Avalon’s Five-SNF Pickup for $33M; Dwight’s $116M Fourth Quarter

MidCap Financial provided a $33 million mortgage for a lease-purchase option on five skilled nursing facilities in Oregon for Avalon Healthcare Group. The Salt Lake City-based Avalon operates post-acute facilities in Hawaii, Oregon, Washington, and Utah. MidCap’s Department of Housing and Urban Development (HUD) lending team will work with Avalon to begin the bridge-to-HUD refinance […]

Bundled Payments for Joint Replacements Saved Medicare Money — with No Quality Declines

A major bundled payment program for hip and knee replacement episodes has produced savings for the government without corresponding declines in quality, according to a new study — confirming the central motive behind a program that has drawn the ire of post-acute operators. The Bundled Payments for Care Improvement model (BPCI) seeks to both decrease […]

Cambridge’s $24M HUD Refinance; Senwell Arranges Ohio Bed License Swap

Cambridge Realty Capital Companies provided a pair of $24 million Department of Housing and Urban Development (HUD) loans to refinance two Ohio combination skilled nursing and senior living properties. The loan covers the the Vista Care Center of Lisbon — a 76-bed, mixed-use skilled care and assisted living facility — and Vista Center at The […]

Mixed Skilled Nursing Projections for 2020: Increased Demand, But Margin Pressure Continues

Increasing demand for skilled nursing services is a good sign for the industry, according to several experts who spoke on SNN’s annual outlook webinar, but a continued squeeze on margins may affect some facilities’ ability to keep their doors open in 2020.  Although the Patient-Driven Payment Model (PDPM) looks like good news, with increased reimbursements […]

Low Stars, Citations, Medicaid Problems: HUD Lenders Share Top Skilled Nursing Dealbreakers

Lenders who offer Department of Housing and Urban Development (HUD) loans consider skilled nursing financing to be a long-term relationship, so choosing clients carefully — and thinking about deals as partnerships for the long haul — is crucial for good-decision making. Because the federal government backs these products, which feature low interest rates and a […]

After Successful Pilot at Signature, SNF Care-Planning Initiative to Expand with $3M Grant — and Eye on Reducing Hospitalizations

Advance care planning has emerged as a key win-win for nursing home operators and their residents, improving quality of life while also helping providers avoid unnecessary and costly rehospitalizations. Backed by a multi-million-dollar grant and adopted by some major players in the skilled nursing space, a program designed to improve advance care planning opportunities — […]

Officials Seeking Skilled Nursing Telehealth Solutions — with $750K Reward

Officials in Maryland have put out a call to nursing home operators and telehealth providers, offering $750,000 to the company that can create the most expansive tech solution for the state’s post-acute and long-term care facilities. Following in the footsteps of the federal government and health systems across the country, the Maryland Health Care Commission […]

Skilled Nursing Data Breach with $14M Ransom Illustrates Industry’s Cybersecurity Problems

More than 100 nursing homes were left vulnerable, without entry to patient medical records, after their data provider experienced a breach — an example of a threat that could become more widespread in an industry not known for technological advancement. Virtual Care Provider Inc. (VCPI) last month was hit with a ransomware attack, a kind […]

After Achieving 33% Hospitalization Cut and $3.4M in Savings, Skilled Nursing Startup Expands

A care-coordination startup that has generated 33% reductions in avoidable hospitalizations and $3.4 million in net savings for nursing homes is expanding on its success with a cash injection from a non-profit research institute. Probari — formerly known as Care Revolution — focuses on treating acutely ill residents in place at nursing homes in an […]

Ford to Scale Back Skilled Nursing Transportation Arm, Shift to Autonomous Vehicles

Ford Motor Company (NYSE: F) has substantially scaled back plans for its medical transportation subsidiary GoRide Health, marking a major turn for the ambulance alternative that had targeted the skilled nursing and hospital-system spaces. TechCrunch initially reported the news this week. GoRide Health, which was launched in March 2017 with the goal of providing an […]

Embracing End-of-Life Plans Can Lead to Better Skilled Nursing Care — While Reducing Unnecessary Costs

For nursing home owners and operators, having frank conversations about residents’ end-of-life intentions, and organizing the associated paperwork proactively, is a potential way to avoid unwanted hospitalizations and the sizable costs that come with it — especially if it’s not in line with the patient’s wishes. Nursing homes are faced with tough decisions when the […]

Nearly Half of Post-Acute Staffers Have Minimal Health IT Knowledge — or None at All

Post-acute providers continue to struggle with information technology and data-sharing — particularly around care coordination and value-based payment models — a new survey from Black Book Market Research reveals. In fact, 49% of providers who were surveyed reported that their staffers had very low levels of health IT levels of understanding — or they had […]

Nursing Home Dialysis Demand Drives Post-PDPM Push to Specialty Services

Dialysis services have recently been highlighted as a major growth area under the new Patient Driven Payment Model (PDPM) — both financially and clinically — especially as reimbursements are recalibrated for higher acuity patients. In July, the Centers for Medicare & Medicaid Services (CMS) rolled out the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) model, […]

New Federal Nursing Home Safety Bill Would Increase Staffing Minimums, Levy $10K/Day Fines

A new piece of legislation before Congress seeks to protect individuals in nursing homes by implementing more stringent staffing protocols — including increased clinical hours and training — among other safety measures for residents. Co-sponsored by Rep. Jan Schakowsky of Illinois and Sen. Richard Blumenthal of Connecticut — both Democrats — the Quality Care for […]

Early PDPM Reactions: Therapy Companies’ Reimbursement Optimism, Continued Coding Challenges

With intense attention on therapy cuts and reimbursement changes during the transition to the Patient Driven Payment Model (PDPM) on October 1, operators and lead clinicians have focused on continuing education and training to remain financially sustainable amid this historic shift. SNN spoke to four therapy companies to see how operators and clinicians are faring […]

Strawberry Fields’ $3.15M Skilled Nursing Buy, Capital Funding’s Bridge Loan for Six Illinois Facilities

Strawberry Fields REIT this week announced the $3.15 million acquisition of The Waters of Muncie, a skilled nursing facility in Muncie, Ind. The all-cash deal for the 72-bed facility now brings the real estate investment trust (REIT) to 74 nursing homes, a spokesperson for Strawberry Fields told SNN. “The Waters of Muncie is a well-located […]

Looming 8% Cut to Therapy Payments Could Have ‘Major Impact’ on Residents, Operators

There’s been significant attention focused on the potential for therapy reductions and reimbursement shifts amid the transition to the Patient Driven Payment Model (PDPM) on October 1, but concerns may soon be shifting to another looming therapy change — this time under Medicare Part B. The Centers for Medicare and Medicaid Services (CMS) has proposed […]