Skilled Nursing Feasibility Study in the Los Angeles-Long Beach-Anaheim, CA Metro Area

What SBA's own loan files show about skilled nursing lending in the Los Angeles-Long Beach-Anaheim, CA Metro Area, and what a feasibility study for a project there has to test.

Skilled nursing in Los Angeles: first among areas

On skilled nursing loans the area ranking puts Los Angeles, Long Beach and Anaheim at 1 of 203, and the class list puts skilled nursing at 24 of 39 inside Los Angeles, Long Beach and Anaheim. The location quotient of 1.30x places skilled nursing a little above its national weight even though the class is far down the local class list. SBA's files show 47 loans for $61.7 million, FY2017 to FY2026. In Los Angeles, Long Beach and Anaheim the skilled nursing facility median, $804,000, is 1.20x of the countrywide figure; usual loans run $319,000 to $1.5 million.

SBA 7(a) accounts for 39 of the Los Angeles, Long Beach and Anaheim skilled nursing facility loans, SBA 504 for 8. Los Angeles County: 37 loans and Orange County: 10 loans, so the record is two counties, with Los Angeles County far ahead. Franchise ownership reads 0.00%. No lender reaches the five-loan line in Los Angeles needed to be named, so no lender is listed here.

Among FY2017 to FY2024 approvals in Los Angeles, Long Beach and Anaheim, at least 20.6% were cancelled, a floor that may understate the true share. Loan Analytics prints no charge-off floor and no ceiling figure for want of enough loans; silence is not nil. The years that print: FY2021 (10 loans, $12.5 million); FY2023 (6 loans, $1.4 million); FY2025 (7 loans, $7.3 million); and FY2026 (6 loans, $15.0 million).

Los Angeles skilled: what a skilled nursing study tests

The same code also covers inpatient hospices and assisted living with nursing, so the Los Angeles, Long Beach and Anaheim figures cover a wider group than skilled nursing alone. A skilled nursing facility loan is placed in the area through the financed site’s county under the July 2023 county list, and any loan whose county has no match is skipped. A study must test licensed bed counts, payer mix between Medicare, Medicaid and private pay, staffing cost and agency labor, state certificate and survey history, and debt service when occupancy or rates move. These figures are background to a skilled nursing analysis, and no approval follows from them.

SBA skilled nursing loans in the Los Angeles-Long Beach-Anaheim, CA Metro Area

Loans approved, FY2017 to FY202647
Gross dollars approved$61.7 million
Median loan$804,000
Middle half of loans, from$319,000
Middle half of loans, to$1.5 million
SBA 7(a) loans39
SBA 504 loans8
Franchise share of loans0.00%
Rank among metro and micro areas for skilled nursing loans1 of 203
Rank of skilled nursing among the classes in this area24 of 39
Location quotient (share of loans against the national share)1.30x
Median loan against the national median for the class1.20x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)20.6%
The same, counting loans still undisbursed as cancelled (a ceiling)withheld
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 skilled nursing loans approved in the Los Angeles-Long Beach-Anaheim, CA Metro Area, by fiscal year

0246810FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2021: 10Loans, FY2023: 6Loans, FY2025: 7Loans, FY2026: 6
Fiscal yearLoansDollars
FY2017withheldwithheld
FY2018withheldwithheld
FY2019withheldwithheld
FY2020withheldwithheld
FY202110$12.5 million
FY2022withheldwithheld
FY20236$1.4 million
FY2024withheldwithheld
FY20257$7.3 million
FY20266$15.0 million

Where the loans are, by county

CountyLoans
Los Angeles County, CA37
Orange County, CA10

Counties with 5 or more loans; smaller ones are not listed.

Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.

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.

A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-31080-C11.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a skilled nursing project in the Los Angeles-Long Beach-Anaheim, CA Metro Area, financed under SBA 7(a), SBA 504, USDA Business and Industry or a conventional bank loan. Tell us the project and the lender's deadline, and we reply with scope, timeline and fee.

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