@Ivette Bravo - I am hoping these people are buying because they can force appreciation through rehab or raise rents. 

The main advantage purchasing an existing facility provides is some income while you are stabilizing the property; even if the owner only has 30% occupancy, that's better than starting from scratch with debt service payments.

So you open up a new bank account in CO, and give someone you know in Colorodo ATM authorization to use your debit card and put a prepaid amount on there for them to buy groceries each month as a tip for doing you the service. 

Even if you are in a smaller market there are multifamily brokers that will service your area.My biggest caution to you (agreeing with @Troy Ramey) would be to make sure that you do not have any real estate agent or commercial multifamily broker exclusive to finding deals for you.

What are some ways people have and can raise capital for a down payment when it's pretty large?

streeteasy.com is the best NYC listing service. 

Research, raise your RE IQ, hang around and listen to people smarter and more successful than you, quality is better than quantity, know your limitations financially and mentally and at first take it very slow and dip your toe in the water.

This helps to elimate service being cut off and then going through the hassle and expense of having them reconnected. 

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As long as you can service the debt I see it as necessary.