State Offers Medicaid Funding to Nursing Homes for Private Rooms

Nursing homes in Ohio will soon receive financial incentives for each additional private room they offer, thanks to a proposal recently greenlit by the Centers for Medicare & Medicaid Services (CMS). The initiative, set to launch in the coming months, was developed by the Ohio Department of Medicaid and revises the reimbursement structure for Medicaid-funded […]

‘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 […]

‘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, […]

Quarterly Trella Report Finds Medicare FFS Admissions to Nursing Homes Declined by 19.9%

Medicare Fee-for-Service, or traditional Medicare, admissions to nursing homes decreased significantly year over year by almost 20% in the fourth quarter of 2023. Coupled with this drop is a steady rise in Medicare Advantage enrollment, with such plans representing 54.7% of all beneficiaries enrolled in both Medicare Part A and B as of February, Trella […]

Occupancy Fluctuations Seen Among PACS, Ensign as Sector Remains Flat

Occupancy shifts appear to be happening across the largest nursing home operators, with the Ensign Group (Nasdaq: ENSG) seeing facility occupancy fall as other leading sector players showed gains while overall sector occupancy levels remained steady. Ensign’s occupancy levels dropped to 78.5%, posting a loss of 40 basis points. Meanwhile, PACS Group (NYSE: PACS) saw […]

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 Home Leaders from Genesis, Ignite, Diakonos, Avamere On Why ‘Super SNF’ May Replace Hospital-Based Recovery Care

The “super SNF,” an insider term used for nursing homes that serve mostly high acuity patients, is evolving to enhance its specialized function, and leaders in the space believe it will be a replacement – or at least a supplement – for long-term acute care hospitals (LTACHs) and inpatient rehabilitation facilities (IRFs). The latest changes […]

Ahead of NHC Lease Negotiations, Activist Shareholder Calls for NHI Board Shakeup

An activist investor of National Health Investors (NYSE: NHI) has called for changes to the real estate investment trust’s (REIT’s) board of directors , ahead of lease negotiations with one of the REIT’s largest tenants, National HealthCare Corporation (NHC). Land & Buildings Investment Management issued a letter to shareholders on Thursday, urging a shakeup in […]

Class Action Settlement Tied to $1B Investment in Moving Nursing Home Residents to HCBS

One state has committed more than $1.1 billion to boosting community living options for people who would otherwise be in a nursing home, following a landmark class action lawsuit settlement. The 54-page settlement agreement still needs a judge’s approval. The original case, titled Marsters v. Healey, involved six residents who were unable to leave their […]

‘SNF-Heavy’ CCRCs Continue to Suffer as Staffing, Revenue Pressures Mount

Skilled nursing beds continue to be associated with more operational stress among continuing care retirement communities (CCRCs) this year, despite improved occupancy from 72.4% in 2022 to 82.2% in 2023, and preliminary 2024 data showing further improvement. Fitch Ratings recorded eased labor challenges as well among skilled nursing providers as part of its “exposure draft” […]

Aldersbridge CEO: Tone Deaf Policy, MA Giants Have Backed Nursing Homes into a Corner

As inadequate funding squeezes nursing homes dry, with Medicare Advantage reimbursing lower than traditional Medicare, and Medicaid funding decades behind on meeting cost of care, facilities are shifting operations to optimize reimbursement. But even that may not be enough. Richard Gamache, CEO of Aldersbridge Communities in Rhode Island, has had to make such operating decisions […]

More Than Two-Thirds of Nursing Homes Fear Closures as Almost All Cite Challenges Recruiting Staff

Despite ongoing investments from operators, the nursing home industry is struggling to rebuild its workforce and recover from the pandemic. Meanwhile, operators are concerned that the federal minimum staffing proposal, once finalized, will make operational challenges worse even as nursing homes limit admissions and are concerned about closures. Such findings were outlined in the American […]

Sabra’s Matros Says No ‘False Guardrails’ Around M&A Pipeline, Potential Skilled Nursing Deals

The year ahead for Sabra Health Care REIT (Nasdaq: SBRA) presents a “terrific” opportunity for improved margins and potential dealmaking, with eyes on multiple asset classes, according to Sabra CEO Rick Matros. While the California-based real estate investment trust (REIT) has focused in the past couple years on diversifying its portfolio – namely adding behavioral […]

Mixed Bag: CMS Reports How Nursing Home Quality Measures Fared During the Pandemic

Health care settings, including the nursing home sector, performed worse than expected for about half of the federal government’s quality measures during the Covid-19 pandemic, although key measures such as rehospitalization rates for short-stay residents did surprisingly better, the Centers for Medicare & Medicaid Services (CMS) reported Wednesday. Overall, the pandemic had major impacts on […]

Nursing Home Reimbursement Pressure ‘Flat Out Profound,’ Necessitating Innovative Models

It’s becoming harder than ever to operate standalone skilled nursing facilities amid inadequate government funding, and innovative business models that deal with challenges, especially those related to staffing, have and will be borne from necessity. “Innovative models are going to present themselves in some way to stop this train,” said Dan Hermann, president and CEO […]

NHI Execs: Deal Volume in Nursing Home Sector Hopeful Sign, REIT Poised for Capital Deployment

National Health Investors Inc. (NYSE: NHI), much like other real estate investment trusts (REITs), is looking at deals across the continuum of skilled nursing and senior housing and looking into different ways to invest, including through joint ventures, executives said. “We’re hopeful that we’re seeing the tip of the iceberg,” said NHI Chief Investment Officer […]

Nursing Home Care Prices Grow Faster Than Other Health Care Services Amid Job Growth Lag

Pricing for nursing home care continued to grow the fastest in the first month of 2024 compared to other major health care categories, jumping by 4.9% in January, as wages grew but job growth lagged. That’s according to Altarum’s Health Sector Economic Indicators (HSEI) Briefs published on Tuesday. Nursing home care was among service prices […]

‘Elephant in the Room’: Medicare Advantage a Huge Factor in CCRC Decision Making Around Nursing Home Services

Soaring costs associated with skilled nursing – and problematic payer sources – are making it harder for continuing care retirement communities (CCRCs) to provide such labor intensive post-acute care. CCRCs have to ask themselves some hard questions when it comes to what services they can reasonably offer, and if it’s worth it to keep open […]

Time with Patients, Wages, Company Culture Are Top Priorities for Nursing Home Staff, Survey Shows

As nursing home operators rethink workforce initiatives in the midst of recovering from the pandemic’s devastating labor losses and a looming federal minimum staffing proposal, it’s crucial to listen to what nurses need from their employer and what they hope to see from the sector in the future. Workforce success in 2024 may lie in […]