Finding Hidden Benefits of Scale in the Skilled Nursing Industry

The recent bankruptcies of the HCR ManorCare and Orianna skilled nursing chains seemed to validate an industry-wide opinion that the future belongs to the smaller, regional operator. But there are still advantages to scale in the skilled nursing industry — even if they remain under the radar. The Ensign Group (NASDAQ: ENSG) has a nationwide […]

What the Rise of Medicare Advantage Means for Skilled Nursing

About 33% of seniors enrolled in the Medicare program have elected to use managed Medicare Advantage plans, and that number is expected to grow — potentially faster than the government thinks. The Congressional Budget Office has predicted growth in MA plans by about 4% per year, but Dan Mendelson, president of Avalere Health, says his […]

HHS Secretary Wants Providers to Take Amazon, Yelp’s Lead

If Health and Human Services secretary Alex Azar has his way, the health care consumer of the future will select providers the way they currently decide where to eat or which knockoff iPhone charger to buy. “Imagine a day when health care delivery in the United States functions the way other parts of our economy […]

Despite Steep Debt, ManorCare to Pay $100 Million to Former CEO

Recently filed bankruptcy documents reveal that HCR ManorCare’s total missed rent to Quality Care Properties, Inc. (NYSE: QCP) topped $445 million — while its former CEO is set for a handsome payday. Paul Ormond, who left the embattled provider in September, could receive a settlement in excess of $100 million, according to a letter from ManorCare […]

ACOs Gain by Shifting Money Away from Skilled Nursing

Skilled nursing providers have long been wary of accountable care organizations (ACOs), fearing that the models’ emphasis on cost-sharing might drive dollars away from their buildings. And a new study shows that those concerns might be grounded in reality. For every 1% that a given ACO cut skilled nursing spending, the overall savings rate increased […]

When is the Skilled Nursing Wave Coming? Depends Who You Ask

Depending on whose earnings call you happened to catch this season, the predicted surge in demand for skilled nursing services is just around the corner — or it isn’t coming at all. At Omega Healthcare Investors (NYSE: OHI), management enlisted the services of two consulting firms to crunch the numbers on demographic trends over the […]

Genesis Regains NYSE Compliance After Delisting Warning

Three months after Genesis Healthcare, Inc. (NYSE: GEN) received a delisting warning from the New York Stock Exchange, the skilled nursing provider is back in the exchange’s good graces. The Kennett Square, Pa.-based company on Thursday announced that it has once again met the NYSE’s continuing listing standard and will shed the “.BC” — for […]

Going to Dallas for NIC? Let’s Meet Up

This time next week, the Skilled Nursing News team will be down at the National Investment Center for Seniors Housing & Care (NIC) Spring Investment Forum in Dallas — and we’d like to meet up. We know time is at a premium, but if you have five minutes to spare to share your latest project, […]

Industry Responds to Democrats’ Call for Skilled Nursing Scrutiny

In a Valentine’s Day letter to top health officials, a group of influential Senate Democrats asked the Centers for Medicare & Medicaid Services (CMS) to reconsider certain rollbacks of nursing home regulations. In response, a leading industry group on Wednesday wrote back to the senators to clarify and rebut some of their points. “We think […]

CareTrust: Micro-Level Skilled Nursing Gains Outweigh Macro Pains

CareTrust REIT (NASDAQ: CTRE) has made moves to divest from a troubled operator, but management still remained upbeat about the potential for skilled nursing success in the year to come. After a positive experience transitioning seven of its 16 properties operated by Pristine Senior Living and Post-Acute Care in Ohio, CareTrust will market the remaining […]

Assuming Risk Key to Medicare Savings Under New Payment Models

Accountable care organizations (ACOs) only generate savings for the government if they accept risk, according to an analysis from the Kaiser Family Foundation. ACOs generated net savings of $47 million in 2016, the Menlo Park, Calif.-based non-profit found in an independent analysis of publicly available ACO data and previously unpublished numbers from the Centers for […]

Former Dude Ranch Wins Skilled Nursing Design Award

When the developers of The Springs at Hacienda at the River decided that their new skilled nursing project shouldn’t feel institutional, they took a major leap: They picked a design firm that had never built a SNF before. Now, several years later, the team at Watermark Retirement Communities is celebrating a 2017 Senior Housing News […]

Sabra CEO: Signature Deal Likely, Genesis Model ‘Does Not Work’

The CEO of Sabra Health Care REIT (Nasdaq: SBRA) on Thursday indicated that a deal to restructure Signature HealthCARE could soon be in the cards. “We have an agreement with the other primary landlords on Signature,” Sabra CEO Rick Matros said on his company’s fourth-quarter earnings call with shareholders and analysts — though he added […]

Per-Bed Skilled Nursing Prices Trickling Downward

After a year that saw reports of eye-popping prices for skilled nursing beds, the trend appears to be headed in the opposite direction. The per-bed price for skilled nursing facilities dropped 1% between the third and fourth quarters of 2017, falling to $83,800 according to the most recent data from the National Investment Center for […]

Democrats Ask CMS to Halt Skilled Nursing Regulatory Rollback

A group of 12 Democratic U.S. senators slammed the Centers for Medicare & Medicaid Services in a letter sent last week, claiming that its leadership’s decision to ease regulatory restrictions on nursing homes has put seniors in danger. “We write with deep concern over a string of actions by the Centers for Medicare & Medicaid […]

NHC Saved $8.5 Million Under New Tax Plan in 2017

National HealthCare Corporation (NYSE American: NHC) turned in a positive 2017 with the help of the recent Republican-led tax overhaul. The Murfreesboro, Tenn.-based skilled nursing provider announced Tuesday that it logged net income of $56.2 million for the year ended December, a boost of 11.2% from NHC’s performance in 2016. Last year’s performance included an […]

Mixed-Age Skilled Nursing Facilities Face Significant Barriers

When Skilled Nursing News set out to envision the nursing home of the future, one topic kept coming up over and over again: the intergenerational SNF, a place where people of all ages could recover from surgeries or receive long-term care together. But creating such a diverse facility is easier said than done. “For short-term […]

Spending on Nursing Care to Increase Steadily Through 2026

Annual expenditures on skilled nursing care will increase by 3.9% this year and keep rising through 2026, according to a new study from the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary. This rise in nursing home spending tracks with overall gains in outlays for health care services: Between 2017 and 2026, […]

Operators Bearish on Future of Standalone Skilled Nursing Facilities

Just 19% of senior housing operators think the future for standalone skilled nursing facilities looks “good” over the coming three years — while a plurality see a “poor” path ahead. Investment banking and advisory firm Lancaster Pollard on Tuesday released the results of its expansive senior housing and care survey, which collected the opinions of […]