Get the Certificate of Insurance for the electrical contractor in case there is an issue during installation and also thereafter. 

But the facility is obsolete so that no self pay patient or insured patient would live there.  

Brokerages are just umbrellas to keep you safe (insurance) from the rain.

I double "co-hosters" in most markets are getting 25-30%.If property management interests you I would suggest you become a licensed and insured PM company to increase your credibility. 

Modulars are a little better because its easier to get FHA and VA financing so they can sell quicker to a wider group of buyers.FHA can be refinance down the road so the MIP - mortgage insurance premium similar to PMI but more expensive. 

Do you increase the rent by strictly calculating the increases in your insurance, taxes and etc ?

You can, however, count on an annual increase in taxes and insurance. 

A larger home (3/2+) could be a good fit for insurance rentals.

Obviously I will have a title search and get title insurance but I assumed they would still be required to fill out a SD but maybe not.

Add to that insurance costs, etc. and it's not looking good.However; what Trump can do that will help is to cut out some of the environmental regulations, etc. that drive the costs of development up.