If by Adult Family Home you mean a non-medical "assisted living facility" (ALF), these can be quite profitable. 

Have a pension and medical.  

The reasons you listed above are the reasons I did not pull the trigger on starting an assisted living facility.

I am a regional clinical director where I oversee multiple facilities serving individuals with severe and persistent mental illness.

You'll have difficulty selling it and breaking even with disclosed leaks.OPTION 1hold on with long term rental strategyOPTION 2Increase your revenue with 1 furnished MTR for the medical groups. 

Secure a credit facility with a Hedgefund or bank and lend that money out..

This includes medical malpractice and auto accidents, both of which are significantly higher than what you would see with a landlord slip-and-fall or mold injury claim.3.

Yes, management is more intensive, and 50 units is nearing the size of facility that having a small on-site manager could be a benefit for oversight, management and leasing.

BP and Rich Dad podcasts have been vocal about this niche. If you found the ideal property for this type of niche, what would be your first step in seeking out a business operator who would rent the property from you ...

We just got an off-season MTR request on furnished finder for a medical company that places medical providers in rural areas (which is our listing).