Transaction Services
Regulatory due diligence, compliance risk assessment, and transaction advisory for investors, acquirers, and operators buying or selling post-acute and senior care assets.
Why Work With Achieve Compliance Group?
In healthcare M&A, compliance risk is financial risk. A facility with a history of survey deficiencies, an active Plan of Correction, a pending OIG investigation, or systemic documentation gaps can expose acquirers to liability that dwarfs the purchase price. Yet many transaction teams lack the clinical and regulatory expertise to identify these risks before closing.
Achieve Compliance Group provides specialized compliance due diligence and transaction advisory services to private equity sponsors, independent operators, lenders, and intermediaries evaluating or executing post-acute and senior care transactions.
Our Transaction Services Include:
Buy-Side Compliance Due Diligence
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Comprehensive analysis of CMS inspection reports, state survey findings, complaint investigation histories, civil monetary penalties, and enforcement actions across target facilities.
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Evaluation of Five Star Quality Rating trajectories, quality measure performance, staffing metrics, and health inspection domain trends — and what they signal about operational quality.
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Review of existing compliance program infrastructure: policies and procedures, QAPI programs, staff training records, incident reporting systems, and governing body oversight.
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Targeted review of clinical documentation practices, MDS completion patterns, and billing compliance indicators to surface audit and recovery risk.
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Verification of active Medicare and Medicaid certifications, state licensure in good standing, accreditation status, and any pending enforcement actions or exclusions.
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Analysis of staffing ratio compliance, infection control history, staff credentialing, and turnover risk.
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Identification of compliance gaps that require immediate remediation post-close, with prioritized corrective action roadmaps.
Sell-Side Compliance Due Diligence
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Identify and remediate material compliance risks before going to market — protecting deal value and reducing buyer negotiation leverage.
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Rapid improvement of compliance program infrastructure, QAPI documentation, and policy frameworks to present a stronger compliance profile to buyers.
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Organization and interpretation of regulatory documentation for buyer review, and preparation of management responses to diligence questions.
Lender & Investor Services
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Ongoing regulatory compliance monitoring for PE-owned or lender-financed post-acute portfolios, including quarterly survey result tracking and Five Star trend reporting.
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Rapid compliance assessment for distressed or special situation facilities, including facilities in receivership, under CMPs, or at risk of certification termination.
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Regulatory landscape analysis for investors or operators entering a new state or post-acute sub-sector for the first time.
Who We Work With
Private Equity
Senior Living REITs
Lenders & Intermediaries
We regularly support private equity sponsors, family offices, independent sponsors, senior living REITs, healthcare-focused lenders, and healthcare intermediaries evaluating or executing transactions in the skilled nursing, assisted living, home health, and hospice sectors.
Our principals bring direct operational, clinical, investing, financial, and regulatory experience - giving transaction teams a fundamentally different perspective than traditional financial or legal due diligence providers.
