Observation Stays Save Money for Private Insurers, Patients

Observation stays at hospitals have been controversial in the long-term care world for their role in Medicare reimbursements, but a new study shows that they could save money on the private-pay side — a trend that could have consequences for both types of insurance models. Between 2009 and 2013, non-elderly patients affiliated with three major […]

For SNF Quality, It’s All About Location, Location, Location

For nursing home operators, quality depends on multiple factors — including staffing, reimbursement figures and compliance with government regulations. But for potential residents, their neighborhoods may play an outsized role in the type and quality of care they receive. Skilled nursing facilities in areas with higher concentrations of minority residents and people living in poverty generally […]

Program Helps Curb Costly SNF Infections, But Improvements Still Needed

A collaborative program has shown promise in reducing a common type of costly infection in nursing homes, though researchers note that some structural barriers to success remain. An initiative from the Agency for Healthcare Research and Quality (AHRQ) to reduce catheter-associated urinary tract infections (CAUTI) received high marks from participants across the country, according to […]

Skilled Nursing Spending Growth Slowed in 2016

Overall spending on skilled nursing care slowed in 2016, according to the most recent report from the Centers for Medicare & Medicaid Services (CMS). In all, payers spent $162.7 billion on care at nursing homes and continuing care retirement communities (CCRCs), an increase of 2.9% from 2015. That’s slower than the 3.7% growth between 2014 […]

Post-Acute Crunch at Non-Profit CCRCs Predicted for 2018

Post-acute concerns could be a thorn in the side of non-profit continuing care retirement community (CCRC) operators next year. Citing industry-wide declines in census, admissions, and revenues amid changing payment models, Fitch Ratings, Inc. identified skilled rehabilitation care as a main concern for non-profit CCRCs in an otherwise sunny report about the state of the industry issued […]

Major CCRC Finance Provider Mobilizes Against Tax Bill Threat

Industry groups and senior housing financing players are hoping a last-minute advocacy push can convince Congress to save a key funding mechanism for non-profit operators — but there are few guarantees as the Republican-backed tax bill goes to reconciliation. The House version of the GOP’s sweeping rewrite of the U.S. tax code includes the elimination […]

Care Coordination in ACOs Might Not Actually Drive Savings

Accountable care organizations (ACOs) are built on a basic premise: By working together, providers across the health care continuum can save Medicare money and boost quality. But the largest share of the savings may simply come from shifting patients out of skilled nursing and home health settings, a new study suggests — and not on […]

SNFs Could Emerge as ‘Net Losers’ Under GOP Tax Plan

Senate Republicans passed their version of comprehensive tax reform in the early hours of Saturday morning, and while lawmakers in both houses still need to weigh in on a compromise bill, fears about the legislation’s impact are coursing through the long-term care industry. Skilled nursing operators could be the “net losers” under the GOP-led tax […]

QCP Extends ManorCare Receivership Deadline into 2018

Troubled nursing home operator HCR ManorCare got an early Christmas present from its primary landlord Monday morning: another month and a half to respond to a receivership claim. Quality Care Properties, Inc. (NYSE: QCP) pushed back ManorCare’s deadline to January 15, the fourth such extension since the real estate investment trust (REIT) initially filed a […]

Opinion: Nursing Homes Need to View Regulators as Partners — Or Perish

My job involves combing through Google Alerts in search of the latest filings and nuggets of news about the skilled nursing industry. Most are false positives — especially during the autumn, when my alert for “SNF” returns more information about the coming week’s Sunday Night Football matchup than skilled nursing facilities. But ever since I […]

Genesis HealthCare Faces Stock Delisting Warning Amid Financial Pressures

Genesis HealthCare (NYSE: GEN) this week received a delisting warning from the New York Stock Exchange, giving the skilled nursing provider six months to see improvements in its stock price. The Kennett Square, Pa.-based company’s stock averaged less than $1 per share over a recent 30-day trading period, a violation of the NYSE’s continued listing […]

Warren Presses HHS Pick Over Anti-Psychotic Drugs in Nursing Homes

President Trump’s pick to lead the Department of Health and Human Services faced pointed questions Wednesday about his former employer’s history with marketing anti-psychotic drugs to nursing home operators. Alex Azar, most recently a top executive at pharmaceutical giant Eli Lilly and Company (NYSE: LLY), pushed back against criticism of his former company’s history with […]

Skilled Nursing Bulletins: Fire Safety Scrutiny, Anti-Psychs in Kansas

Fires Bring New Scrutiny to SNF Safety In a year that has already brought significant national attention to the way nursing homes handle natural disasters, concerns about fire risk are springing up across the country in the wake of a Pennsylvania fire that killed four long-term care residents. That blaze, at the Barclay Friends Senior […]

CMS Delays Enforcement of Smoking Rules, Other Phase 2 Requirements

Skilled nursing operators can breathe a little easier as the second phase of the new Requirements for Participation takes effect this week: The Centers for Medicare & Medicaid Services (CMS) has delayed penalties for several of the new requirements. For the next 18 months, CMS won’t take enforcement action — in the form of civil […]

Former Long-Term Care Exec Bets on Cannabis Demand in Canadian SNFs

Bruce Dawson-Scully spent years in the long-term care development and operations business in Canada, first in his family business and then as an executive with Sienna Senior Living in Ontario. In 2013, when the country overhauled its medical marijuana laws to allow commercial production and sales for the first time, Dawson-Scully decided to help launch […]

Programming Note: Happy Thanksgiving from Skilled Nursing News

All of us at Skilled Nursing News hope you have a solid Thanksgiving ahead: No matter how or where you celebrate, we wish you good times with family, friends, and food, along with safe travels to your holiday destinations. We also salute the caregivers, administrators, and other staffers who work through the holiday to keep […]

Nursing Home Residents Lack Palliative Care Access, Study Finds

Only a very small percentage of nursing home residents who would benefit from palliative care typically receive it, according to a new study released Monday by the Journal of the American Medical Association (JAMA). The researchers, which included representatives from the University of California, San Francisco and the San Francisco Veterans Affairs Medical Center, analyzed […]

Skilled Nursing Must-Reads: Industry Pressures, 33-SNF Bankruptcy

Welcome to Skilled Nursing News’s regular look at the biggest headlines from the week that was, your all-in-one place for the top stories you need to jumpstart your day and discover the things you may have missed. SNN brought you a peek into PointClickCare’s annual customer summit in Orlando, where executives declared that skilled nursing […]

Mainstreet Health Investments Makes $425M Acquisition, Announces Name Change

Mainstreet Health Investments (TSX: HLP.U) on Friday announced a $425 million acquisition of Care Investment Trust, LLC, giving the Toronto-based real estate investment firm 42 new senior housing and skilled nursing properties. Care Investment Trust had previously been a subsidiary of Tiptree, Inc. (Nasdaq: TIPT), which will become Mainstreet’s largest shareholder upon completion of the […]

Almost Family, LHC Merge in $2.4 Billion Deal

A little further down the care continuum, two of the largest home health care companies in the nation on Thursday announced a $2.4 billion merger. Louisville, Kentucky-based Almost Family, Inc. (Nasdaq: AFAM) and Lafayette, Louisiana-based LHC Group, Inc. (Nasdaq: LHCG) on revealed that they have agreed to combine in an all-stock merger of equals transaction. […]