Consulting Services
Uniting our asset management, operational expertise, and best practices with our site selection, acquisition, and development experience—all under one comprehensive consulting service.
Are you ready to enhance the performance and quality outcomes of your affordable or middle-market senior living community? Struggling with licensing, regulatory applications, and compliance requirements? Need market feasibility advice? Seeking expertise in third-party payer contracts and applications?
We are excited to introduce CiminoCare, a trusted partner in middle-market senior living operations and care. Our team of experienced professionals is now available to consult on your assets. Our goal is to support other middle-market senior living operators in deepening their knowledge and improving their operations.
In today’s rapidly evolving senior living landscape, it’s essential to stay ahead of the curve. Our team at CiminoCare brings a wealth of expertise, real world experience and innovative solutions to help your business and communities reach their potential.
Tailored Strategies
We understand that every senior living community is unique. Middle market communities even more so with their unique challenges and emerging opportunities. That’s why we take the time to listen to your specific needs, experiences and journey to develop customized strategies to drive success.Proven Results
With decades of experience in the industry, we have a track record of delivering tangible results. From increasing occupancy rates, reaching new markets, to optimizing operational efficiency, we’re dedicated to helping you achieve your goals.Comprehensive Support
Whether you’re looking to enhance your sales and marketing efforts, improve resident engagement, or streamline your financial operations, or full management back-office on-going support, we’ve got you covered. Our holistic approach supports all aspects of your community and helps to optimize them for success.Industry Insights
As thought leaders and educators in the senior living space, we stay ahead of emerging trends and best practices, especially those related to affordable and middle market senior care. By partnering with us, you’ll gain access to the latest insights and strategies to stay competitive in the market. Don’t let your senior living business or community fall behind. Join forces with CiminoCare and unlock your businesses and its community’s full potential.Menu of Services
Let us help you customize a plan
that best meets your needs.
Development and Strategy Services
Supporting your effort to plan your senior housing business, most effectively.
- Branding and Re-Branding Strategy
- Red Light/Green Light studies
- Acquisition & Development Research
- Acquisition and Development Site Evaluation and Operational Support
- Turnaround Project Management
Operational Assessments and Management
Assisting you in assessing the state of your senior housing business.
- Community Performance Assessment
- Owner services (including expert representation and support)
- Workforce development, policy and training
- Regulatory and Operational Compliance Audits
- Operations/business shadow operations
Sales and Positioning Solutions
The depth of our expertise in all areas of senior housing combined with our hands-on approach facilitates our ability to solve complex challenges in the business, ensuring allowing us to assist clients in staying ahead of the curve or avoiding the curve completely.
- SOAR/SWOT Analysis and Workshops
- Marketing and Outreach Plans
- Digital Marketing strategy
- Marketing and Sales training
- Pricing and level of care strategies
Third Party Payer Development
Support the application and policy development of third party payer strategies.
- Assisted Living Waiver Program (ALWP) Applications and Consulting
- Managed Care Plans and CalAIM Implementation
- Program if All-Inclusive Care for the Elderly (PACE)
- Letter of Agreement (LOA)
- Collaboration with third party contracts
Our Team
Mark J. Cimino has worn many hats in preparation for his combined roles as CiminoCare CEO, Director, and Owner. He is responsible for all aspects of company business operations and financial stewardship. Under his leadership since 1999, we’ve grown from three to 14 senior living, assisted living, and memory care communities, with more on the drawing board. Like all family members, he began his caregiving career early, assisting his mother in providing home care for seniors. He has served in several capacities in senior housing and long-term care, including as an administrator for both skilled nursing and residential care facilities. Mark earned a B.A. degree from Pacific Union College and a J.D. from University of California, Hastings College of the Law.
MaryAnn Cimino Shinn, as Regional Director, played an integral role in the formation of CiminoCare, Inc. As a Board of Directors member, her participation in the corporate planning process has helped guide our company through a recent period of substantial growth. She has worked in almost every capacity within the company, developing the corporate marketing program, helping shape Quality Assurance efforts, and serving as Operations Manager. Prior to joining CiminoCare she provided social services and marketing support for the Skilled Nursing Facility and Assisted Living divisions of a CCRC in Portland, Oregon. MaryAnn earned a B.A. from San Francisco State University and an M.A. from The College of Notre Dame. 
Paula Hertel supports CiminoCare in strategic operations and marketing direction of its current communities, and in evaluating feasibility. She has spent 30 years focusing on improving service delivery systems for the elderly in executive management positions and consulting projects throughout the U.S. In addition, she has in-depth experience and a proven track record in senior housing and assisted living operations, team training, regulatory compliance and new program development. Paula was most recently Chief Operating Officer of AgeSong Senior Communities. Paula has a M.S.W. (Masters in Social Work) from San Jose State University.
Scott Eckstein Scott Eckstein is a key member of the CiminoCare acquisition and development team focused on strategic planning, market feasibility, proformas and project management with more than 30 years’ experience in senior living, healthcare, and best practices. Scott’s specialties include market and pro forma analysis, site selection, new community openings, employee recruiting and training, operations, budgeting, facilities management, sales and marketing, and turnarounds. He also teaches Senior and Later Living at UNLV’s Harrah’s College of Hospitality. Scott earned his B.S.B.A. from The American University in Washington, DC and an M.B.A. from the Stern School of Business at New York University. Case Studies
Portola Gardens of San Francisco
Assisted Living & Memory Care
This beautiful historical landmark was suffering from declining census and a dated architectural plan that made it difficult to meet the needs of today’s assisted living residents. To offset these limitations, CiminoCare was innovative in assembling a mosaic of special programs and payer sources that allowed us to micro-target referral sources.
First was a high-care program that bridges the gap between traditional assisted living, memory care, and skilled nursing care; second was a dedicated hospice neighborhood; next was a wellness and mental health program for people living with challenges such as mild depression and anxiety who need a high-touch approach to their overall care and medication management.
The result is a revitalized community with census growth of over 20% over a period of 18 months, and a 15% increase in the average per-bed rate. CiminoCare has also rebuilt team morale and fostered a caregiving culture at Portola Gardens that fully embraces our values.
River Fountains of Lodi
Assisted Living
CiminoCare took advantage of an underperforming asset by acquiring the lease and engineering a turnaround after River Fountains ran into census and revenue declines coupled with regulatory problems. After a thorough evaluation to identify specific deficiencies, we executed on a turnaround plan that included securing funds to complete badly needed renovations, updating operations, and repositioning sales and marketing.
River Fountains was on a compliance plan with the state regulatory agency based on deficiencies found during inspections. Over a six-month period, CiminoCare was able to complete the renovations and correct the compliance issues.
Their payer mix was also creating a drag on profitability. We established one of our first Assisted Living Waiver (ALW) programs; once in place, the income per resident tripled. What started as a loss of $20,000 per month became a net income of $30,000 per month.
Ready to take the next step?
Reach out to us to learn more about how we can support your community’s growth and success.
