PACS COO Touts ‘New School’ Nursing Home Administrator Training, Decries Survey Backlog 

Behind the success of PACS Group’s (NYSE: PACS) high-growth model is the nursing home giant’s principle of entrusting its early career administrators with greater autonomy. In rejecting the traditional path, PACS allows administrators in training the opportunity to step into their roles with greater independence much earlier. Enabling new leaders to make crucial decisions and […]

‘A Very Large Task’: CMS’ Facility Assessment Arduous For Some Nursing Homes Amid Cost Pressures, Staffing Shortages

The new facility assessment requirements that federal agencies are expecting will guide decisions on staffing levels are also garnering concerns about potential administrative and financial burdens, particularly for smaller-sized nursing home chains. The Centers for Medicare & Medicaid Services (CMS) modified the existing requirements in late June, issuing expanded guidance to include metrics that are […]

‘Extraordinary Achievement’: Care Transition Program in Nursing Homes Reduced Hospital Readmission Rates by 20%

Despite operational and financial headwinds affecting the nursing home sector currently, a transitional care program and physiatry partnership has been able to cut readmission rates from 29% to 9% among a group of facilities. OSF HealthCare, a 17-hospital system in Illinois and Michigan, partnered with physiatry and care coordination management group Puzzle Healthcare to deliver […]

Almost 75% of New York City Nursing Homes Fail To Be Surveyed in 15 Months, Reflecting Similar National Trend

A severe ongoing shortage of inspectors has led to New York City nursing homes facing significant survey delays, reflecting a trend in the larger state and a wider nationwide crisis. As of June, about 73% of federally designated nursing facilities in the five boroughs of New York had not been inspected within the required 15-month […]

Supreme Court Ruling Is a ‘Game Changer’ for Challenging Nursing Home Staffing Mandate, CMS Authority

A Supreme Court decision on Friday could significantly weaken federal agencies’ authority to regulate industries, including powers of the Centers for Medicare & Medicaid Services (CMS), with wide implications for the recently finalized federal minimum staffing rule for nursing homes. The Supreme Court’s decision to discard the long-standing so-called Chevron doctrine is a “game changer,” […]

Citing Worries Over ‘Reduced Capacity’ at Nursing Homes, AHA Lends Voice To Halt Staffing Mandate 

The American Hospital Association (AHA) is lending its voice to the fight against the minimum staffing mandate, and joining hands with nursing home organizations as well as a coalition of lawmakers to overturn the federal government’s rule. By sending a letter to lawmakers Monday, AHA boosted the bipartisan bid to halt the staffing mandate through […]

‘Everyone Is Reevaluating’: Onerous Survey Process Is Latest Challenge to Operating Skilled Nursing Among CCRCs

Skilled nursing assets at continuing care retirement communities (CCRCs) have long been subject to downsizing for a variety of reasons, including operational challenges, the cost to care for skilled patients and regulatory hurdles. Add to this list: the severity of the nursing home survey process. Stu Almer, CEO of Gurwin Healthcare System in New York, […]

‘Rays of Sunshine’: Nursing Home Staffing Shortages Loom Large in Hospital Discharge Crisis, but Solutions Exist

The crisis involving patients languishing at hospitals awaiting discharge into appropriate post-acute care settings has shown little signs of abating. The root causes of these discharge delays are manifold, but chief among them are workforce shortages at nursing homes. According to experts at a webinar hosted by ATI, the discharge crisis is amplified by a […]

CMS Issues First Enforcement Guidance on Staffing Mandate for Nursing Homes, Adds Few Details

The Centers for Medicare & Medicaid Services (CMS) issued its first enforcement guidance for the minimum staffing mandate, which will allow surveyors to assess nursing home compliance using facility assessments, although experts said little clarity was offered on key points of the provision. The provision on facility assessments was issued in Tuesday’s Quality Safety & […]

‘This Isn’t Realistic’: Nursing Homes Decry Exemptions Process for CMS Staffing Mandate Amid Survey Backlogs 

In the midst of the nursing home sector staging a legal fight against the federal government’s staffing mandate, an important consideration at play is the backlog of survey inspections that could significantly impact the attainment of exemptions from the minimum staffing requirements. It has been well documented that a shortage of surveyors has led to […]

Former NY Gov. Cuomo Calls Congressional Investigation Into His Handling of Nursing Home Admissions Politically Motivated

Former New York Gov. Andrew Cuomo testified Tuesday before a Congressional subcommittee about the state’s handling of nursing home patients during the pandemic, including a controversial directive that prevented residents from being denied admission based solely on their Covid diagnosis. The interview also follows a 2022 audit by the state comptroller Thomas P. DiNapoli, alleging […]

Nursing Homes Must Reevaluate their Emergency Preparedness Plans – Adding Planned Power Outages to the List

Planned power outages in response to wildfire threats are leaving some nursing homes in the dark – one facility in Boulder, Colorado was left without power for 28 hours. Generators kept running the facility’s oxygen machines, most refrigerators and freezers, hallway lights and Wi-Fi for phones and computers, according to a report originally from KFF. […]

‘A Troubling Trend’: Sudden Closures, Bankruptcies, Displaced Residents in State Put Extra Pressures on Nursing Homes

Nursing home closures and bankruptcies continue among many states, putting pressure on existing nursing homes to take on extra residents even as the workforce shortage persists and challenging staffing requirements are on the horizon. The latest closure in Pennsylvania led to the evacuation of Mountain View Care and Rehabilitation Center residents on Friday, relocated to […]

‘Fast-Tracked’: AHCA Lawsuit Opposing Nursing Home Staffing Mandate Has Strong Legs, With Injunction Expected Soon

Lawyers and other leaders in the nursing home sector believe the American Health Care Association’s (AHCA) lawsuit is strong, framed well and likely to succeed, with a decision possible by early 2025. An injunction from the plaintiffs – all 5-Star facilities located in Texas along with AHCA – regarding staffing rule’s implementation should follow in […]

‘Introduces Chaos’: Nursing Homes Oppose Expansion of Penalties as Comment Period Ends for Proposed Payment Rule 

As the comment period ended Tuesday for the Centers for Medicare & Medicaid Services’ (CMS) proposed rule that updates Medicare payment policies and rates for skilled nursing facilities for fiscal year 2025, a majority of the feedback centered on the possible expansion of the agency’s authority to enforce civil monetary penalties (CMPs) for noncompliance. In […]

[UPDATED] ‘A Nightmare’: AHCA Files Lawsuit Against Federal Nursing Home Staffing Mandate

The American Health Care Association (AHCA) filed a lawsuit late Thursday against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) for exceeding their statutory authority and “arbitrarily and capriciously issuing” a final minimum staffing rule. The lawsuit asks the court to issue an order and […]

Nursing Home Leaders Using ‘All the Tools Available’ in Aggressive Push to Halt CMS Staffing Mandate

LeadingAge joins a slew of other nursing home industry voices in urging a multi-faceted strategy following the finalization of the federal minimum staffing rule a month ago. The advocacy group is pursuing legislative, legal and regulatory avenues to stop the mandate and build the workforce. Katie Smith Sloan, president and CEO of LeadingAge, said, “We […]

CMS Star Rating Process, with Wide State Variation, Sparks Trouble for Consumers and Nursing Homes

Hundreds of nursing homes continue to maintain or display high star ratings despite Immediate Jeopardy incidents in the previous three years, and this can create headaches for both nursing homes and consumers alike. According to a Scripps News analysis released Wednesday, which takes in to account government data from February 2024 of more than 14,000 […]

More Centers Health Care Nursing Home Facilities Involved in Medicaid Fraud Allegations

More nursing homes owned by Centers Health Care are being investigated for alleged Medicaid fraud, while also having been plagued with serious safety concerns. The 240-bed Hammonton Center and Deptford Center for Rehabilitation and Healthcare in New Jersey, join other facilities owned by Centers Health that are under investigation, according to a report from the […]