When an existing HUD 232 loan is worth a 223(a)(7) refinance
How the 223(a)(7) streamlined refinance works for nursing homes, what it can and cannot do, and how many active HUD 232 loans carry rates of 5% or more.
Guides
Nursing home owners, CMS ratings and HUD 232 loans in one record.
HUD 223(f) Express Lane criteria for nursing homes, 2026
The criteria HUD set on March 31, 2026 for 223(f) Express Lane priority, and how many of the 14,690 certified nursing homes clear the CMS star-rating part.
HUD 232/223(f) refinance sizing, worked through
How HUD sizes a 223(f) nursing home refinance, test by test, with the arithmetic shown for a 120-bed facility and the reasons each test binds.
Who owns a nursing home? Reading CMS ownership data
How to find a nursing home's owners, operator, chain, private equity and REIT ties in CMS data, what each file shows, and where the public record runs out.
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