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JF 4089: Assisted Living Mistakes, Million-Dollar Lessons and Operational Excellence ft. Todd Dexheimer

Nov 14, 2025
Todd Dexheimer, a multifamily and assisted living operator and principal at Endurus Capital, shares his insights on strategic market selection, favoring steady growth over volatile areas. He discusses his transformative work on a 99-unit property by adding unique amenities that elevate tenant demographics. Todd candidly talks about the tough lessons learned while scaling in assisted living, emphasizing the critical nature of operational excellence and strong leadership for profitability. His passion for long-term demand in this sector shines through despite early setbacks.
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ADVICE

Prefer Steady Job Growth Markets

  • Look for markets with steady job and population growth, sane rent-to-income ratios, and limited new supply.
  • Check permit ease and supply risk to avoid boom-bust metros that overbuild quickly.
INSIGHT

Rapid Rent Growth Predicts Whiplash

  • Aggressive short-term rent growth often signals overheating and attracts excess construction.
  • Markets with rapid rent spikes usually revert toward affordability when supply catches up.
ANECDOTE

99-Unit Riverfront Value-Add Story

  • Todd bought a 99-unit riverside building that was 65% occupied and mismanaged by heirs who "hated people."
  • Structural settlement at a separate pool building required rehabbing a sloping hallway rather than costly underpinning.
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