Nursing Homes


Industries | Nursing Homes

Entity planning and formation

The initial planning regarding the formation of a nursing home will affect the entity throughout its life.  Whether you are Not for Profit or For Profit, many of the same concerns must be dealt with regarding the entity structures used for real estate and/or the operating entities. As your organization grows, this process remains ongoing.  Our attorneys are well versed to assist you in this area.  

Non-Profit (Not for Profit) Issues

For a detailed discussion of our Non-profit Entity capabilities, see the separate industry entitled “Non-profits.”

Facilities, Permitting, and Siting

Licenses, permits, certificates, and other requirements exist when siting a nursing home.  Fletcher Tilton has a wealth of experience in this area to help you achieve your goals in a timely and cost-effective manner.


Whether it be tax exempt bonds or traditional commercial financing, our attorneys are available to assist you in facilitating loans in order to construct facilities or for operational needs.  Since the Firm represents both borrowers and lenders, we are capable of handling all of your needs efficiently and competently.

Litigation Services

Fletcher Tilton has a full complement of litigators to ensure that your organization is competently represented in the courts, should the need arise. We often counsel clients on best practices in avoiding litigation where that is preferable.

Labor and Employment

The Firm has experienced Labor and Employment attorneys, who assist you in making sure that your operations are compliant with state and federal labor laws.  We can also represent you in any contested matters, which may arise in the courts or government agencies.  Our attorneys often assist HR personnel in maintaining employee handbooks and dealing with day to day issues which may arise.  

Landlord and Tenant

Whether you are a Landlord or Tenant, our real estate attorneys are able to draft and or review leases and deal with ordinary challenges in the Landlord/Tenant relationship.  Whether the leases involve related entities or third party arrangements, our attorneys have a depth of experience in this area to assist you.

Acquisitions/Sales/Succession Planning

All organizations, at some point, acquire, sell, and/or pass down to the next generation.  Fletcher Tilton has a depth of experience in all these areas to assist your organization in planning for and effectuating future plans.

Environmental Matters

FletcherTilton offers expertise in handling environmental litigation and matters before the state and federal environmental regulatory agencies. We also work closely with environmental remediation companies to assist clients in cleaning up environmental contamination and negotiating with regulatory agencies.


Odd Fellows Home of Massachusetts, Inc. 

Holy Trinity Nursing and Rehabilitation Center

Holden Nursing Home, Inc.

West Boylston Nursing Home, Inc.

Oriol Healthcare, Inc.

Nursing Homes are either  "For profit" or “Not for Profit." Fletcher Tilton offers legal representation to both types of nursing homes.

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