A third option is to partner with a licensed operator who needs a property, allowing you to stay involved without managing care directly.It's important to factor in the unique costs and risks, such as modifications for safety and accessibility, additional insurance requirements, and the need to comply with healthcare regulations.

As far as other items, you can always discuss with the tenants if they will adhere to modifications and get them to sign an Amendment or Addendum depending on what the changes are.

The previous administration REQUIRED that the lender do a modification or forbearance if the borrower's loan was a VA or FHA loan.

@Dan Marl  If you don't mind the modification I would answer them that they can buy one and you will install or they can install one at their expense.

I've learned that making a personal connection first is important and maintaining that relationship is vital to keeping a PML engaged in what you are offering.

By planning ahead, you can reduce your overall tax liability and create more flexibility to reinvest and grow.Equally vital is protecting what you’re building.

It is a good idea to review the contract with an experienced attorney to make sure you are protected.If there is defective work, a written contract will be vital in bringing a breach of contract claim, so you can claim the work is not in compliance with the contract.

With proactive planning, you can significantly reduce your tax liability and gain greater flexibility as your portfolio grows.Just as vital is having a solid asset protection plan in place.

Ensuring you have a comprehensive understanding of a potential tenant's background, financial stability, and rental history is vital for making informed decisions. 

As a mindset issue for you, it's not a good tenant if they are causing damage (financial, in this case) and not making reasonable modifications to their actions.