SBA 7(a) Skilled Nursing Feasibility Study in Texas

What SBA's own loan files show about SBA 7(a) lending to skilled nursing projects in Texas, and what a feasibility study for an SBA 7(a) loan there has to test.

Fourth among states, near the bottom inside Texas

Skilled nursing in Texas is 4 among states, yet the class sits at 29 of 39 among Texas's own asset classes. The state is big, so even a small share of its lending places it high nationally. SBA approved 33 loans from FY2017 to FY2026, worth $27.4 million. Texas borrowers show a $375,000 median, 0.75x the national mark, with ordinary loans from $200,000 to $1.0 million, which suggests partial purchases, working capital and equipment more than complete facility acquisitions. Franchise affiliation is only 3.0% of loans.

A spread of counties and no lender list

Travis County has 5 loans and Fort Bend 4, while Bexar, Dallas, Harris, Hidalgo, Jones, Montgomery and Williamson each have 2 and Angelina 1. This is a statewide scatter, not a cluster. No lender appears in this cell's table, so this page has nothing to say about which institutions hold these loans. Volume rises unevenly: none in FY2017, a peak of 8 loans and $15.3 million in FY2022 that is far larger per loan than the median, then 2 loans in FY2023, 8 loans and $5.1 million in FY2024, and 1 loan of $695,000 in FY2026.

Withheld rates and the coding blend

Cancellation and charge-off percentages are both left out of this cell, as too few loans lie behind them; withheld does not mean zero. Inpatient hospice and assisted living with nursing share the industry code with skilled nursing, so a Texas project in either of those lines is counted here and the class is broader than its name.

What a Texas nursing study has to prove

Texas leaves more room for private operators than many states, which makes local analysis essential. The study should map existing facilities, occupancy and any new supply, and then estimate admissions from nearby hospitals and the community. Payer mix and reimbursement drive revenue, while staffing, which is typically the biggest expense, should be priced at local wages with a plan for agency use. Licensing and certification, and in an acquisition the survey and compliance history, should be described. The payment has to be covered when census is lower than planned and when payment arrives late. Since the range of loans here is wide, the study should state what the money buys: equipment, renovation, a partner buy-in or a facility. Because the table names no lender, a Texas borrower should not draw conclusions about financing sources from this page and should ask each prospective lender about its own appetite for the class.

SBA 7(a) skilled nursing loans in Texas

Loans approved, FY2017 to FY202633
Gross dollars approved$27.4 million
Median loan$375,000
Middle half of loans, from$200,000
Middle half of loans, to$1.0 million
Franchise share of loans3.0%
Rank among states for SBA 7(a) skilled nursing loans, by number of loans4
Rank of skilled nursing among classes in Texas29 of 39
Median loan against the national SBA 7(a) median for the class0.75x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) not reported: fewer than 30 loans in the cohort
Charged off to date, FY2017 to FY2021 disbursed loans (a floor) not reported: fewer than 30 loans in the cohort

Both rates are floors. SBA withholds the status of open loans, so a loan counts as charged off only once SBA reports it; a rate needs at least 30 loans in its cohort and is otherwise not reported.

SBA 7(a) skilled nursing loans approved in Texas, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 0Loans, FY2018: 2Loans, FY2019: 2Loans, FY2020: 3Loans, FY2021: 3Loans, FY2022: 8Loans, FY2023: 2Loans, FY2024: 8Loans, FY2025: 4Loans, FY2026: 1
Fiscal yearLoansDollars
FY20170$0
FY20182$860,500
FY20192$360,000
FY20203$590,000
FY20213$1.6 million
FY20228$15.3 million
FY20232$428,000
FY20248$5.1 million
FY20254$2.5 million
FY20261$695,000

Where the loans are, by county

CountyLoans
TRAVIS5
FORT BEND4
BEXAR2
DALLAS2
HARRIS2
HIDALGO2
JONES2
MONTGOMERY2
WILLIAMSON2
ANGELINA1

Inpatient hospice and assisted living with nursing cannot be separated from skilled nursing. Shared code: 623110 also holds inpatient hospices and assisted living with nursing care.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; Loan Analytics loan-outcome cell SAP-TX-C11-7A.

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