUD at closing and 0.65% annually thereafter (0.45% for qualifying LIHTC projects), escrowed monthly.

HUD Application Fee: 0.30% of estimate loan amount with submission of application (0.20% for properties in a qualified Opportunity Zone).

HUD Inspection Fee: Greater of $30 per unit/bed or 1% of repairs.

Third party reports: appraisal, environmental and capital needs sssessment.

Timeline: Typical application submitted within 60 days of engagement; processing time varies on OCRF (Office of Residential Care Facilities) volume.

Eagle is a correspondent lender for largest FHA-HUD Commercial Lender in USA. We close more than half of all FHA-HUD Commercial loans and rank top 10 for Fannie Mae and Freddie MAC. No upfront fees.

We are paid when you loan is funded at closing.

Get Your Free PRE-APPROVAL LOI in 48 business hours by clicking through the blue PRE-APPROVAL Healthcare Loan Link. It will take you less than 6 minutes to submit your online loan request. No upfront fees, Social Security Numbers, credit checks or credit cards required.

Back To Top