Full Service Management Contract and Owned Facilities

Braintree Landing
Braintree, Massachusetts

Braintree Landing (formerly Elihu White), a 204 bed facility was purchased by an investor group in August 2003 and was managed in partnership with Landmark Health Solutions until 2007. After a difficult receivership period with serious regulatory concerns, Landmark was able to get the facility removed from the “Federal watch list” and improve the financial performance.

Colonial Poplin Nursing Home & Poplin Way
Fremont, New Hampshire

Located in the town of Fremont, New Hampshire, just west of Exeter, this small family owned facility is comprised of 50 nursing home beds and 18 assisted living units. The owners have engaged Landmark to manage the home to an optimal level of clinical and financial operations to bring the home up to current practice standards, and to ready the home for a HUD refinancing which occurred in 2006.

This organization is operating on a breakeven basis at an occupancy of 85%. Landmark has filled the ALF and obtained Medicare and Medicaid certification for all the SNF beds (previously there were only 4 and 16 certified beds, respectively). Referrals have begun to increased due to improved management to an occupancy of 92% and quality mix of 50%.

The Guardian Center
Brockton, Massachusetts

The Guardian Center, a nonprofit organization, in Brockton is a 123 bed skilled nursing facility which was formerly known as the Lutheran Social Services Home of Brockton. Landmark began managing the facility in 1998. Under Landmark’s direction, the facility spent $1.5 million in 1998 in order to refurbish the physical plant and meet Life Safety Standards for nursing homes. The facility maintains 92% occupancy in a very competitive and over-bedded market and has operated on a breakeven basis in 2007.

Neville Center at Fresh Pond
Cambridge, Massachusetts

Neville Manor is a new 112 bed nonprofit nursing home located in Cambridge. Landmark’s full service contract began in 2001. Originally owned by the City of Cambridge and losing over $2 million per year, Neville is now an independent not-for-profit operating with positive NI. breakeven. Landmark assisted with the development and start-up transition to a new building in 2004. Additionally, Landmark recruited a new management team and orchestrated the turnaround plan which involved shifting the quality mix from 10% to well over 50% and reducing expenses to industry norms.

Northampton Rehabilitation & Nursing Center/Hallmark Developmental School
Northampton, Massachusetts

Landmark worked with a group of investors, who was awarded the bid out of bankruptcy in November 2004, to acquire this unique home. A finance plan included capital expenditures of $1.8 million, working capital of $2 million, and purchase funding by CapSource of $3.1 million. The primary drivers of the turnaround were the renegotiation of Pediatric program rates, union contract concessions, agency use reduction and census development. Ownership transferred in April 2005 with a 20% Landmark affiliated ownership. Landmark was instrumental in achieving substantial compliance and causing the facility to be removed from the "Federal Watch List".

The Pavilion
Hyannis, Massachusetts

In August 2001, Landmark Health Solutions was asked to prepare an operations’ assessment for Cape Cod Extended Care, an 82 bed nursing home, which was part of the Cape Cod Health System. In addition, the senior management of Cape Cod Health Systems requested that Landmark provide an interim administrator. The facility had received 10 deficiencies in 2001 up from six in 2000. After providing an interim administrator, Landmark was asked to provide a full service management contract beginning on April 1, 2003, and acquired the facility in April, 2004. After losing over $600,000 per year prior to the change of ownership, the facility is now at $600,000 on an annualized EBITDAR basis and is the facility of choice on the mid-Cape.

St. Joseph Nursing Care Center
Boston, Massachusetts

St. Joseph Nursing Care Center is a 123 bed nursing facility located in Boston. The facility was experiencing difficulties in clinical care well as financial management. The senior management at Caritas Christi Health System requested that Landmark Health Solutions begin managing the institution on January 1, 2003. Prior to Landmark’s arrival the facility received 10 deficiencies from the DPH surveyors in 2002, and 12 deficiencies in 2001. After only six months under Landmark's direction, the state surveyors cited one deficiency at the nursing home on June 4, 2003. The facility had a net loss of over $1.7 Million in 2001 and 2002. In December 2004, a Landmark affiliated entity acquired the facility and in September 2007 had an annualized EBITDAR. A minor capital improvement of $100-$500,000 is planned in 2007 to refurbish to patient care units and nurses stations.

University Commons
Worcester, Massachusetts

University Commons is a 164 bed non-profit nursing located adjacent to the University of Massachusetts Memorial Medical Center (UMMMC) campus in Worcester. In 2001 the facility was cited for 33 deficiencies, in 2002 eleven deficiencies were noted. In 2002 University Commons was placed on the Office of the Inspector General's (OIG) Nursing Home Watch List. In January 2003, the senior administration at UMMMC requested that Landmark Health Solutions complete a full clinical and management assessment and Landmark's senior clinical consultant conducted a mock survey in late January. The findings from the mock survey indicated that none of the eleven deficiencies had been corrected and that the plan of correction dated July 25, 2002 had not been implemented. Given the severity of the findings, the UMMMC senior administrators engaged Landmark for intensive clinical and management consulting.

Landmark's full service contract became effective in April 2003. In August 2003, the Massachusetts Department of Public Health surveyors determined that the quality of care problems at University Commons had been corrected and the facility received a deficiency-free survey. Landmark has achieved re-accreditation of JCAHO and two years of positive survey results.

Saint Francis Rehabilitation & Nursing Center
Worcester, Massachusetts

Saint Francis Rehabilitation & Nursing Center is a 137 bed nursing facility located in Worcester that also has a 60 participant Adult Day Health Program. The facility was experiencing difficulties in clinical care well as financial management. The board overseeing the original Saint Francis Home foundation requested that Landmark Management Solutions begin managing the institution on March 1, 2008. Prior to Landmark’s arrival the facility received 8 deficiencies from the DPH surveyors in 2007. The center prior to 2008 was loosing $1.0M a year. On March of 2009 Landmark affiliates purchased the center to the foundation could preserve the remaining $4.0M endowment. Six months after purchasing the center CMS put St. Francis on the CMS Special Focus Facility List. Landmark then got it off in the fast time possible and completed this task in 2010. Since that time Landmark has been slowly building the center from a 1 Star center to its current 5 Star status. Since, its purchase management has renovated a significant part of the building structure in order to further increase the SNF and Adult Day Health Programs market share. In 2016 the center obtained an Outpatient therapy license which services both the SNF and ADH portions of the building.

Prior Acquisitions

The Arbors of Bedford
Bedford, New Hampshire

The Arbors of Bedford is an assisted living facility located in New Hampshire. The Arbors was originally owned by a Landmark affiliated company and managed by Landmark Health Solutions until October 2002. During Landmark's involvement, The Arbors achieved a perfect survey, without deficiencies. It is due to those superior survey results that The Arbors became an example for the surveyors of how a facility should run both operationally and clinically.

Clark Manor
Worcester, Massachusetts

Clark Manor (currently Parsons Hill), a 162-bed facility with 132 long-term beds and 30 secured certified Alzheimer’s beds. Clark services a diverse patient population of cultural and religious backgrounds. This facility is conveniently located in downtown Worcester.

Craneville Place at Dalton
Dalton, Massachusetts

Craneville Place at Dalton, a 77-bed skilled nursing facility that underwent a $2 million renovation and expanded its license to 89 beds with a full sub-acute unit. Then Principals of Landmark took ownership in May of 1998. Landmark successfully managed both a clinical and operational turnaround of Craneville. The facility was on a fast track to closure by DPH and had poor financial status and Landmark brought the facility to over 95% occupancy and an operating margin of 5%.

Fairhaven Nursing Home
Lowell, Massachusetts

Fairhaven Nursing Home, a nursing facility located in Lowell, Massachusetts and licensed for 166 beds, 35 of which are certified for Medicare and all of which are certified for Medicaid. An entity of Landmark Health Solutions Principals acquired the Facility in January 2000 and Landmark was instrumental in making improvements to the Facility estimated at $2,500,000 and achieved a positive EBITDAR within 12 months of ownership. This facility consistently achieved greater than budgeted Net Income of over $1M.

The Oxford
Haverhill, Massachusetts

The Oxford, a 120-bed skilled nursing and rehabilitation center JCAHO approved with commendation. While managed by Landmark, the facility scored 87 out of 88 points in the Massachusetts quality measurement tool. Its state survey of January 2000 was deficiency free. The Oxford was contracted with the vast majority of managed care providers in its marketplace and had many short term recovery programs. The Oxford was owned and operated by Landmark or its principals from 1992 to October 2002.

The Layfayette
Marblehead, Massachusetts

The Lafayette is a fine long term care skilled residence in the seacoast town of Marblehead, who was also JCAHO approved with commendation. The Lafayette enjoys an exceptional, high quality reputation. It was owned and managed by Landmark and its principals since from 1984 until October 2002 and during that time had a 40% quality mix and an annual operating margin of 18%.

Lanessa Health and Rehabilitation Center
Webster, Massachusetts

Lanessa Health and Rehabilitation Center, a 96-bed facility with a 47-seven bed Alzheimer's Unit approved by the Alzheimer's Association of Massachusetts. The long-term care beds were Joint Commission certified in 1998. The activities driven Alzheimer's Program provided a secure environment for therapeutic recreation. Additional programs included Hospice Care and Respite Care.

Webster Manor
Webster, Massachusetts

Webster Manor, a 162 bed facility that provides comprehensive skilled nursing and rehabilitation services specializing in sub-acute patients. Webster is also Joint Commission accredited since 1998. During Landmark's management and owner affiliation with this facility, it obtained a contract with the Veterans Administration. Webster has improved its bottom line and its position in the marketplace as the facility of choice.

Landmark Health Solutions
57 Wingate St.
Haverhill, MA 01832