If you are looking at larger facilities where the size and revenues justify a management company, then you could literally own one anywhere and keep tabs on it via the online management software, as well as quarterly property visits.  

Moreover, there are different rates for loans of different durations (short-, mid-, and long-term) and compounding periods (annual, semi-annual, quarterly, and monthly).2If the lender extends a "below-market loan," that is, they charge no interest or interest at a rate less than the AFR, the IRS “imputes” or assigns to lenders the interest income they would have received at AFR rates regardless of whether they actually receive it.

We do quarterly furnace filter changes which gives us an excuse to enter the home (we can't search every room in this case) but we can peek at things and smell the air as we walk through.

Shawn,I recommend finding an accountant who specializes in real estate taxation over one that is local.

Christopher, I recommend finding an accountant who specializes in real estate taxation over one that is local.

Victoria, I recommend finding an accountant who specializes in real estate taxation over one that is local.

I have no hands on experience on Real Estate but I am definitely filled with keen interest to learn about it from close quarters.  

I just sold a highly depreciated duplex in the SF Bay Area and looking to invest elsewhere for a variety of reasons but mainly rent control and some other taxation reasons.

Then after you can house hack, rent it out, or sell.I suggest to expand your search by looking for single family houses with mother in law suites or seperate living quarters where roommate contact would be minimal

Brian, I recommend finding an accountant who specializes in real estate taxation over one that is local.