Lots of new construction will suffer because of this.

I really want to take advantage of this equity and either invest in a cash flowing business I could manage on site semi passive or additional rental properties. any advice from the seasoned folks here is welcome, I feel like I am in my head too much and suffering from analyzation paralyzation.

What’s left are rural/remote/no growth locations, old properties either functionally obsolete or in need of significant rehab, and properties with new large competitors wiling to suffer temporary negative cash flow to put them out of business.  

By your own admission you are suffering from analysis paralysis.

The current state of assisted living is largely the big box multilevel facilities where care and personal attention to the residents tends to suffer.

If the Buyer were to stop making payments, the Seller either has to continue making the payment or suffer the effects of mortgage lates on their credit report.

No bank debt = no leverage at all, which is problematic in multiple ways, one is that returns will suffer, likely falling in the 5-8% range and I can get that from good dividend stocks with full liquidity or from a debt fund with first-lien rights and the ability to foreclose or redeem depending on the structure. 

Be sure your renter suffers from a disability which is a protected class, proper interpretation of that lease is very important. 

Medical Payments: Provides coverage for an injury suffered on the premises.

The condo market is suffering across the board and there isn't really an immediate end in sight (although it will eventually pass).