About

The Coalition for Senior Healthcare Reform (CSHR) is made up of individuals and organizations who share a concern for America's seniors who must live in long term health care facilities. As these facilities are often in disrepair as well as constant improvement due to improvements in medical care, we strive to work with the government in the provision of necessary financing to provide the highest quality facilities possible.

Section 232 insures mortgage loans to facilitate the construction and substantial rehabilitation of nursing homes, intermediate care facilities, board and care homes and assisted-living facilities. Section 232/223(f) allows for the purchase or refinancing with or without repairs of existing projects not requiring substantial rehabilitation.

Facilities must accommodate 20 or more residents who require skilled nursing care and related medical services, or those who while not in need of nursing home care, are in need of minimum but continuous care provided by licensed or trained personnel. Assisted living facilities, nursing homes, intermediate care facilities, and board and care homes may be combined in the same facility covered by an insured mortgage or may be in separate facilities. Insured mortgages may include the cost of major movable equipment, daycare facilities, and the installation of fire safety equipment. Assisted living facilities. nursing homes, intermediate care homes, and board and care homes must be licensed or regulated by the appropriate state agency, municipality, or other political subdivision where located.

Eligible mortgagers include investors, builders, developers, public entities (nursing homes) and private nonprofit corporation and associations.

In fiscal year 2006, the department insured mortgages for 222 projects with 24,945 beds/units, totaling $1.3 billion.

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