Skilled Nursing Acquisition Loans

Bridge-to-HUD for senior care

Close the purchase with a bridge loan, then move into a long-term, fixed-rate HUD loan, with one team for both.

How do you finance a skilled nursing acquisition?

Most buyers close the purchase with a short-term bridge loan, then refinance into a long-term HUD 232/223(f) loan once the facility meets HUD's requirements. Bravo offers both from one platform: Bravo Property Trust funds the bridge loan from its own balance sheet, and Bravo Capital, a HUD MAP and LEAN lender, handles the permanent HUD refinance.

36
Months, the longest bridge term, interest only
35
Years, fixed rate, on a HUD 232/223(f) loan
100%
HUD closing rate in 2025

From purchase to permanent HUD loan

01

Close the purchase

A Bravo Property Trust bridge loan of $3 million to $75 million+ closes on the seller's timeline, for skilled nursing, assisted living and multifamily.

02

Get HUD-ready

The bridge loan uses HUD-compliant reports (appraisal, environmental, capital needs), so the file is ready when the facility qualifies.

03

Refinance into HUD

Bravo Capital's HUD team takes the facility into a HUD 232/223(f) loan: 35 years, fixed rate, fully amortizing and non-recourse.

Bridge loan and HUD loan at a glance

Bridge-to-HUD (Bravo Property Trust)

Loan amount
$3 million to $75 million+
Term
Up to 36 months, interest only
Leverage
Up to 80% LTV (as-stabilized) and 90% LTC
Fees
1% finance fee; $15,000 legal deposit at term sheet

HUD 232/223(f) (Bravo Capital)

Use
Purchase or refinance of skilled nursing and assisted living
Term
35 years, fixed rate, fully amortizing
Recourse
Non-recourse
Mortgage insurance
1% at closing, then 0.65% a year

Recent senior care financings

$41.65M
Stuart, VA
HUD loan · Healthcare
$30.59M
Skilled nursing portfolio · Pennsylvania
Bridge financing · Healthcare
$14.21M
Skilled nursing portfolio · Florida
Bridge financing · Healthcare
$13M
Green Hill · West Orange, NJ
Bridge financing · Healthcare
$12.2M
Lawrenceville, VA
HUD loan · Healthcare
$11.9M
Health Center · Blountstown, FL
Bridge financing · Healthcare

Skilled nursing acquisitions: common questions

Can I use a HUD loan to buy a skilled nursing facility?
Yes. HUD's Section 232/223(f) program finances the purchase or refinance of skilled nursing and assisted living facilities with a 35-year, fixed-rate, non-recourse loan. Because HUD review takes time, many buyers close with a bridge loan first.
Why use a bridge loan before HUD?
A bridge loan closes on the seller's timeline and gives the new owner time to stabilize operations. Bravo Property Trust's bridge loans run up to 36 months, interest only, with a planned refinance into HUD.
What does LEAN approved mean?
LEAN is HUD's processing system for Section 232 healthcare loans. Bravo Capital is a HUD MAP and LEAN approved lender, so it can take a senior care loan through HUD itself.
Does Bravo finance assisted living too?
Yes. Bravo's bridge and HUD 232 programs cover both skilled nursing and assisted living properties.

Buying a skilled nursing facility?

Tell us about the facility and your timeline, and we'll map out the bridge and the HUD exit together.