A Servant's Heart Care Solutions

Cons

• The reviewer warns others not to lease from Americare if they have any reasonable alternative.
• Americare insisted on limiting the lease to five years despite heavy investment in their property.
• Lease payments were above market and increased annually by 2-4%, eventually consuming physician income from patient care.
• All private practice tenants the reviewer knows reportedly have had difficulty with Americare.
• Americare renewed the lease on a month-to-month basis, still with annual CPI increases.
• After fourteen months, Americare unilaterally withdrew the month-to-month arrangement and offered eviction or a three- or five-year lease.
• The reviewer signed a minimal acceptable three-year lease and continued paying with increases.
• After moving out, Americare pursued payments for the former office, kept the security deposit, and retained the unused $5K TI allowance.
• The reviewer warns to beware doctors of Americare and to ask other tenants before signing.

Review

A physician who decided to establish a practice in Americare Health and Retirement's new medical building in 2007 recounts a troubling experience centered on lease terms, mounting costs, and a disruptive shift in tenancy expectations. The reviewer explains that they invested heavily in a sophisticated office space, believing the arrangement would be stable and supportive of patient care. Instead, they encountered a landlord approach that seemed to prioritize control over predictable, patient-focused service. The initial agreement, they say, was undermined by a five-year cap on the lease, a constraint that came despite the physician's substantial outlay on tenant improvements and the very real need for a durable home for a practice.

From the start, the terms seemed misaligned with the level of investment and risk involved in building out a modern medical space. The landlord allegedly insisted on a maximum five-year lease duration, a provision that would force the tenant into a frequent and potentially destabilizing cycle of renegotiation. In addition to the five-year limit, the lease payments were described as being set above market rates and then increased annually by 2 to 4 percent. Over time, the combination of higher-than-market rent and escalating increases was said to erode the practice's profitability, making it difficult for a physician to sustain meaningful income from patient care after the costs of occupancy were accounted for.

The reviewer notes that the pattern extended beyond a single tenant's experience. They claim that the privately operated medical suites within Americare's properties were a source of ongoing difficulty for multiple doctors who rented space there. The sense conveyed is one of shared concern among tenants, where the lease architecture and fee structure created financial pressures that affected the ability to deliver care and maintain a viable private practice. This impression contributed to a broader fear among physician tenants that the landlord's financial terms could repeatedly override clinical priorities and the stability needed to meet patient expectations.

In an attempt to regain flexibility, the physician describes a renewal that shifted to a month-to-month arrangement, albeit with still-annual increases pegged to the consumer price index. The reviewer emphasizes that there was no missed lease payment or extraordinary demand on the landlord's part; the tenancy had been orderly and reliable. Yet after fourteen months in this more flexible, short-term format, Americare allegedly withdrew the month-to-month agreement unilaterally. The landlord then presented a stark choice: face eviction or enter into a three- or five-year lease. The decision to sign a three-year lease was framed as a reluctant concession to preserve continuity of practice and avoid disruption for patients, rather than a voluntary or favorable business decision.

Even after choosing a three-year term and continuing to make payments with annual increases, the tenant's later experience grew more contentious. The physician eventually left the space after two years, cleaned the premises, and left behind improvements funded by a "luxury tenant improvements" program. The reviewer notes that Americare kept the security deposit and a portion of an unused $5,000 tenant improvement allowance, then proceeded to pursue payments for the former office that was no longer in use. This shift - pursuing charges for space that the tenant no longer occupied - relayed a perception of punitive collection practices that extended beyond the term of occupancy and beyond the anticipated responsibilities of the landlord.

Throughout the narrative, the physician frames Americare's leasing approach as inconsistent with the obligations physicians have to their patients. The reviewer points out the professional duty to ensure continuity of care, adherence to the prevailing standard of care, and availability for existing patients, with no abandonment. The implication is that the landlord's aggressive lease tactics and post-occupancy financial demands create a misalignment with the caregiving mission that physicians must uphold. The message is not simply about personal grievance but about a broader concern that such leasing practices could encroach upon physicians' ability to provide stable, reliable care.

In closing, the reviewer issues a pointed warning to colleagues considering Americare as a leasing option. The lesson drawn is to seek out the experiences of current and former tenants before signing any agreement, especially when investments in property and tenant improvements are involved. The admonition is direct: doctors should exercise caution, gather testimonials from other tenants, and weigh the long-term financial and professional implications of Americare's lease structures. The final counsel is emphatic and practical: beware of Americare, and do not proceed without thorough diligence and consultation with others who have occupied space within Americare's buildings. The takeaway is a strong cautionary note about the potential for adverse financial and professional consequences when entering into these leases.

Located in Solana Beach, California, this charming neighborhood offers convenient access to a variety of amenities essential for senior living. With multiple pharmacies including CVS and Rite Aid within a few miles, residents can easily access their medications and healthcare needs. The area boasts a diverse selection of restaurants ranging from upscale dining options like The Fish Market Del Mar and Chart House to more casual spots like In-N-Out Burger and Plant Power Fast Food. Nearby cafes such as Claire's on Cedros and Barefoot Coffee Roasters are perfect for enjoying a leisurely morning coffee. For outdoor enthusiasts, there are several parks in close proximity, including Fletcher Cove Park and Torrey Pines State Natural Reserve, ideal for relaxing strolls or picnics. For medical care, top physicians and hospitals like Scripps Memorial Hospital Encinitas are just a short drive away. Overall, this part of Solana Beach offers a well-rounded community with easy access to essential services for seniors looking to enjoy a comfortable and active lifestyle.

Pharmacies

• CVS Pharmacy (0.5 miles)
• CVS Pharmacy (1.2 miles)
• CVS Pharmacy (3 miles)
• Rite Aid (3.1 miles)
• Rite Aid (3.1 miles)
• Walgreens (3.7 miles)
• CVS Pharmacy (3.8 miles)

Restaurants

• The Fish Market Del Mar (1 miles)
• Brigantine (1.4 miles)
• Chart House (2.1 miles)
• Pacific Coast Grill (2.1 miles)
• Jake's (2.4 miles)
• Plant Power Fast Food (3.4 miles)
• In-N-Out Burger (4.2 miles)

Cafes

• Claire's on Cedros (1.1 miles)
• Barefoot Coffee Roasters (1.1 miles)
• Sidecar Doughnuts & Coffee (3 miles)
• Blue Bottle Coffee (3.1 miles)
• Goodonya (3.9 miles)
• Bird Rock Coffee Roasters (4.1 miles)
• Ironsmith Coffee Roasters (4.4 miles)

Parks

• Fletcher Cove Park (1.3 miles)
• San Elijo Lagoon Nature Center (1.8 miles)
• Solana Ranch Park (3.9 miles)
• Torrey Pines State Natural Reserve (5.2 miles)
• Olympus Park (6 miles)
• Camino Ruiz Community Park (7.6 miles)
• 4S Ranch Sports Park (7.7 miles)

Physicians

• Jennifer Barkley, MD - Sharp Rees-Stealy Carmel Valley (3.1 miles)
• Wheeler & Seul Oral Surgery (3.7 miles)
• Matthew M Schultzel, DO (4.4 miles)
• Skincare Physicians & Surgeons (4.5 miles)
• Pearl Mini IVF (7.2 miles)
• Carmel Mountain Vision Care (7.6 miles)
• Stahl Richard Dr Scripps Cardiovascular Thoracic Surgery Group La Jolla (7.8 miles)

Hospitals

• Scripps Memorial Hospital Encinitas (3.5 miles)
• Scripps Clinic (4.1 miles)
• Scripps Clinic Torrey Pines (6.6 miles)
• Scripps Green Hospital (6.7 miles)
• Scripps La Jolla Emergency Room And Trauma Center (7.6 miles)
• Scripps Memorial Hospital La Jolla (7.7 miles)
• UC San Diego Jacobs Medical Center (8.1 miles)

Places of Worship

• Good Shepherd Catholic Church (8.6 miles)
• Our Lady of Mount Carmel Church (8.9 miles)

Transportation

• UTC Trolley Station (8.9 miles)
• McClellan-Palomar Airport (CLD) (9.3 miles)
• Sabre Springs Parkway Transit Center (9.5 miles)

Theaters

• Regal Edwards Mira Mesa 4DX, IMAX & RPX (9.5 miles)