SNF Lending Competition Heats Up as ‘Core Group’ Returns After a Year on the Sidelines

While types of financing available to nursing homes have remained relatively consistent throughout the pandemic, the number of lenders has fluctuated, capital providers have said. In recent months more competition has come back into the skilled nursing marketplace, VIUM Capital Senior Managing Director Tony Ruberg told Skilled Nursing News, with larger players ready to be […]

With Captive REIT Valued at $1B, Ensign Ready to Build on Solid Q4 Results

With the company’s newly launched captive REIT valued at $1 billion and Covid-19 pressures starting to moderate, leaders with The Ensign Group (Nasdaq: ENSG) plan to bolster operations and expand in 2022. A third-party appraiser has valued Standard Bearer Healthcare REIT at $1 billion, Ensign announced in conjunction with its Q4 2021 earnings results. The […]

Nursing Homes Struggle with Cost Inflation, Other Effects from Staffing Agency ‘Gold Rush’

Some operators are seeing day-to-day staffing agency usage cost them both financially and clinically, with pricing for certain positions soaring while inconsistent staff are impacting care quality. Jay Moskowitz, CEO of Colorado-based Vivage Senior Living, said costs associated with certified nursing assistants (CNAs) via agency increased 41% between October 2020 and October 2021 for his […]

Proposed Nursing Home Staffing Standards ‘Unattainable’ Amid Labor Crisis

Despite continuing nursing home workforce shortages across the country, some states continue to push for mandated minimum staffing hours – Virginia’s legislature was the latest to introduce such proposals, in January. The bills were heard by the state House Tuesday night and carried over for the year, meaning they are effectively dead for this year’s […]

Golden LivingCenters Rebrands to Brickyard Healthcare

Indiana-based Golden LivingCenters on Monday announced a rebranding initiative to become Brickyard Healthcare. The rebranding decision was made to coincide with the company’s efforts to evolve from a large skilled nursing facility operator across many states to a regional family of health care providers “rooted in the Midwest,” Brickyard said in a statement. The name […]

Buy, Sell, Hold: Nursing Home Owners Weigh Options Amid Murky Future of Government Support

Financial government support accompanying ongoing public health emergencies (PHEs) is considered a major factor in transaction activity, since so many facilities currently depend on such funding. What remains unclear is where that government support ship is headed as the industry continues into 2022. For operators, uncertain government funding could mean a continued rush of transactions […]

Skilled Nursing Occupancy Gains Expected, But Covid Will Cast Long Shadow

Nursing home occupancy recovery rates will be market and operator specific in 2022 and beyond, with COVID-19 still steering industry expectations and resident choices. Still, more than half of nursing home industry leaders believe occupancy levels will improve in the next 12 months for both long-term and short-term care – 53.6% and 52.8%, respectively, according […]

Best Skilled Nursing/Post-Acute Design 2021: Innovation Takes Flight in Small-Home Concept

Located on the grounds of Sebille Manor, a former military housing complex, Michigan’s newest state veterans home is the first to serve the southeast and Detroit region. And, it’s doing so with an innovative small-home concept that brings infection control and other benefits in a design-forward manner. The 152,000-square-foot campus of the Michigan Veterans Home […]

California Bill Seeks More State Authority on Nursing Home Ownership

Nursing home operators looking to purchase more facilities in California may need to get approval from the state Department of Public Health (CDPH) and meet certain qualifications, according to proposed guidelines introduced in a bill poised this week to move ahead in the state legislature. The state assembly is expected to vote on the bill […]

Omicron ‘Precipitating’ Collaborative Conversations Between Hospitals and Nursing Homes

As the omicron variant propelled some acute and post-acute settings into crisis standards of care during the latest COVID-19 surge, skilled nursing facilities are again asking themselves and their community hospitals how the two parts of the care continuum can collaborate. Nursing home operators have continued taking residents from hospitals for a more transitory timeframe […]

HHS Shells Out an Additional $2B in Provider Relief Funds

The Department of Health and Human Services (HHS) on Tuesday said it is making more than $2 billion in Provider Relief Fund (PRF) Phase 4 distribution payments to providers, including nursing homes. That brings the PRF Phase 4 total payments to $11 billion, on the heels of $9 billion released in December. This is in […]

LeadingAge to Biden: Aging Services Providers Need PRF Reload, Emergency Staff Wage Program

National aging services organization LeadingAge penned a letter to President Joe Biden late last week, urging the administration to replenish $8 to $10 billion in Provider Relief Funds and establish an emergency financial program to address the staffing crisis. The proposed staffing support program would increase hourly compensation by $5 and provide one-time payments of […]

Inadequate Tech Buckling Under Pandemic Strain for Nursing Home Staff

Facility systems and technology have not been able to keep up with additional strains of pandemic workloads, according to direct care participants in a recent survey. About 81% of health care workers, including nursing home staff, have had issues with systems and technology while caring for patients – 73% say these same systems have not […]

SNF-Diversion Bill Analysis Questions Model’s Safety, Cost Structure

While Medicare beneficiaries have an “overwhelming desire” to receive care at home, skilled nursing academics argue the Choose Home Care Act of 2021 could put those same beneficiaries who require a high level of care at risk. Marquette University’s College of Nursing this month published a debate-style article about the legislation as written, focused on […]

‘Tepid’ SNF Recovery, as Home-Based Care Gains Steam, Influencing Non-Clinical Service Providers

As the nursing home industry continues to be pressured by a broad push for home-based care, labor challenges and a continued decline in reimbursements, concern over the long-term impact of industry recovery has bled into financial opinions on non-clinical service providers. One such report issued by financial services company Jefferies Financial Group Inc. suggests these […]

COVID Patient Care Drives 7% Medicare Revenue Increase, CLA Report Finds

As the Centers for Medicare and Medicaid Services (CMS) continues to evaluate the “true” budget neutrality of the Patient-Driven Payment Model (PDPM), it’s clear COVID-19 has impacted usage of the new payment model. A report from professional services firm CliftonLarsonAllen (CLA) found the median Medicare revenue per patient day (RPPD) increased 7% in 2020 under […]

In-House Worker Pool Crucial During Omicron Surge to Fill Staffing Gaps

The omicron surge – coupled with an ongoing staffing crisis – has added pressure to facilities that would have to further tighten occupancy if not for an in-house pool of floating staff between buildings, operators say. Facilities that can pull from a wider pool of resources attached to larger operators, such as staff and personal […]