Real Results, Real Improvement

Proven solutions to stabilize operations, improve care quality, and ensure compliance for senior living communities across Massachusetts.

Since 2018

Our Record in Massachusetts

180+

Senior care communities served across Massachusetts

250+

Consulting engagements completed, many for returning clients

16

Clinical, operational and financial leaders on our team

11

Administrators-in-Training graduated in four years

Property Ownership

Our Buildings

We’re not only advisors. We own and operate two senior living communities in Massachusetts, and everything we recommend to a client is something we run in our own buildings first. Both have grown net income every year we’ve owned them, and both are at or above 95% occupancy.

Sunny Acres Skilled Nursing and Rehab Center

We are proud investors, operators, and managers of Sunny Acres, a locally-owned Skilled Nursing and Memory Care facility located in Chelmsford, MA.

The Terraces Orleans

We are proud investors, operators, and managers of The Terraces Orleans, the premier Skilled Nursing and Independent Living facility in Orleans, MA.

Staffing

Reducing Agency Reliance

Heavy reliance on agency staffing usually means permanent staff are leaving. We addressed this in our own facilities first, reducing agency nurse and CNA hours at one of our buildings by 87% since 2023.

Permanent staff choose their shifts before agency is scheduled, and agency fills only what remains. Payroll runs weekly, with next-day pay available when needed. Job applications go directly to the administrator rather than a recruiter, so candidates often receive a response within the hour.

Consulting & Management

Results for Our Clients

Client names are withheld, references are available.

450%

NOI increase at a struggling skilled nursing facility

1 → 5

CMS star rating turnaround

7 months

A Special Focus Facility guided off the SFF list

16 → 6

DPH citations at a court-appointed receivership

$35k

Monthly NOI at that same receivership, up from a loss

100%

Occupancy at a non-profit community under our interim CEO

$600k

Annualized NOI added for a management client, after fees

$500k

Annual improvements identified in a board-directed assessment

“EF Senior Care’s guidance was invaluable during our most critical operational and compliance challenges. Their approach was hands-on, practical, and highly effective.”

Senior Administrator, Massachusetts SNF

Facility Management & Operations

Tailored Management Solutions

Management Contracts

When you can’t be on-site or lack necessary in-house resources, our seasoned, local team provides effective oversight and management. Management Contracts are a cost-effective solution to guarantee high-quality care, compliance, and fiscally responsible operations for your residents, staff, and stakeholders.

Typical Duration: 3–5 years

Operating Contracts

Reduce financial risk with a long-term operating contract or lease. Our licensed operators, backed by proven track records and substantial financial resources, ensure guaranteed cash flows and sustainable operations.

Typical Duration: 15–25 years

Receivership & Interim Operations

If your facility faces a crisis, such as admissions holds, Immediate Jeopardy tags, or potential receivership, our experienced operational team swiftly intervenes to stabilize your operations. We leverage deep regulatory expertise and proven methodologies to navigate and resolve critical situations.

Typical Duration: 3–12 months

Who We Serve

Who We Work With

Whether you’re responsible for a “not for profit” community, an individual “for profit” building, or a national or regional chain with multiple facilities, if you need market-specific expertise, call us.

Skilled Nursing Facilities

Assisted Living Communities

Memory Care Communities

Rest Homes

Independent Living Apartments

We work with owners and boards, corporate and regional managers, licensed administrators and executive directors, directors of nursing and resident care directors, department heads and business managers, and the lending institutions behind them.

Why Senior Living Communities Trust EF Senior Care

Local Expertise

Deep understanding of Massachusetts regulations (EOAI, DPH, CMS).

Proven Track Record

Successful management and operational turnaround in diverse facility situations touching over 180 communities.

Financial Stability

Secure and reliable financial backing to ensure consistent operations.

Responsive and Efficient

Rapid mobilization to address and manage urgent operational challenges.