Assurance, Tax & Advisory Services for Assisted Living Facility Leaders

Virginia’s aging population and growing demand for senior care services continue to create opportunities and challenges for assisted living communities, skilled nursing facilities, and other long-term care providers.

At the same time, facility leaders face increasing pressure to manage labor costs, occupancy goals, capital investments, regulatory compliance requirements, and cybersecurity risks while maintaining a high standard of care for residents.

Keiter works with senior living organizations to navigate these financial and operational challenges. Our specialists provide accounting, tax, audit, and advisory services designed to help leadership teams make informed decisions, strengthen compliance efforts, and identify opportunities that support long-term sustainability.

Trusted Services for Senior Living Organizations

Audit & Compliance Services

  • Financial statement audits
  • Employee benefit plan audits
  • Internal control reviews and risk assessments
  • VHDA, HUD, and FHA reporting support

Tax Planning & Compliance

  • Tax planning and compliance
  • Tax savings and deferral strategies
  • Section 1031 and 1033 exchanges
  • Capital gain planning opportunities
  • Cost segregation studies
  • Low-Income Housing Tax Credits (LIHTC)
  • Entity selection and structuring
  • Partnership structuring
  • Unrelated Business Income (UBI) reviews, when applicable
  • Guidance related to legislative and regulatory changes

Advisory & Operational Support

  • Operational assessments and improvement strategies
  • Organizational structure evaluations
  • Compensation studies and benchmarking
  • Cybersecurity assessments and planning
  • Fraud and financial investigations
  • Business valuations
  • Merger and acquisition support
Assisted Living and Long-Term Care Accounting and Tax Advisors

Our Clients Include:

  • Continuing Care Retirement Communities
  • Independent Living Communities
  • Assisted Living Facilities
  • Skilled Nursing/Long-term Care Facilities
  • Home/Community-based Service Providers
  • Hospice Services
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