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Premium Asset Class Nursing Homes: Where is investment particularly worthwhile?

Verena Bauer • 29/04/2021
care barometer care barometer

Applaud the care professions. The Covid-19 pandemic has once again brought hospitals, care facilities and the people who work and live in them into focus. Even though political debates about salaries in these professions predate the microscopic virus that is currently turning all our lives upside down, questions such as: What is good care worth? What should the care ratio be? And for us also: What does this mean for healthcare real estate?

Looking at nursing homes: There are over 15,000 nursing homes, 4.1 million people requiring care and more and more facilities in the assisted living segment in Germany. And the numbers have risen rapidly in recent years - not least because of demographic change and an increasing need for places. To quote just one figure: Since 2009, the increase has been 32 percent. The market is certainly not saturated. For investors, the asset class is thus definitely interesting and also extremely safe. But in which of the 401 German districts does investing in, or operating, a care facility make the most sense? Which regions are particularly viable for the future?


The Care Barometer shows which locations in Germany are particularly fit for the future - in comparison to other regions. However the following nonetheless applies: Even a location that is in a worse position in relation to others can be suitable for investment. Individual advice is the key here.

Jan-Bastian Knod
Head of Residential Investment Germany | Head of Healthcare Advisory
Cushman & Wakefield


Jan-Bastian Knod, Head of Residential Investment Germany and Head of Healthcare Advisory at C&W, has taken a close look, compared the regional care markets and knows: Potsdam, Emsland and Osterholz are currently at the top of the list in terms of sustainability. Socio-demographic and socio-economic factors, care statistics and forecast data play a role in this analysis - for example, the old-age dependency ratio, the regional purchasing power index, the availability of care places and household structures. All of these in combination give a good picture of how the demand for care places is developing and where there is undercapacity or overcapacity. And thus also which locations are worth investing in or where development projects could make sense.

The C&W Care Barometer:

Evaluating care locations in Germany: Using solid data on the four core factors. comprising demographics, economics, care statistics and forecast data, the C&W Care Barometer compares regional care locations. On a scale of zero to five - zero being the weakest and five the strongest value - the tool compares key figures using an algorithm. The rating then shows how sustainable a location is. For this purpose, all 401 districts in Germany are placed in relation to each other and compared.

care barometer care barometer

01 Demographics

Considers parameters relating to the population and age structure of the location - such as the old-age dependency ratio and household structure.

02  Economy

Evaluates economic aspects such as the purchasing power index, the centrality index and unemployment.


03 Care statistics

Includes care-relevant key figures such as the number of people requiring care, available care places and care staff in the outpatient and inpatient sectors, and sets these in relation to local demand. 

04 Forecast data

Takes into account forecasts such as population growth, age groups, number of households, household structure and types of care.

The Healthcare Advisory Team specialises in sales and acquisition advice for portfolio and individual property transactions in the healthcare segment. The experienced experts also support owners and property developers in their search for operators. The Healthcare Advisory Team is part of the Investment Advisory Team and operates throughout Germany. 


Jan Bastian Knod
Jan-Bastian Knod

Head of Healthcare Advisory

Head of Residential Investment Germany

+49 69 50 60 73 261

Send me a message.

Simon Jeschioro Germany
Simon Jeschioro

Head of Investment Advisory

+49 69 50 60 73 260

Send me a message.

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