Phone calls were also not returned despite repeated requests to the broker and staff members.

SHE STATED NO OFFICE STAFF WITH THIS COMPANY OR LENDER.

Large companies led the charge, while smaller firms trimmed staff.

Many lenders have legal teams, and staff to prepare the docs for them.

There are many moving parts from local laws, construction modifications and likely higher risk of liability if nothing else based on increasing the traffic with staff, medically fragile patients and family members. 

Feel free to inquire about their staff qualifications if it's a larger organization.2.

Finding staff, furnishing the place, creating the listing, etc.

We offer one caregiver/CNA to every 5-8 seniors compared to our competition that each of their care staff has to "attempt" to manage 20-30 seniors.

My background is in construction management and I have experience in contributing to estimating exercises in commercial construction projects (life science, Pharmaceutical, Higher Education, Office, Lab, Classroom, etc.) 

I think the coordination is the same from a support staff standpoint however theres obviously pros and cons based on how its setup and also circumstances with the size like many eluded to.