Mainstreet plans 24 more Indiana senior care facilities

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While its competitors are asking lawmakers to put the brakes on its rapid building, Mainstreet Property Group is instead pressing the accelerator on its plans to erect more high-end nursing homes around Indiana.

The Carmel-based developer announced Friday morning that it will open seven more facilities for Hoosier seniors this year and another 17 on top of that in the next two years. Those facilities, in total, would create 3,000 permanent jobs for Hoosiers.

If they’re allowed to be built.

The Indiana General Assembly is mulling a five-year moratorium on the construction of skilled nursing facilities, which if passed would prevent Mainstreet from building any new facilities not already begun by June 30. That legislation, known as Senate Bill 173, has passed the Indiana Senate and now awaits a hearing in the Indiana House.

Zeke Turner, CEO of Mainstreet, said that if Indiana enacts a construction moratorium, Mainstreet will simply build more facilities in other states. The company has existing facilities in eight states and is working to expand in six more.

“Where many see uncertainty in the changing health care landscape, we see opportunity to design, build and offer a model that appeals to the consumer – one focusing on comfort, dignity and privacy,” said Turner in a prepared statement.

The promise of 3,000 jobs in the middle of the legislative debate is designed to help Mainstreet’s cause politically.

Mainstreet alarmed older nursing home companies by developing 10 new facilities in the past five years—and breaking an unwritten rule of the industry by building in competitors’ backyards.

“There’s significant opportunity for those who can bring innovation to the tired, existing models of health care,” said Turner in the statement.

That prompted the Indiana Health Care Association and other long-term care groups to call for a ban on new construction. The nursing homes groups say Mainstreet’s developments have contributed to a building war, which has led to falling occupancy rates in nursing homes around the state.

“If someone does go out of business—and that’s a real concern—then you have an access problem,” Scott Tittle, president of the Indiana Health Care Association, told IBJ in January. “Let’s hit the pause button and allow the market to stabilize.”

Mainstreet is part of a coalition of construction companies and a couple of nursing home operators that oppose the ban.

The long-term care facilities Mainstreet develops take few or no Medicaid patients. The Medicaid program in Indiana is funded one-third by state taxes and two-thirds by federal taxes.

In 2014, Mainstreet has already opened one new facility, in Indianapolis’ Castleton area. This month, it will open another Indianapolis facility, at 16th and Arlington streets. Later this year it will open facilities in Kokomo, South Bend, Terre Haute, Lafayette and one more in Indianapolis.

Next year, Mainstreet plans to open facilities in Carmel, Dyer, Bloomington, Crown Point and other communities.


  • Who is it a win for?
    This is somewhat troubling to me. Granted they may add 3,000 jobs in Indiana but I ask if the result is shutting down facilities that do take Medicaid patients is this a net gain for Indiana? Are we not losing 3,000 jobs from other facilities? In other words are we not simply causing layoffs and closings at the other facilities in the state? Further buy siphoning off the non-medicaid patients are we not ensuring the cost of those facilities will either rise or they will close and their will be a shortage of or no Medicaid facilities available? It was also stated that Mainstreet is part of a coalition of construction companies and a couple of nursing home operators that oppose the ban. Who are the other one or two who oppose the moratorium on construction. Obviously the construction companies are going to be against the proposed moratorium. Who else?
  • It's coming: House of Cards
    How did they get started? What led them (or what pay-to-play players led them) into crusading into reaping Medicaid and DCS dollars off their family owned call center. Dig deeper and let's demand accountability for their fortunes. Why go public in Cananda... Hiding something...This family is way to involved over the last years with Governor's...Ponder that...
  • Census?
    Is Mainstreet willing to report on the occupancy of these unproven ghost town resorts? I'll bet that would make a good story. I'll also bet they are all eleventy-billion percent full. Not.
  • sounds good
    My guess is the only people complaining are the ones who run the older facilities in the same markets this group is expanding into. They take the risk and provide Indiana residents with more options and updated facilities. Ultimately the market will dictate if there is a need for more and newer facilities. Having options seems like a good idea to me.
  • You have to be kidding me
    A news conference??? 24 more buildings?? What a joke. These job #'s and economic impact numbers are as inflated as their egos. These supposed "resorts" are NOT good for our state. The only job creation is temporary construction jobs--these facilities mostly just hire people from existing nursing homes. If they could actually build what they say they want to build it will result in more LOST jobs than NEW ones over the next several years. Let them wait 5 years and let's see where things are then... They can waste their Canadian investors' money on dragging other states down.

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