Skilled Nursing Beds at Non-Profit Operators Holding Steady Despite Headwinds

After more than a decade of declines, the proportion of skilled nursing beds at major non-profit senior living operators has held steady in recent years, even as companies in the space have dealt with reimbursement and staffing strains.

Nursing care beds accounted for 32.2% of all units among the top 150 non-profit senior housing providers in the country in 2016, according to the most recent LeadingAge Ziegler 150 (LZ 150). Released last week, the report represents a comprehensive annual analysis of the state of the non-profit senior housing marketplace, conducted by industry trade association LeadingAge and Chicago-based specialty investment bank Ziegler.

Independent living units accounted for 47.9% of the 265,000 units owned by the top 150 providers, with assisted living accounting for the remaining 19.9%. For comparison, back in 2000, skilled nursing beds represented 39.3% of all senior housing units in the LeadingAge Ziegler survey, which at that time included the top 100 providers.

Skilled nursing’s 32.2% share marks a slight uptick from the previous year’s concentration of 31.9%, as well as the continuation of a plateau that formed after steady drops between 2000 and 2014.

Overall, since 2000, the number of skilled nursing beds has grown at an average annual rate of 1.1%, the slowest of the three types: Independent living units grew by 3.7% over that span, while assisted living inventory jumped 4.7%.

Also of note in the data: Despite a nationwide trend toward private skilled nursing rooms, slightly more than half — or 51.9% — of all nursing assets were semi-private among the top 150, with private rooms accounting for 48.1%. In addition, 35% of the total offered some kind of combination skilled nursing/memory care services.

The top 10 largest organizations by skilled nursing beds are:

1. The Evangelical Lutheran Good Samaritan Society — 10,434 units

2. Benedictine Health System — 3,161 units

3. Ascension Senior Living — 2,854 units

4. The Carmelite System, Inc. — 2,564 units

5. Trinity Senior Living Communities — 2,217 units

6. Presence Life Connections — 2,016 units

7. ArchCare — 1,723 units

8. Christian Homes, Inc. — 1,486 units

9. ACTS Retirement Services, Inc.  — 1,432 units

10. Presbyterian Homes & Services — 1,302 units

Written by Alex Spanko

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Alex Spanko
Assistant Editor at Aging Media Network
Alex covers the skilled nursing and reverse mortgage industries for Aging Media. Outside of work, he reads nonfiction, yells at Mets games from his couch, and enjoys pretty much any type of whiskey or scotch — often all at once.

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