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SAN CLEMENTE, Calif. — CareTrust REIT (NASDAQ: CTRE) has appointed Spencer Plumb as an independent Class III director to the company’s Board of Directors.

GUAYNABO, Puerto Rico — HJ Sims has added four new hires to its advisory team in Guaynabo: Roberto Feria Cestero as senior vice president of private client wealth management; Carlos Alvarado as vice president of investments; Maria “Magie” Mena as senior client service associate; and Adrian Fernandez as investment advisor.

ATHENS, Tenn. — Dominion Senior Living, a faith-based operator of properties largely located in Tennessee, has hired Shannon Alvey as executive director of Dominion Senior Living of Athens.

DILLSBURG, Pa. — Presbyterian Senior Living, a nonprofit owner-operator, has promoted Deborah Barefoot to regional director of operations.

MURFREESBORO, Tenn. — National Health Investors Inc. (NYSE: NHI) has promoted Kevin Pascoe to chief investment officer.

IRVINE, Calf. — MBK Real Estate Cos. has hired Jeff Fischer as president of the company’s senior living division, MBK Senior Living. In his new role, Fischer lead MBK Senior Living’s strategic operations plans, team building and leadership, as well as drive division’s ongoing growth.

DENVER — Spectrum Retirement, a Denver-based owner-operator with 33 senior living communities in 12 states, has promoted Bradley Kraus to the positions of president and chief operating officer.

VERO BEACH, Fla. — Watercrest Senior Living Group has hired Christy Skinner for the newly created position of director of operations.