Creative Solutions in Healthcare Acquires 18 Skilled Nursing Facilities in Texas

August 26, 2025

Creative Solutions in Healthcare has closed or contracted the purchase of 18 skilled nursing facilities across Texas (including Dallas, Fort Worth and El Paso), representing 2,228 licensed beds and an appraised portfolio value of $218 million. The family-owned operator is using HUD-insured permanent financing (with a $155 million HUD debt pipeline) and a mix of bridge, TPA assumption and straight-to-HUD structures to accelerate platform growth and consolidation in the Texas long-term care market.

Buyers
Creative Solutions in Healthcare
Targets
18 skilled nursing facilities in Texas (portfolio; locations include Dallas, Fort Worth, El Paso, Kirbyville, Nacogdoches)
Location
Texas, United States
Transaction Type
Buyout

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