Concentration of For-Profit, Chain SNFs Grew Over Last Six Years

For-profit skilled nursing operators captured a gradually larger share of the United States SNF market from 2009 and 2015, while non-profits increasingly ceded ground to governments. In 2015, for-profits accounted for 68.4% of the nation’s 15,583 certified nursing facilities, according to a Tuesday report from the Kaiser Family Foundation. That’s compared to a 23.8% share […]

Hospitals with Post-Acute Services Produce Better Outcomes than SNFs

At first, the conclusion seems obvious: Hospitals that sink more money into post-acute services provide better care to patients than their lower-spending counterparts. But those findings, released this week by researchers at the Massachusetts Institute of Technology, have stark implications for skilled nursing providers. “We find that patients who go to hospitals that rely more […]

Bipartisan Bill Seeks to Strengthen Medicare Plans for SNF Residents

As ongoing Obamacare repeal efforts cloud the future of Medicaid, a bipartisan pair of representatives introduced a bill they claim will help strengthen Medicare Advantage access for the most vulnerable seniors. H.R. 3168 would reauthorize Medicare Special Needs Plans, which are generally restricted to recipients who need institutional care, must manage chronic illnesses, or qualify for […]

How One Skilled Nursing Provider’s Small House Gamble Paid Off

Using the money it had already set aside for annual capital improvements, an upstate New York skilled nursing provider decided to bet big on a conversion to the “small house” model — and now it has some solid metrics to show for it, including an impressive jump in the proportion of private-pay residents. About 10 years […]

Short Week Round-Up: Kindred Exits SNFs, ManorCare Misses Rent

It’s the end of a holiday-shortened week, but the days off didn’t stop a wave of SNF news. In case you’ve been enjoying some extra time away from the office, here’s what you missed. We continued to untangle the strands in Kindred’s deal to exit the SNF business, a blockbuster transaction that’s worth $700 million, $910 […]

[UPDATED] Kindred’s SNF Sale: Long-Term Benefits, Short-Term Drag

When Kindred Healthcare (NYSE: KND) finalized a blockbuster deal to sell its SNF portfolio for $700 million in cash at the start of the holiday weekend, the post-acute giant may have been making a long-term bet with significant upfront costs. Much of the $210 million that Kindred expects to net from the deal will come from […]

ManorCare Misses Latest Rent Payment to QCP

Skilled nursing operator HCR ManorCare, Inc. missed another rent payment, the latest milestone in a long-developing conflict with its landlord, Quality Care Properties, Inc. (NYSE: QCP). QCP, the real estate investment trust (REIT) that serves as ManorCare’s primary landlord, announced Wednesday that the provider had missed its July 3 rent deadline as attempts to restructure […]

Costly Design Features Can Pay Off for Skilled Nursing

Last month, the Centers for Disease Control and Prevention issued a warning to skilled nursing operators and other health care providers about the dangers of Legionnaires’ disease, an airborne illness that can claim lives — and costs operators hundreds of millions of dollars annually. Advances in skilled nursing facility design have made disease prevention easier for […]

House Passes Bill to Overhaul Skilled Nursing Liability Laws

The House of Representatives on Wednesday passed a bill that would limit skilled nursing and other health care providers’ liability in malpractice cases, prompting praise from industry groups but concern from patient advocates. The Protecting Access to Care Act of 2017 would establish federal statutes of limitation on lawsuits stemming from injuries incurred at any […]

Why Dark Skilled Nursing History Could Repeat Itself

Various health care agencies and groups have expressed concerns over the effects of Obamacare repeal on Americans’ access to skilled nursing care, as well as the ongoing viability of SNFs as a business amid steep Medicaid cuts. At least one commentator also claims that the GOP health plans could lead to a return to the […]

Per-Bed Skilled Nursing Prices Tripled Over Last Decade

Flying in the face of “contrarian” analysts who “signed its death certificate,” the skilled nursing industry continues to attract attention and dollars from investors, with per-bed prices tripling since 2003, a new report states. The median SNF sold for $94,600 per bed in 2016, a gain of 42% from 2015, according to a report released Wednesday by Irving […]

CBO Paints Grim Medicaid Picture as Senate Delays Health Care Vote

Faced with growing dissent from both the conservative and moderate wings of his own party, Senate Majority Leader Mitch McConnell delayed a vote on the Republican plan to repeal and replace Obamacare — one day after the Congressional Budget Office foresaw a dark future for Medicaid under the bill. McConnell announced Tuesday that the Senate would […]

In the Pipeline: Kentucky SNF to Break Ground After 8-Year Delay

Kentucky SNF to Break Ground in July After Eight-Year Wait After an eight-year process that saw legal actions and the death of the project’s champion, the Loveland, Ohio-based Carespring Health Care Management finally has a start date for construction on a skilled nursing facility in the Cincinnati suburb of Boone County, Ky. Carespring will break […]

Why Trumpcare Could Shift Cash Away From Skilled Nursing Facilities

While the exact effects of the Senate’s version American Health Care Act remain to be seen, one leading home health care company says the legislation could shift dollars away from institutional care — directly contradicting an earlier report that indicated skilled nursing would represent a vital care option that states would be loath to take […]

Friday Round-Up: Senate Prepares to Hack Away at Medicaid

Welcome to an eventful Friday in the world of skilled nursing, as both industry players and average Americans still struggle to untangle the implications of the Senate’s version of the American Health Care Act — and the Senate GOP leadership attempts to wrangle enough votes to pass the legislation by the time Congress takes off […]

It’s Official: Senate Health Plan Slashes Medicaid Deeper Than House

The U.S. Senate on Thursday released the long-awaited details of its Obamacare repeal plan, confirming rumors that it would see the House’s plan to cut Medicaid spending and raise it — potentially spelling trouble for skilled nursing operators. Medicaid remains the single largest payer for skilled nursing services in the United States, shelling out $55 billion to SNFs […]

One-Star Skilled Nursing Facilities Could Hold Promise for Investors

A five-star rating from the Centers for Medicare & Medicaid Services (CMS) can boost a skilled nursing facility’s profile in a community and perhaps attract increased attention — and dollars — from potential investors. But savvy buyers should consider the wider context of a particular SNF’s Nursing Home Compare stars, as buried beneath a supposedly “bad” […]