Ensign Announces Slew of Skilled Nursing Acquisitions Ahead of Earnings Call

The Ensign Group (Nasdaq: ENSG) on Wednesday announced eight facility acquisitions across six states – Utah, Arizona, Tennessee, Texas, Kansas and Iowa. The additions bring Ensign’s growing portfolio to 310 healthcare operations across 14 states. Twenty-nine of these operations also include senior living operations. Real estate in Arizona, River park Post Acute and Elmwood Senior […]

Why Legislation For Nursing Home Agency Labor Must Focus on Pricing, Consider State and Finalized Federal Staffing Rules

States like New York have modified their staffing mandate to reward nursing homes for avoiding costly staffing agencies, although operators don’t find this legislation particularly rewarding, especially now that the national minimum staffing mandate has been finalized. Stu Almer, CEO of Gurwin Healthcare in New York, said such legislation isn’t helpful given the ongoing workforce […]

Inside Rising Cyber Attacks: Tackling Insurance Hikes, Payment Disruptions at Nursing Homes

Health care cyber attacks have been an ever-present threat for providers, including nursing homes. But the most recent attacks on Change Healthcare have had ripple effects on the industry, prompting lobbying groups and federal agencies to action. The attack in February has affected cash flow and claims processes for some nursing home operators, associations said, […]

Medicare Advantage Growth Could Normalize, but Nursing Home Leaders Call for Rate Floor and Other Changes

While Medicare Advantage (MA) has grown steadily in the last several years, leaders in the nursing home sector speculate whether increased federal regulation – and perhaps even more importantly, changes in the consumer experience – will slow its growth. This would come as a welcome development to many nursing home leaders, who have been struggling […]

Ahead of NHC Lease Negotiations, Activist Shareholder Calls for NHI Board Shakeup

An activist investor of National Health Investors (NYSE: NHI) has called for changes to the real estate investment trust’s (REIT’s) board of directors , ahead of lease negotiations with one of the REIT’s largest tenants, National HealthCare Corporation (NHC). Land & Buildings Investment Management issued a letter to shareholders on Thursday, urging a shakeup in […]

Class Action Settlement Tied to $1B Investment in Moving Nursing Home Residents to HCBS

One state has committed more than $1.1 billion to boosting community living options for people who would otherwise be in a nursing home, following a landmark class action lawsuit settlement. The 54-page settlement agreement still needs a judge’s approval. The original case, titled Marsters v. Healey, involved six residents who were unable to leave their […]

Senate Hearing Focuses on Long-Term Care Worker Woes, But Provider Groups Say Related Bill ‘Misses the Mark’

Federal lawmakers have introduced the Long-Term Care Workforce Support Act, in conjunction with a hearing that took place Tuesday, hosted by the U.S. Senate Special Committee on Aging. The bill, if passed, would increase the number of direct care professionals, including in rural communities. Some associations representing the nursing home industry said the legislation managed […]

Omega Announces Potential Settlement Involving Changes to Corporate Diversity Practices

A legal settlement reached by Omega Healthcare Investors Inc. (NYSE: OHI), if finalized, will change some of the real estate investment trust’s corporate governance policies and practices related to diversity, equity, inclusion and belonging, the company announced Monday. Omega’s insurance company will also pay $850,000 in attorney fees and expenses, while a court hearing scheduled […]

Even in States with Medicaid Increases, Nursing Home Closures Pile Up

Despite a 17.5% Medicaid increase last year, at least 25 nursing homes closed in Pennsylvania since the pandemic began – and a significant financial shortfall remains, leaders said. Closures equate to a loss of 2,588 certified nursing home beds in the state since 2020. The continued workforce shortage and underfunding of Medicaid made closures and […]

‘SNF-Heavy’ CCRCs Continue to Suffer as Staffing, Revenue Pressures Mount

Skilled nursing beds continue to be associated with more operational stress among continuing care retirement communities (CCRCs) this year, despite improved occupancy from 72.4% in 2022 to 82.2% in 2023, and preliminary 2024 data showing further improvement. Fitch Ratings recorded eased labor challenges as well among skilled nursing providers as part of its “exposure draft” […]

Additional Fines, On Top of Doubled Maximum Penalties, Part of New State Law

Government leaders are cracking down on long-term care providers in Arizona, expanding health officials’ authority to monitor and fine operators in nursing homes, as well as assisted living and memory care. Legislation was signed into law on Monday, originally designed to establish minimum training standards for staff working with memory care residents, according to a […]

‘Gobbled Up’: CMS Medicare Increase for Nursing Homes Fails to Price in Dire Economic Environment, Costly Regulation

The federal government’s proposed Medicare payment increase for 2025 is not sitting well with the nursing home sector, with financial experts and operators raising concerns that the bump fails to compensate for inflation-induced operating costs – and a staffing proposal anticipated to cost in the billions each year. For some experts, the Centers for Medicare […]

Policy Moves That Are Yielding State Winners on Nursing Home Staffing Front

North Dakota has some of the highest staffing levels in the country – no small feat considering the many pockets of rural communities. The state has achieved this because of a very supportive legislative body that recognizes the value of long-term care services, including skilled nursing, operators and associations say. Garth Rydland, president and CEO […]

Nursing Homes Misclassified as CCRCs, Causing $88M in Lost Assessment Revenue for Kansas

Some nursing homes in Kansas have been misclassified as continuing care retirement communities (CCRCs), resulting in the state losing close to $88 million in assessment revenue. That’s according to a performance audit conducted by the Kansas Medicaid Inspector General’s (MIG) office, which found that 68% of CCRC certifications between July 2020 and Aug. 31, 2023 […]

Superbug Infection Protocol Shown to Reduce Hospitalization, Deaths Among Nursing Home Residents

Infection-related hospitalizations and deaths among nursing home residents decreased as a result of a coordinated intervention adopted by facilities, along with hospitals and long-term acute care hospitals (LTCHs). The intervention, called SHIELD-OC, was centered around reducing superbugs, or multidrug-resistant organisms (MDROs), and involved 35 health care facilities in Orange County, Calif., according to a study […]