-- Looks like you have wall sleeves in for PTACS?   

Then roll-up your sleeves and make your offer.

@Carlos Johnson seems to have something up his sleeve too.

But bottom line, you'd need to roll up your sleeves and put in a significant amount of work for some time to make it happen.

I had a sleeve gun I used to wear when I used to play high stakes poker in strange games where I didn't know all the players, I had gotten it from my mothers father who was a gunsmith and a machinist.

Nothing takes the place of rolling up your sleeves and learning the neighborhoods.

Cleveland is still a blue collar town and when a true diamond in the rough hits the market, you will be competing against dozens of native Clevelander's with rolled up sleeves who know what it's like to work the trenches.

Either roll up your sleeves and learn every aspect of senior care or bet on someone you can trust to run the operations.

Don't confuse SEO best practices with rolling up your sleeves and creating good content that actually adds value. 

I had no idea what I was getting into, but I did have good work ethic, and was willing to roll up the sleeves and get to work.