Writing · Pricing / Revenue Management
It Took a Full Year of Rate Cut Expectations to Move Cap Rates… Nowhere
Skilled nursing facilities trade at 9.7% cap rates. Cell towers at 4.5%.
A 5.2-point spread isn’t random. It’s the market pricing operational complexity, regulatory headaches, and the difference between capital at rest and capital in combat.
Cap rate spreads are a risk map in disguise.
Cell towers are infrastructure plays. You lease space on a pole to AT&T or Verizon under 10-20 year contracts with 3% annual escalators. Low churn (carrier consolidation mostly done). Minimal operating costs. No staffing headaches. Your biggest concern is whether someone climbs up to replace an antenna.
The market prices that simplicity at 4.5%.
Now look at skilled nursing at 9.7%.
Three risk layers stacked on top of each other:
- Government reimbursement risk (60-70% of revenue is Medicare/Medicaid)
- Staffing nightmare (50%+ annual turnover, 80,000 RN shortage projected for 2025)
- Liability exposure (higher acuity patients, more accidents, more lawsuits)
If the state cuts Medicaid rates 10%, every facility in that state loses 10% of Medicaid revenue overnight. No price control. No way to recover it from residents who can’t pay more.
Over half of nursing homes replace 50%+ of staff annually. Only 19% of facilities currently meet the new CMS minimum staffing requirements that phase in May 2026.
No one should be surprised at the higher cap rates.
Data centers sit at 6.1% despite AI-driven demand because buyers see obsolescence risk. Sellers want to get paid for future potential. Buyers want existing cash flow they can underwrite today. That creates a bid-ask spread that widens cap rates even as fundamentals scream bullish.
Cold storage jumped a full percentage point to 7% in one year after the Lineage IPO mess and subsequent shareholder lawsuit. Market got spooked. Pricing adjusted.
Low cap rates mean set-it-and-forget-it income. High cap rates mean you’re compensating for operational complexity, regulatory uncertainty, or both.
When you see a 5.2-point spread, you’re not just looking at different property types. You’re looking at the market pricing every variable between “infrastructure” and “good luck staffing that.”
I will post the link to Bisnow article in comments.