Maine DHHS Scrutinized for Lax Oversight of Nursing Home Elopement Amid National Regulatory Crackdown

The Maine Department of Health and Human Services (DHHS) has come under scrutiny for its oversight of nursing facilities, particularly regarding incidents of resident elopement – a problem that continues to impact facilities across the nation. Judging by Maine’s example, elopement is a tricky problem to tackle, and existence of tough regulation alone isn’t addressing […]

Rural Nursing Homes Foresee Financial Strain, Fear Failure To Qualify for Exemptions from CMS’ Staffing Mandate

Nursing homes in states with large rural communities have long struggled to grapple with workforce issues, and for most of these rural providers there seems to be no end in sight, making fulfilling the federal government’s staffing mandate an impossibility. For such communities, registered nurses (RNs) are especially hard to recruit, and statistics paint a […]

‘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 […]

Massachusetts Nursing Home Gets $9.75M Loan, 5 North Carolina Facilities $36.2M Through Capital Funding Group

Capital Funding Group (CFG) has successfully closed a $9.75 million Bridge-to-HUD loan to refinance a 123-bed skilled nursing facility in Massachusetts. The transaction was completed on May 1, 2024, for a nationally recognized borrower. “CFG has been a cornerstone in the healthcare financing sector for more than 30 years, and we’re proud to help yet […]

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 […]

Florida’s Long-Term Care Facilities Pressured by Skyrocketing Property Insurance Costs

Over the past five years, long-term care facilities in Florida, including a few nursing homes but mostly assisted-living facilities, have been pressured due to a steep rise in commercial property insurance rates. According to the state’s Agency for Health Care Administration, insurance premiums in Florida rose by 125% during this period, with an average of […]

‘A Feasible Plan’: Inside Nursing Homes’ Push for Immigration Reform, Funding for Higher Wages, Workforce Programs

Although there is a chance the federal government’s staffing mandate may be overturned, operators should still be aware of how upcoming changes could impact their operations. This is according to sector experts, who said that while the mandate is well-intentioned, it lacks a comprehensive plan to address the realities of staffing shortages and regional variations […]

‘Significant Backlog of Inspectors’: Alleged Failure To Investigate Nursing Home Complaints Behind State Lawsuit

A recent lawsuit filed in federal court accuses the Maryland Department of Health (MDH) of failing to adequately inspect and investigate complaints in the state’s nursing facilities, leading to significant instances of abuse and neglect. The lawsuit, representing five anonymous residents with mobility impairments and complex health needs, claims MDH’s inaction disproportionately harms residents with […]

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 […]

TEAM Model: Hospitals in the Driver’s Seat, Nursing Homes as ‘Collaborators’ in Latest Bundled Payment Initiative

The Centers for Medicare & Medicaid Services’ (CMS) in April released a bundled payment model that is the culmination of the best aspects from such past models, all to align with the agency’s efforts to get all Medicare Fee-for-Service beneficiaries involved in value-based care by 2030. The Transforming Episode Accountability Model, or TEAM, is considered […]

Legislation To Overturn CMS’ Nursing Home Staffing Mandate Introduced in Congress

A Congressional Review Act (CRA) to overturn the federal government’s minimum staffing rule for nursing homes was introduced on Tuesday by Representatives Michelle Fischbach (R-Minn.) and Greg Pence (R-Ind.). The legislation aims to reverse the Centers for Medicare & Medicaid Services’ (CMS) staffing mandate.  “The CRA represents a joint resolution (simple majority that can’t be […]

Nursing Home Challenges To Stir Upcoming Elections as Pennsylvania’s Contentious Senate Race Shows

Nursing home challenges are becoming a hot topic in election debates, most recently with a race in Pennsylvania between incumbent Sen. Bob Casey and his Republican challenger David McCormick. Industry experts have predicted that nursing homes, along with other settings in long-term care, will be central for future presidential candidates as well. The growth of […]

American Health Partners CEO Reveals ‘Secret Sauce’ for Value-Based Care in Skilled Nursing

When it comes to value-based care models and appropriate reimbursement, nursing home operators must think about the care team behind the model. Whether it’s Institutional Special Needs Plans (I-SNPs) or accountable care organizations (ACOs), a robust clinical team is crucial to aligning with positive quality outcomes. That’s according to Mike Bailey, president and CEO of […]

Greater Nurse Practitioner Presence Linked To Fewer Hospitalizations, Higher Hospice Use for Nursing Home Residents With Dementia

Nursing home residents with Alzheimer’s disease and related dementias (ADRD) appear to benefit from greater nurse practitioner (NP) involvement, with fewer hospitalizations and higher hospice use at end of life. The number of differences in outcomes between extensive and minimal NP care was higher in states with a full scope of practice regulations than in […]

AHCA/NCAL: Nursing Home Staffing Rule Will Cost $6.5B Annually, Require 102,000 Extra Clinicians, Displace a Quarter of Residents

The nursing home minimum staffing rule is estimated to cost the industry a staggering $6.5 billion per year, and would require an additional 102,000 clinicians, according to a new analysis released Thursday by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). To fulfill the rule’s requirements, more than 77,000 certified nurse […]

Sabra CEO: Nursing Home Staffing Mandate Not ‘Thoughtfully Reviewed’, Grounds for Legislative, Legal Action

Sabra Health Care REIT’s (Nasdaq: SBRA) CEO Rick Matros said Thursday that the federal government’s premature release of the minimum staffing mandate shows a lack of consideration given to the thousands of comments submitted against it, leaving the sector with no choice but to challenge it. During the California based real estate trust’s (REIT) quarterly […]

Capital Funding Group Secures $20M Bridge-To-HUD Loan for Maryland Nursing Home; Touchstone Acquires 3 Texas Facilities

Capital Funding Group (CFG) secured a $20 million Bridge-to-HUD loan for the refinancing of a 125-bed skilled nursing facility located in Maryland. The transaction was finalized on March 29, 2024. “We’re excited to share the closing of this deal, as it rounded out a strong first quarter of executing financing on behalf of our clients […]

LTC100 Panelists Weigh in on CMS Staffing Rule’s ‘Bloodbath’, Growth Strategies, and Risk-Based Model Reimbursement

If there’s no additional funding for the minimum staffing rule, well over 5% of existing facilities will close, depending on how successfully operators can pivot to meet the standard. The rates of closure may even reach 10% to 15%, depending on the market, cautioned sector leaders attending the LTC100 conference this week. Steve Nee, CEO […]