In Time, 2020-2021 Nursing Home Data will be Dealmaking ‘Outlier,’ Skewed By Pandemic

Although it’s been difficult to bring consistent data to the table, dealmaking in the skilled nursing space continues to be lucrative for both the buyer and seller. Matthew Alley, managing director at Senior Living Investment Brokerage (SLIB), says SNF market data from 2020 and 2021 will be considered ‘outliers’ in a few years, but that’s […]

10-State Injunction Buys Nursing Homes More Time on Vaccine Mandate

The U.S. District Court for the Eastern District of Missouri on Monday issued a preliminary injunction against the Biden administration’s COVID-19 vaccine mandate, blocking the requirement for health care workers in 10 states. Nursing homes in Missouri, Nebraska, Arkansas, Kansas, Iowa, Wyoming, Alaska, South Dakota, North Dakota and New Hampshire won’t have to adhere to […]

CMS: Surveyor Vaccine Mandate Guidance is Forthcoming

The Centers for Medicare and Medicaid Services (CMS) is working on developing vaccine mandate guidance for surveyors, the government agency said during a stakeholder call last week. While the guidance is forthcoming, CMS is placing responsibility on state agencies to conduct safe surveys. Guidance will be relevant to surveyors within CMS, state surveyors and “non-nursing […]

Florida Federal Judge Says CMS Vaccine Mandate Remains in Effect For Now

A Florida federal judge will not temporarily pause the Centers for Medicare and Medicaid Services (CMS) vaccine mandate while the case is being litigated. This is the first time the CMS requirement for health care workers, including nursing home staff, has been weighed in on by the courts. Florida officials asked a U.S. District Court […]

Cuomo Administration Underreported Nursing Home COVID Deaths, NYS Assembly Report Affirms

New York Assembly investigative findings — released publicly Monday regarding former Gov. Andrew Cuomo’s conduct in office — confirmed a statewide underreporting of nursing home resident deaths tied to COVID-19. COVID-19-related nursing home deaths that occurred “for a period of approximately two weeks in April and/or May 2020,” reported after 5 p.m. each day, were […]

Nursing Homes Will Have to Wait Longer for Phase 4 PRF Disbursements

Skilled nursing facilities may not receive their much-needed Phase 4 disbursement of Provider Relief Funds (PRF) until the new year, with disbursements delayed through January, the Health Resources and Services Administration (HRSA) said. Originally, skilled nursing operators expected to receive Phase 4 payments between mid-November and mid-December — and that timeframe has shifted to include […]

Nursing Home Facility Discharges Need ‘Further Attention’, OIG Report Says

Nursing home-initiated discharges require a closer look as “inappropriate discharges” may be on the rise, according to a report released by the Office of the Inspector General (OIG) and U.S. Department of Health and Human Services (HHS). Overall, OIG isn’t aware of how many residents have experienced facility-initiated discharges from nursing homes, much less which […]

Private Equity Ownership Linked to Higher Medicare Costs, Increased Hospitalization

Private equity acquisition of nursing homes is tied to increases in emergency room visits, hospitalizations and higher Medicare costs, according to a recently published JAMA Health Forum study. The study found PE firm-owned nursing homes were 11.1% more likely to have an acute coronary syndrome (ACS) emergency department (ED) visit and 8.7% more likely to […]

Optum Enlists Former ProMedica Leader to Build Out its Provider-Led I-SNP Services

Former ProMedica Senior Care President David Parker took on a new role at Optum this summer, putting his 30-plus years in skilled nursing executive leadership to good use as vice president of strategy for its complex care management division. Optum is the care delivery arm of UnitedHealth Group, and has offered value-based care plans for […]

AHCA’s Parkinson: ‘Unfunded’ Build Back Better Act Staffing Provisions Will Exacerbate Workforce Shortage

The head of the nation’s largest lobbying and trade group for nursing homes called out two ‘unfunded mandates’ included in the Biden administration’s Build Back Better Act — mandatory minimum staffing and 24-hour registered nurse (RN) oversight in nursing homes — arguing both will cause unnecessary strain on an already employee beleaguered industry. During a […]

ProMedica Reports $101M Loss, Staffing ‘Dramatically Increasing’ Costs

As federal stimulus payments slow at this point in the pandemic, ProMedica reported a $101.4 million operating loss for the first nine months of the year — with a $23.5 million loss for the third financial quarter alone. During the first nine months of 2020, the Toledo, Ohio-based operator said it had $168 million in […]

Medicare FFS Improper Payments Reduced By $20.7B Since 2014, But Skilled Nursing Sees 2020-21 Increase

Aggressive corrective actions taken by the Centers for Medicare & Medicaid Services (CMS) led to a $20.72 billion reduction in Medicare Fee-for-Service (FFS) improper payments over seven years, the entity announced late Monday — for skilled nursing facilities, insufficient documentation was the primary reason for improper payments. Despite an overall reduction since 2014 lauded by […]

Nursing Home Construction, Transactions Up Against Procedural Backlogs

The future of skilled nursing facility construction and transactions is tied up in state licensing procedures like certificate of need (CON) approvals, with some operators at a standstill due to application backlog during the early months of the pandemic. A backup of applications, which are required in several states to build any health care building […]

[UPDATED] CMS Guidance Tackles Survey Backlog, Lifts Nursing Home Visitation Limitations

The Centers for Medicare and Medicaid Services (CMS) on Friday issued two updates regarding survey and visitation guidance — steps to address the backlog of complaint and recertification surveys, and revising visitation to include “all residents at all times.” CMS said it will assist state survey agencies (SAs) with resuming surveys that took a backseat […]

Invesque Continues Shift Away From Skilled Nursing Assets

Invesque Inc. (TSE: IVQ.U) during its third quarter earnings call highlighted a continued shift to a majority private pay, seniors housing portfolio from when the company first announced its IPO five years ago, diminishing its skilled nursing assets in the process. When the Carmel, Ind.-based company went public in June 2016, skilled nursing made up […]

Financial Transparency Legislation May Impact Nursing Home M&A, Operations

Five states are making efforts to improve financial transparency among skilled nursing facilities, in some cases requiring financial records to be accessible to the public and in other cases dictating where revenue can go, to ensure funds are going to residents first. For some compliance experts, the timing is right to shine a light on […]

Diversicare Reports Net Loss for Third Quarter, Close to Completed Merger with DAC

Diversicare Healthcare Services (OTCQX: DVCR) published its earnings details on Tuesday, reporting a net loss from continuing operations at -$2.9 million, or -43 cents per share in the third quarter. During the third quarter of 2020, Diversicare reported a net income of $3.2 million from operations, or 48 cents per share. The Brentwood, Tenn.-based skilled […]

NHI CEO: Skilled Nursing Assets Provide ‘Blueprint’ to Stable Growth

National Health Investors Inc. (NYSE: NHI) CEO Eric Mendelsohn said its skilled nursing operators serve as a “blueprint” for long-term stability and growth at this point in the pandemic, during a third quarter earnings call late Monday. NHI’s skilled portfolio represents 32% of its annualized cash revenue, with National Healthcare Corporation (NYSE: NHC) and the […]

CareTrust Expects Skilled Nursing Occupancy to Reach Pre-Pandemic Levels Next Summer

CareTrust REIT (Nasdaq: CTRE) expects its skilled nursing assets to return to pre-pandemic occupancy by next summer, with continued recovery from the second to third financial quarter ending Sept. 30. About 60% of the real estate investment trust’s (REIT) skilled nursing operators are “within 90% of their pre-pandemic census or better,” David Sedgwick, president and […]