It’s Here: Skilled Nursing Providers, Investors Weigh in on PDPM Opportunities, ‘Stumbling Blocks’

The long wait is over: The new Medicare payment system for nursing homes has arrived. October 1 marks the official start of the Patient-Driven Payment Model (PDPM), just about 18 months after the federal government first announced the change in April 2018. Since then, the skilled nursing industry has trained a laser focus on preparations […]

DOJ to Pursue Criminal Charges in False Claims Act Cases Against Nursing Homes

The Department of Justice will soon embark on a plan to pursue criminal charges in False Claims Act cases involving nursing homes, Bloomberg Law reported Monday, as the federal government attempts to crack down on bad actors in the space. “We need to go after cases civilly because they a [sic] providing grossly substandard care […]

X-Ray Vendor Reaches $8.5M Settlement to Resolve Skilled Nursing Kickback Allegations

A mobile diagnostics company this week reached an $8.5 million settlement with the federal government to resolve allegations that it engaged in a kickback scheme with some of its skilled nursing partners. The Department of Justice accused Trident USA Health Services LLC of orchestrating “swapping” arrangements with SNFs, offering its X-ray and other diagnostic services […]

Providers Call for Larger Skilled Nursing Opportunity in New Dialysis Model

A new proposed rule that would expand Medicare coverage of dialysis services has already generated interest among skilled nursing operators, and multiple voices have called on officials to further cement the SNF connection. The Centers for Medicare & Medicaid Services (CMS) in July rolled out the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) model, a […]

Best Buy, Amazon, Walmart Lead Major Retailers’ Charge into Senior Care — With Multi-Billion Potential

While they don’t yet represent a direct threat to traditional skilled nursing providers, several marquee retail brands have made significant bets on the senior care space as the population ages — with a specific focus on keeping seniors healthy and out of institutional settings. Electronics retailer Best Buy’s (NYSE: BBY) recent moves into the senior […]

Bill to Ease Skilled Nursing Staffing Woes Receives Another Chance in Congress

A bipartisan pair of lawmakers on Wednesday introduced a bill that its supporters say would ease persistent staffing strains on the nation’s nursing home operators. The Nursing Home Workforce Quality Act would remove a mandatory two-year ban on certified nursing assistant (CNA) training that the federal government currently levies on skilled nursing facilities that have […]

Berkadia’s $76.8M Skilled Nursing Portfolio Deal; Wingate Hands Off Three to Vero

Berkadia announced its involvement in a $76.8 million portfolio deal that saw a nursing facility operator take ownership of nine buildings it had leased since 2004. The New York City-based lender’s Seniors Housing & Healthcare Group extended the financing for an affiliate of an unnamed Tennessee-based owner-operator of skilled nursing facilities. The nine properties — […]

Medicare Advantage Plan Options to Increase by 600 in 2020 as Enrollment Reaches 40%

The Trump administration continued to cheer on the growth of Medicare Advantage plans Tuesday, with the nation’s top Medicare official touting the wider array of options available to beneficiaries next year. American seniors will have 600 additional Medicare Advantage plan choices next year, Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma announced in […]

Lawmakers Call for Medicare Advantage Reform, Citing $100B in Overpayments

Skilled nursing operators frequently decry Medicare Advantage plans’ focus on lower reimbursements and shorter lengths of stay, but a group of lawmakers claims that insurers in the space are spending far too much money — and potentially putting their beneficiaries at risk. A group of six U.S. senators, all Democrats, wrote a forceful letter to […]

Senior Housing Properties Trust Offloads 15 Skilled Nursing Facilities for $8M

Senior Housing Properties Trust (Nasdaq: SNH) on Monday completed the first wave of a planned $900 million property sell-off that will see the real estate investment trust (REIT) eliminate all standalone skilled nursing assets from its portfolio. The Newton, Mass.-based firm announced the sale of a 15-building skilled nursing portfolio in Nebraska, Iowa, and Kansas […]

HUD Boosts Focus on Star Ratings, Care for Skilled Nursing Loans — Though Demand Remains Strong

The Department of Housing and Urban Development’s (HUD) lending program for skilled nursing facilities grabbed some negative headlines earlier this year, but a key financial player in the space says that demand for the products remains strong — though the government has placed increasing focus on star ratings and care quality when underwriting deals. “The […]

SEC Sues Investor at Center of Record Nursing Home Loan Default for Fraud

The Securities and Exchange Commission (SEC) this week filed a lawsuit against the Chicago-area businessman at the center of a record-setting nursing home loan default, accusing the man and his company of defrauding investors and misappropriating funds. The SEC alleged that Zvi Feiner, a nursing home owner and Orthodox rabbi, raised money from various investors […]

Skilled Nursing, Post-Acute Providers Must Embrace ‘Death of Dogma’ to Survive Shift to Episodic Care

As payers and hospital networks increasingly treat skilled nursing facilities as just one stop along an overall episode of care, operators in the space have received a variety of messages about how to survive: Bring data, get to know referral partners’ problems, demonstrate your worth. But a leader at a major Philadelphia-area hospital network took […]

Siena Lending Group Eyes Skilled Nursing Business with New Health Care Division

Siena Lending Group earlier this month launched a health care finance practice that its leaders say will have a significant focus on the skilled nursing industry. The asset-based lender established Siena Healthcare Finance to serve a variety of players in the space, including hospitals, home health agencies, hospice companies, and institutional pharmacies. But given the […]

Skilled Nursing Provider Athena Settles DOJ Probe Over Opioid Denials as Feds Promise More Crackdowns

The federal government this week announced a settlement with a regional skilled nursing chain that officials accused of discriminating against residents with opioid use disorder. Athena Health Care Systems will adopt a non-discrimination policy regarding patients dealing with opioid addiction, develop training programs, and pay a $10,000 civil penalty to the government as part of […]

Omega CEO Pickett: Medicaid-Focused Model Can Work in Skilled Nursing

With capital chasing upside and new development dominated by high-end “medical resorts,” the availability of long-term care beds has emerged as a big-picture issue for the skilled nursing industry. While it may not be a nationwide problem just yet, certain markets — from Wisconsin to California — have begun to show the early signs of […]

Skilled Nursing Operators Shouldn’t Count on Investors to Share PDPM Optimism

With just two weeks to go before the new payment model for nursing homes takes effect, operators that have prepared for the changes could be expecting a significant boost in their Medicare reimbursements. But providers shouldn’t necessarily expect their investors to share in their optimism over the Patient-Driven Payment Model (PDPM). Over the course of […]

Mass. Official Calls for Improvements in Nursing Home Abuse, Neglect Investigations

A top official in Massachusetts called on the state’s health department to improve its nursing home investigation efforts after an audit revealed significant delays in processing inspections of potentially deficient properties. The Massachusetts Department of Public Health’s investigative unit failed to conduct on-site inspections of nursing homes within the mandated 10-day timeframe in 148 of […]

Formation Focuses on Strategic Skilled Nursing Sales as Capital Continues to Drive Demand, Prices

Formation Capital remains a heavyweight in the private investment space for senior housing and care, but its CEO says that its skilled nursing tastes have become more opportunistic as capital continues to aggressively chase available properties. The Atlanta-based Formation this past spring sold off a 12-property skilled nursing portfolio in Virginia and Pennsylvania, and CEO […]