‘Aggressive’ CMS Penalties for Nursing Homes in New SNF Rule Could Be Subject To Political Swings

The Centers for Medicare & Medicaid Services (CMS) has announced proposed expansions to CMS’ existing enforcement authority – including higher fines – related to financial penalties for nursing homes. The proposed SNF rule for 2025 will allow CMS more flexibility to impose penalties, within statutory limits. The potential alterations have raised concerns about the heightened […]

Omega Buys Louisiana-Based CommCare’s 244-Bed Nursing Homes; Capital Funding Group Closes $19.8M Financing for Virginia SNF

Capital Funding Group (CFG) successfully closed a significant $19.8 million bridge-to-HUD loan, marking a strategic move in the acquisition of a 120-bed skilled nursing facility in Virginia. “The successful closing of this financing underscores our leadership in the bridge-to-HUD lending industry,” said CFG Managing Director, Real Estate Finance, Tim Eberhardt, in a press release. “With […]

How SNFs Can Revolutionize Their Pharmacy Approach to Keep Residents Safe at Home, in 4 Steps

Home is where the heart is. It’s also where health is. And no matter where a senior calls home, that’s exactly where health care providers want to help them remain — including skilled nursing facilities. For SNF operators, a resident having to leave early, unexpectedly or unnecessarily is exactly what they want to avoid. A […]

Nursing Home Investors on the Sidelines Amid Higher Interest Rates, Less Stable SNF Assets 

Amid a banking and credit crisis, financial backers of the nursing home industry are seeing less stable assets, a product of volatility in the market. And even as some states are now responding with Medicaid reform and rebasing to mitigate the sector’s losses, many operators were struggling financially prior to the pandemic, and the sector’s […]

Optum to Acquire Amedisys, Parent Company of SNF-at-Home Provider Contessa Health

Optum, the diversified care delivery arm of UnitedHealth Group (NYSE: UNH), has reached an agreement to acquire home health giant Amedisys (Nasdaq: AMED), which provides skilled nursing facility-at-home services via Contessa Health. Optum emerged as a suitor for Amedisys earlier this month, after the home health giant had previously announced a deal to combine with […]

With New Value-Based Care Play and Smaller SNF Portfolio, United Church Homes Looks to Future

United Church Homes (UCH), which provides a range of care and services to older adults in skilled nursing centers and other settings, is making a value-based care play that involves health plan provider CareSource.  Ohio-based UCH and Metta Healthcare, the parent company of Ohio’s Hospice and Pure Healthcare, are forming a new nonprofit entity called […]

SNFists Associated With Nursing Home Strategy to Increase More Lucrative Stream of Post-Acute Patients 

A higher employment of physicians and advanced practitioners at nursing homes – or SNFists – isn’t associated with statistically significant changes in rehospitalization rates. Instead, facility adoption of these SNFists may represent a strategy by nursing homes to maintain rehospitalization rates as operators attempt to shift patient case mix in favor of those receiving post-acute […]

Shortage of Skilled Nursing Beds, Best Buy Effect, Managed Care Growth Accelerate SNF-at-Home

Like many markets across the country, the Twin Cities in Minnesota are confronting a reduction in skilled nursing beds, which is forcing patients to remain in hospitals for longer periods of time — with skilled nursing-at-home gaining momentum as a solution to these discharge pressures. “The average length-of-stay on the hospital side is eight days […]

CMS Seeks to Stop Diversion of Some Medicare Advantage Patients from SNFs to Home Health

The Centers for Medicare & Medicaid Services (CMS) is taking steps to ensure that patients are not inappropriately denied coverage for post-acute care in particular settings — including skilled nursing facilities — by Medicare Advantage organizations (MAOs). CMS raised the issue as part of a proposed rule issued on Dec. 15, stating that MAOs generally […]

Ensign Acquires South Carolina SNF; Blueprint Facilitates Sale of 2 Atlanta Nursing Homes

The Ensign Group (Nasdaq: ENSG) continues to expand its South Carolina footprint with the acquisition of Lila Doyle Post Acute, a 120-bed skilled nursing facility. The Seneca, S.C., nursing home is located on Memorial Hospital’s campus and was acquired on Nov. 1 by a subsidiary of Standard Bearer Healthcare REIT, Ensign’s captive real estate company, […]

ESI Closes California SNF Deal for $25M; Blueprint Advises Sale of Pennsylvania Nursing Home to Tryko Partners

Evans Senior Investments (ESI) arranged the sale of a 138-bed skilled nursing facility in Anaheim, Calif. for $25 million or $181,159 per bed. The buyer, an East Coast real estate holding company, structured the lease with a local owner/operator in the state, according to the real estate brokerage firm. Operating long-term care assets in today’s […]

Inbound Health Launches with $20M Round, Intentions to Scale SNF-at-Home

Minnesota-based health system Allina Health has partnered with venture capital firm Flare Capital Partners to take its SNF-at-home and hospital-at-home programs to a national platform. Allina and Flare Capital Partners announced a $20 million fundraising round on Tuesday for its new standalone company Inbound Health, a platform that enables health systems and health plans to […]

CareTrust Funds $24.9M SNF Portfolio; ESI Arranges Nursing Home Sale in Indiana

CareTrust REIT Inc. (NYSE: CTRE) funded a $24.9 million B-piece secured financing on a four-facility portfolio in the Southeast. The portfolio includes about 700 skilled nursing beds, according to CareTrust. “This loan begins a new relationship with this new Southeast operator,” CEO Dave Sedgwick said in a statement. “The operator has done a tremendous job […]

Why Nursing Home Operators Shouldn’t Fear SNF-at-Home — At Least For Now

Skilled nursing operators shouldn’t be scared of losing market share to the shift to home trend, including SNF-at-home – at least not in the near-term. Instead, operators need to look at shifts to home-based care as an opportunity to diversify business lines in the future, as patient preference, Medicare Advantage (MA) plans and technology advancements […]

Eduro Adds 7 More Texas SNFs; ESI Deals Nursing Home for $50M

Eduro Healthcare has grown its Texas portfolio again, adding seven more skilled nursing facilities in the Waco and Austin metropolitan areas. This latest acquisition brings Eduro up to 42 buildings across 10 states. “Our Texas acquisition pipeline is full and robust, and I expect more buildings to join the Eduro team soon,” Owner Michael Bewsey […]

Eduro Acquires 7 Texas SNFs; White Oak Structures Financing for 5 Nursing Homes

Utah-based skilled nursing company Eduro Healthcare recently acquired seven facilities in the San Antonio, Texas area, bringing the total count in the state to 15. Eduro first entered the Texas market in April 2021, and has seen success as operational and delivery of care changes are implemented, according to a news release. “Having worked in […]

Ensign Acquires Texas Nursing Home; Lument Closes $87M Financing For 9 SNFs

The Ensign Group this week acquired the real estate and operations of a Texas skilled nursing facility. Park Manor of McKinney is a 138-bed nursing home located in McKinney, Texas. Standard Bearer Healthcare REIT, Ensign’s captive real estate company, acquired the real estate effective Aug. 1, according to a news release. The deal brings Ensign’s […]

Home Health Surpassed SNF Use in 2020 Among Medicare Beneficiaries

Home health agencies surpassed skilled nursing facilities as the most sought after post-acute care setting – SNF care went from most common to second-most used among Medicare beneficiaries, crossing paths with home health in February 2020 as the pandemic ramped up. By March 2020, the number of hospital discharges referred to SNFs dropped to 16.6% […]