CFS Senior Holdings is the for-profit investment affiliate of Community First Solutions (CFS), one of the region’s largest and most experienced senior living owner/operators. Founded in 1918 and headquartered in Hamilton, Ohio, CFS has built a mission-driven platform spanning independent living, assisted living, memory care, skilled nursing, behavioral health, and home- and community-based services across nine Ohio counties.
CFS Senior Holdings actively pursues regional management contracts, joint venture equity investments — including new construction — value-add acquisitions, and sponsorship transitions across the senior living spectrum. Structured as a for-profit entity, we provide investors and partners with capital-efficient deal structures and market-rate returns, backed by a leadership team averaging more than 20 years of senior living expertise and a demonstrated track record of occupancy growth and NOI improvement. We invest in communities — and in the people who call them home.
CFS Senior Holdings drives disciplined, for-profit capital deployment across senior living and healthcare real estate — generating strong investment returns while creating lasting value for residents, communities, and partners through the proven operational expertise and century-long mission of Community First Solutions.
To be the most trusted for-profit investment and operating partner in senior living — delivering superior returns for investors while transforming underperforming communities into thriving environments where older adults flourish and the values of Community First Solutions endure.
CFS Senior Holdings is not a fund seeking a manager — we are the manager. As a for-profit entity led by operators, every investment decision is evaluated through the lens of operational feasibility, clinical quality, and long-term resident outcomes. This is not financial engineering; it is values-driven growth with real capital behind it.
Founded in 1918, Community First Solutions has served older adults through every era of American healthcare. CFS Senior Holdings carries that trust into every market we enter and every partnership we form. Our track record is measured not only in NOI but in resident satisfaction scores, clinical quality ratings, and the communities we've transformed.
Our proprietary TouchPoint Sensory™ Memory Care programming is an evidence-based, nationally recognized approach to dementia care that drives occupancy, family satisfaction, and clinical outcomes. It is embedded across our portfolio and central to our memory care acquisition and management strategy.
From pharmacy to home care, behavioral health to skilled nursing, CFS operates a truly integrated health services ecosystem. CFS Senior Holdings leverages this platform to create resident-centered communities and operational synergies that standalone operators cannot replicate.
We've learned that real impact in a community starts with leaders who are actually there. That's why we're committed to operating regionally — showing up for new teams, driving the cultural transformation that leads to resident and family satisfaction, and improving outcomes along the way.
We start by listening: understanding what's already working at the local level, then building our plan for success around it. Layer in our consistent presence and proven best practices, and you get something rare — a for-profit partner you can trust with the communities you've built.
Private capital looking for the investment discipline of a for-profit entity backed by a century of operational credibility.
Regional operators and boards who need a full-service management partner — sales, clinical, HR, finance, and marketing under one roof.
Mission-driven boards navigating leadership transitions who need a for-profit partner they can actually trust.
Before CFS Senior Holdings pursued a single acquisition, Community First Solutions was already operating three flagship campuses in Hamilton, Ohio — the original proof behind every claim of operational depth we make. Berkeley Square, Westover, and Jamestowne carry more than a century of hands-on senior living and post-acute care experience, and the same leadership, clinical programs, and operating systems that CFS Senior Holdings brings to every new partnership.
A Life Plan Community offering freestanding homes, garden homes, and apartments alongside assisted living, memory care, and skilled nursing — giving residents guaranteed access to every level of care as needs change. Berkeley Square recently completed a $12M expansion adding new independent living duplexes to its Serenity Drive and Centennial Drive neighborhoods, and has been recognized among the Best Assisted Living Facilities in Butler County.
A sister campus to Berkeley Square, Westover pairs the same guaranteed continuum-of-care model with its own distinct community character. Like Berkeley Square, Westover has been named among the Best Assisted Living Facilities in Butler County — evidence of the consistency CFS Senior Holdings brings across every campus it touches.
A 42,000-square-foot inpatient and outpatient rehabilitation facility built around a 5,000-square-foot therapy gym, featuring a HydroWorx® warm-water therapy pool and an outdoor therapy garden for practicing mobility on real-world surfaces. Jamestowne has been recognized by U.S. News & World Report for Best Short-Term Rehabilitation and reflects a standard of excellence — the same clinical rigor CFS Senior Holdings applies to every skilled nursing asset in its portfolio.