Renovations run from the owner's side of the table.

Aging buildings lose census quietly, then suddenly. We advise on capital expenditure and renovations as your owner's representative: we bring in and manage the general contractor, the engineers and the architect, bid the work competitively, and hold the budget and schedule — so the people building it are not the only people watching it.

Speak with a partner Our engagement model

When communities call us

The physical plant is dating faster than the competition's
A renovation is planned and nobody on staff has run one at this scale
An acquisition needs a capital plan lenders and investors will believe
You have a GC, an architect and an engineer who each answer to nobody in particular
The community is repositioning — unit mix, memory care conversion, common areas

What the work includes

Facility condition assessment, roof to boiler, with remaining-life estimates
A phased capital plan: life-safety first, revenue-driving second, cosmetic last
Return modeling per project — rate lift, census impact, payback period
Assembling the team — general contractor, structural and MEP engineers, architect, life-safety consultant — from people we have worked with, or vetting the ones you have
Scope documents and a competitive three-bid process, with the bids levelled so you are comparing the same thing
Owner's-rep oversight: weekly site meetings, change-order control, pay-application and draw reviews, punch list to closeout
Keeping the building licensed and occupied while the work happens — phasing, resident moves, survey readiness mid-construction

The contractor works for you. So do we.

A general contractor, an architect and an engineer each optimize for their own job. Someone has to sit on the owner's side, understand all three, and still know what a nursing home needs to pass its next survey while the second floor is torn up. That is the seat we take. Life-safety systems first, revenue-driving work second, cosmetic last — and the numbers for every phase ready for a lender or a board.

Related work

Operational & financial restructuring

Make sure the pro forma holds up before the spend.

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Our engagement model

Capital plans with return targets and dates.

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Get started

Talk with a partner about your community.

One conversation: what we see, how we would approach it, and exactly what it would involve. Survey and leadership situations receive a same-day response.

Speak with a partner Call 650-418-2280

info@mainspringhcp.com New York · Tennessee

Under a survey or short an administrator? Same-day response on survey and leadership situations.

650-418-2280 Speak with a partner