Leaders Declare Senior Care Staffing Crisis in Texas Amid 97% Turnover

Operators of nursing homes in Texas reported 97% turnover for certified nursing assistants, with 90% turnover for other key frontline caregiver positions — promoting leaders in the state to declare a “crisis.” The Texas Health Care Association called for higher Medicaid reimbursement rates to help mitigate the trend in a recent report on its members’ financial […]

Five Star’s Skilled Nursing Business Continues to Struggle, Occupancy Tumbles

Five Star Senior Living’s (NYSE: FVE) standalone skilled nursing assets continued to cause headaches for the provider, which saw occupancy and revenues again take a tumble in the first quarter of 2018. Occupancy at the Newton, Mass.-based Five Star’s standalone skilled nursing facilities dropped to 75.7%, or 410 basis points lower than at the same […]

Amid Issues at Home, Genesis Sees Significant Potential in China

Facing headwinds at home, Genesis Healthcare (NYSE: GEN) has embarked on a plan to tap into the nascent post-acute care market in China — with an eye on capturing just a small fraction of the country’s favorable demographic profile. The Kennett Square, Pa.-based skilled nursing provider has been active in China since 2015, when it […]

Genesis: Medicare Advantage Provides Blueprint for New Payment Model

As the skilled nursing industry continues to digest the effects of the new Medicare proposed payment system, one CEO says that Medicare Advantage can provide a path forward. The new Patient-Driven Payment Model (PDPM) isn’t all that different from the way managed Medicare plans expect operators to provide services and bill for their time, Genesis […]

Death of McMaster’s Father Draws Criminal Charges for Rehab Employee

In a case of the skilled nursing and political worlds intersecting, the death of a former Trump administration official’s father has resulted in criminal charges against a nursing home employee. H.R. McMaster Sr., father of former national security advisor H.R. McMaster Jr., died as the result of a fall at a rehabilitation facility at Cathedral […]

$17.5M Mainstreet Facility Faces Foreclosure Before It Opens

An unopened transitional rehabilitation facility developed by Mainstreet is facing foreclosure after the company fell behind on monthly interest payments. Avana Capital, an Arizona-based commercial lender, last week moved to foreclose on the $17.5 million Healthcare Resort of Wichita in Kansas, according to a Wednesday report in the Wichita Eagle. The 94-bed facility had initially […]

Omega Inks New Deal with Signature, Sees Hot Local M&A Market

One day after Sabra Health Care REIT (Nasdaq: SBRA) announced a major restructuring deal with skilled nursing provider Signature HealthCARE, fellow real estate investment trust (REIT) Omega Healthcare Investors (NYSE: OHI) followed with an agreement of its own. The Louisville, Ky.-based Signature had fallen about $25 million behind on its rent payments to Omega by […]

ProMedica-ManorCare Deal May Affirm Skilled Nursing’s Future in Senior Living

The splashiest skilled nursing deal of the year portends better things to come for the industry as a whole, according to the leader of one prominent senior living real estate investment trust (REIT). National Healthcare Investors (NYSE: NHI) CEO Eric Mendelsohn touted the recent $1.95 billion acquisition agreement between Welltower Inc. (NYSE: WELL) and Quality Care Properties (NYSE: QCP) […]

Sabra Restructures Leases with Signature, Extends $12M Loan

After hinting at a possible solution earlier this year, Sabra Health Care REIT (Nasdaq: SBRA) has reached a deal to restructure its lease agreements with troubled tenant Signature HealthCARE. Signature on Monday entered into an 11-year lease with the Irvine, Calif.-based real estate investment trust (REIT), with options for three five-year extensions. Sabra will collect […]

Providers Need to Look Beyond State Borders to Find Workforce Surpluses

As skilled nursing and other long-term care providers continue to grapple with a persistent workforce shortage, one solution could lie in strategic recruitment outside of an operator’s normal footprint. While macro-level trends show a substantial nurse and health care support worker shortage that will only get worse as the population ages, not all markets are […]

CEOs Upbeat About New CMS Skilled Nursing Payment Rules

Industry experts are still sorting out the long-term effects of the Centers for Medicare & Medicaid Services’ (CMS) new payment system for skilled nursing facilities, but early reviews from the CEOs of some top providers have been positive. “I would say the rule that was just published is a positive for the industry,” Genesis Healthcare […]

Ensign Points to Managed Care Growth as Reason for Occupancy Gains

The Ensign Group (Nasdaq: ENSG) reported sunny skilled nursing stats during the first quarter of 2018, with strong gains in both revenue and occupancy. The Mission Viejo, Calif.-based operator pulled in $46.2 million in income from its transitional and skilled services channel, a boost of 45.3% from the first quarter of 2017 and a 15.7% […]

Proposed Medicare Change Would Create Long-Term Care Benefit

A federal lawmaker on Wednesday rolled out a plan to provide a long-term care benefit as part of Medicare, citing the aging U.S. population and skyrocketing costs. Rep. Frank Pallone, a New Jersey Democrat, unveiled the Medicare Long-Term Care Services and Supports (LTSS) Act, a discussion draft of a bill that would expand Medicare coverage […]

Nobody Applies to More than Half of Long-Term Care Jobs in Wisconsin

Long-term care operators around the country have dealt with a lack of qualified workers for some time now, and leaders in one Midwestern state say it’s escalated to a full-blown crisis. Nearly 20% of caregiver positions in Wisconsin are currently unfilled, as compared to about 14.5% just two years ago, according to a report released […]

New Skilled Nursing Payment Plan Shows CMS Listened to Providers

The Centers for Medicare & Medicaid Services (CMS) shook the skilled nursing world last week by rolling out a proposal for a new payment model, replacing the structure that the industry had been anticipating for a year. But several experts say that operators should look at the changes as positive updates made with providers in […]

In a Regional Era, ProMedica and Welltower Go National with QCP, ManorCare

The refrain from the top leaders in the skilled nursing space has been that the industry is a regional game: Control a limited number of high-quality facilities in a confined area, the thinking goes, and an operator can win by successfully embedding itself in the local reimbursement and regulatory landscape. Late Wednesday night, two of […]

CMS Overhauls Skilled Nursing Payment Plan, Increases Rate by $850 Million

The Centers for Medicare & Medicaid Services (CMS) on Friday unveiled a new proposed model for skilled nursing reimbursements that the agency says will save providers $2 billion over the next decade. The proposed Resident Classification System, Version I (RCS-I) is out, and the Patient Driven Payment Model (PDPM) is in, with an effective start […]

Welltower, ProMedica Look to ‘Reinvent’ Skilled Nursing with QCP Deal

After seeing major players like Humana and TPG Capital take billion-dollar bets on vertical health care integration, Welltower Inc. (NYSE: WELL) is getting in on the action as well. Shankh Mitra, the real estate investment trust’s (REIT) senior vice president of investments, specifically cited those companies — which recently teamed up to buy Kindred Healthcare’s […]