I very much have a long term play and "don't care" about the cash flow immediately, but obviously I don't want them to negative. 

I believe if your mother-in-law runs out of money that Medicaid will step in and pay for the nursing care.

you don't buy with long term / conventional financing and then refinance again into long term / conventional financing - many properties are too distressed to even qualify. so the "interest rate when purchasing" is irrelevant - the deal either works or it doesn't.

Greetings BP community, I recently joined a national senior care living development team.

Most work with us, some do not.Be careful also as they may tell you to keep their security deposit as last month's rent.

I’d take care of everything.

If you care and it bothers you, raise their rent another $500/mo for the hassle.

@Nick Belsky thank you Nick, I would love to speak about non conventional avenues.

We rent to plenty of S8 applicants; I've always believed the standard of care they exude is as high if not higher than "market" applicants because they'll get kicked out of the program if they don't.

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