Assisted Living License

[Logan Jamieson]

For those of you with assisted living facilities (not residential care facilities), how did you obtain your licensed beds?  

Did you:

1) Purchase them along with the existing property?

2) Obtain them through a certificate of need process from the state?

3) Or, purchase the licensed beds from another seller and then transfer them to your facility?

Also, in your state are the purchased licenses and associated level of care based on revenue?  For example, in Maine if I purchase a licensed Skilled Nursing bed with a state valued revenue of roughly 130k annual revenue, I can convert that into two assisted living beds (since the license is based on a revenue valuation).  To obtain an ICF (intermediate care facility) bed license in Maine, the revenue is around $800,000/ year, so I would need roughly 6 skilled beds to convert to 1 ICF bed.  Curios how other states work.

Thanks in advance,

Logan