‘Tug of War’: Inside Navigating the Pitfalls of Dual Eligible Coverage in Nursing Homes

Delivering care to dual eligible nursing home residents can be complex with so many payers involved in the industry, but aligning incentives, quality measures and tools for providers can help operators serve this demographic. Dual eligible residents, or those that can receive benefits from both Medicare and Medicaid, often find themselves in a “tangled web […]

$29M Medicaid Rate Increase in State Heavily Focused on Direct Care

Oklahoma on Monday approved a nearly $29 million Medicaid funding increase for nursing homes attracting additional federal dollars to improve provider rates. It’s unclear if the rate increase would be enough to meet the upcoming federal minimum staffing standard. The Oklahoma Health Care Authority Board (OHCA) approved the increase after the 2024 legislature called on […]

SCOTUS Ruling Could Shake Up CMS Approach to Civil Monetary Penalties, Invite Litigation at Nursing Homes

The Centers for Medicare & Medicaid Services’ (CMS) issuance of civil monetary penalties is in the crosshairs of litigators, as increasingly gained enforcement power comes up against a Supreme Court decision. In the Securities and Exchange Commission (SEC) v. Jarkesy case, SCOTUS ruled that defendants have a constitutional right to make their case to a […]

CIBC, Greystone Monticello Provide $137M to Refinance SNF Portfolio; NHC Adds Skilled Nursing in Carolinas

CIBC Bank USA and a Greystone Monticello affiliate, along with other co-lenders, provided 980Investments with $137 million to refinance a nursing home portfolio. 980Investments is owned by Simcha Hyman and Naftali Zanziper, and the 1,135-bed portfolio is located in North Carolina. CIBC additionally provided a $6.5 million revolving line of credit to support the ongoing […]

Sabra CEO: ‘Outsized Medicaid Rates’ a Positive Sign for Nursing Homes, with Occupancy Up and Investment Pipeline Strong

Reimbursement trends among nursing homes remain positive while investment opportunities are rising, said leaders at Sabra Health Care REIT Inc. (Nasdaq: SBRA), who also noted that the company’s occupancy recovery looks promising. During the second quarter, Sabra reported net income of 10 cents per diluted common share, a slight decrease compared to 9 cents in […]

With $270M in the Pipeline, NHI Leaders Eye New Acquisitions After Posting Strong Q2

Looking ahead, leaders at National Health Investors Inc. (NYSE: NHI) are excited about recent investment activity and a growing pipeline of $270 million. The real estate investment trust (REIT) is pursuing several large portfolio deals, along with fee-simple real estate, loans with purchase options and seniors housing opportunities. The Murfreesboro, Tenn.-based company has spent multiple […]

ESI and SLIB Arrange Nursing Home Sales in Wisconsin and Texas; CIBC Provides $35M Refinancing

Brokerage firm Evans Senior Investments (ESI) facilitated the sale of county-owned Samaritan Health Center in West Bend, Wisconsin. An independent owner-operator was chosen as the buyer, upon county approval. Samaritan provides 186 beds, including 131 skilled nursing beds, 24 residential care apartments, and 31 assisted living beds. Samaritan faced several key challenges while on the […]

Following Petersen Bankruptcy, Some Nursing Homes Sold, More Placed in Receivership

One of Petersen Health Care’s nursing homes on Monday was placed in receivership, following the Illinois operator’s bankruptcy filing in March.  The Courtyard Estates of Farmington nursing home will now be overseen by a court-appointed receiver, thanks to a deal brokered by the Bank of Farmington, according to a report from Peoria Public Radio. Attorney […]

CMS Entrenching ‘Old Covid Scars’ With Expansion of Civil Monetary Penalties, Starving Nursing Homes of Much-Needed Resources

Nursing home operators say the civil monetary penalty (CMP) expansion is proving to be one of the most problematic features of the 2025 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule. Initially, there was excitement for the Medicare payment increase, but this has turned to dread for operators who are already dealing with […]

‘We Do Not Live for the Quarter’: CareTrust Queues up Avalanche of Skilled Nursing Investments

CareTrust REIT (NYSE: CTRE) has been busy with its investment pipeline this week, announcing $378 million in new investments after June 30, and on top of $268 million in investments during the second quarter. Chief Investment Officer James Callister said competition for skilled nursing acquisitions is high as oncoming improvement and post-COVID performance has resulted […]

Chevron Fallout Could Create ‘Regulatory Flux’ for Nursing Home Sector

While hopeful that the Supreme Court’s recent Chevron decision will undermine the federal staffing mandate and lead to a more rational regulatory environment, leaders in the nursing home sector also are warning that the ruling could create a period of uncertainty and tumult. Steve LaForte, director of corporate affairs and general counsel for Idaho-based Cascadia […]

CMS Finalizes 4.2% Skilled Nursing Medicare Increase, Expanded Penalties

The Centers for Medicare & Medicaid Services (CMS) late Wednesday finalized its 2025 Skilled Nursing Facility Prospective Payment System (SNF PPS) rule, approving a net increase of 4.2%, or approximately $1.4 billion in Medicare Part A payments for next year. The increase is calculated based on the SNF market basket percentage increase of 3%, plus […]

Court Hands Down ‘Historic,’ $35.8M Judgment in Nursing Home Wage Theft Case

A federal court awarded $35.8 million in back wages and damages to 6,000 current and former workers of Comprehensive Healthcare Management Services, as a result of one of the largest Fair Labor Standards Act (FLSA) judgments in the nation. Comprehensive, which operates 15 skilled nursing facilities in Pennsylvania, willfully denied workers overtime pay, a U.S. […]

LTC Properties: Q2 Plagued By Occupancy Declines, Rent Deferrals, But Medicaid Rate Increases Helped Nursing Homes

Leaders with LTC Properties (NYSE: LTC) said Medicaid rate increases were one positive aspect from the second financial quarter, even as some of its assets were seeing occupancy issues and ongoing deferrals in rent. Occupancy “disappointingly deteriorated” among certain assets, including LTC’s skilled nursing facilities, analysts with BMO Capital Markets reported. While overall SNF occupancy […]

‘A 1970s Solution to a 2025 Problem’: New AHCA CEO’s Goals as Policymakers Cling to the Past Amid Pandemic-Induced Shifts in Nursing Home Lobbying

The nursing home industry is caught between a growing demand for services and evolution of the delivery model, all while policymakers and the wider community cling to an outdated version of the sector. This has made lobbying for the industry a tricky endeavor, and yet, it also offers a unique – even urgent – opportunity […]

Ensign Execs: Odds Improve for Staffing Mandate Victory, Occupancy and Skilled Mix Outperform Seasonal Norms 

Deal opportunities continue to be abundant for the Ensign Group (Nasdaq: ENSG), and leaders for the nursing home giant also are more confident that the federal nursing home staffing mandate is doomed. While announcing strong quarterly results and increased guidance, Ensign executives stated that the typical seasonal trends of depressed summertime occupancy and skilled mix […]

Top Tips for Maintaining Solid Nursing Home Star Ratings Amid MDS Changes, CMS’ Bid to Track More Quality Measures

Meticulous documentation is the name of the game for nursing home operators looking to keep up with Minimum Data Set (MDS) changes and maintaining a good rating in the Five-Star Quality Rating System. This is especially because inaccurate or insufficient data could affect a facility for at least a year in the future. Leaders in […]

Nursing Home Operator Avoids Prison Time After Carting Residents to a Warehouse During Hurricane Ida

There doesn’t appear to be any jail time for a Louisiana skilled nursing operator, who sent more than 800 elderly residents to wait out Hurricane Ida in a crowded, ill-equipped warehouse, resulting in the deaths of seven evacuees, five being classified as storm-related deaths. Bob Dean Jr. was instead sentenced to three years of probation, […]

Shift from Biden to Harris Unlikely to Rattle Staffing Mandate, as Unions Remain Strong Supporters

Following President Joe Biden’s decision to drop out of the 2024 presidential race, leaders in the nursing home space say there likely won’t be any change to the federal minimum staffing mandate or lawsuit given an ongoing strong connection with unions. Biden endorsed Vice President Kamala Harris to run in his place. On Monday, Harris […]

Principle LTC CEO on Efforts to Stabilize Workforce Amid Nursing Home Operators Hitting ‘Significant Wall’ with University Pipeline

Many nursing home operators in the past year have been in rebuilding mode, bolstering staff and reworking systems to fit better in a post-pandemic world. Principle LTC has been doing much the same in developing programs offered to help employees in crisis or those who want to further their education. But, it’s going to take […]