Posts by Maggie Flynn:

  • Good Samaritan-Sanford Merger Clears Regulatory Review, On Pace to Close in 2018

    Aug 17 2018

    The Evangelical Lutheran Good Samaritan Society and Sanford Health cleared government reviews without objection, the companies announced on Friday, marking another step in the merger between the non-profit senior care and hospital heavyweights. The regulatory review included the North Dakota Attorney General’s Office, the South Dakota Attorney General’s office, and an anti-trust review under a Hart-Scott-Rodino Read More

  • Skilled Nursing Providers See Opportunity in Group Therapy Despite Coming Cap

    Aug 15 2018

    The new skilled nursing payment system set to take effect in October of next year includes a 25% cap on group and concurrent therapy services, a limit the Centers for Medicare & Medicaid Services (CMS) argued is needed to ensure patients receive the therapy best suited to their needs and goals. That limit, enshrined in Read More

  • Skilled Nursing Facilities Can’t Just ‘Check the Box’ Under New Payroll Requirements

    Aug 14 2018

    When the Centers for Medicare & Medicaid Services (CMS) began basing its rating of nursing home staffing levels on payroll records in April of this year, many skilled nursing facilities were found to be underreporting their nursing and caretaking personnel levels. Soon after the New York Times published an analysis of the records by Kaiser Health Read More

  • CMS Sends Message with Quick PDPM Approval: Change Is Coming Fast

    Aug 14 2018

    By quickly finalizing the new payment system for skilled nursing facilities, the Centers for Medicare & Medicaid Services (CMS) sent a strong message that the model is final and that the industry will move forward with it. That’s according to a webinar from Minneapolis-based consulting firm Health Dimensions Group (HDG), which last week gave an Read More

  • Skilled Nursing Must Look Past Schools, Government to Solve Workforce Shortage

    Aug 13 2018

    Staffing shortages in skilled nursing facilities made national headlines last month, but the dearth of workers and registered nurses have been a headache for nursing homes for years now. Some of the fixes can range from bonuses for hard-to-staff shifts to higher-level partnerships with local businesses and governments. But one thing is clear: The problem Read More

  • $64.5M HUD Mortgage Closing; Blueprint Makes Moves in Arkansas and Pennsylvania

    Aug 13 2018

    Blueprint Announces SNF sales in Arkansas, Pennsylvania Blueprint Healthcare Real Estate Advisors announced two separate sales of skilled nursing facilities, one in Pennsylvania and the other in Arkansas. The sale of Fairview Care Center of Bethlehem Pike, a 176-bed SNF in Philadelphia, was related to a recent eight-property portfolio sale in the same area, with Read More

  • Skilled Nursing Outcomes Don’t Always Improve Along with Star Rating Gains

    Aug 12 2018

    Hospitalization rates play into the all-important five-star rating for nursing homes, but a new study finds that the two metrics aren’t necessarily correlated. Improvements in nursing home star ratings were not matched by improvements in potentially preventable hospitalizations, according to a study recently published in The Journal of Health Care Organization, Provision, and Financing. Researchers Read More

  • Sabra Continues Genesis Exit, Joins Others in PDPM Support

    Aug 09 2018

    Sabra Health Care REIT, Inc. (Nasdaq: SBRA) joined the chorus of voices praising the new skilled nursing payment model from the Centers for Medicare & Medicaid Services (CMS) on its second-quarter earnings conference call Thursday. “CMS issued their final rule affirming the Oct. 1 2.4% market basket increase and the implementation of PDPM in October of Read More

  • Vita Lands $34.8M in Financing to Buy Two Facilities; NC Building Sells for $6M

    Aug 09 2018

    GMF Capital Buys Former Sabra SNF for $6M GMF Capital purchased Woodland Hill Center, a 100-bed skilled nursing facility in Asheboro, N.C., for $5.95 million, the Triad Business Journal reported. The facility was bought from Sabra North Carolina LP of Irvine, Calif., a subsidiary of Sabra Health Care REIT (Nasdaq: SBRA). The sale was part of an overall Read More

  • Genesis Upbeat About Second Quarter Despite Loss, Offers Praise for PDPM

    Aug 08 2018

    Genesis Healthcare (NYSE: GEN) recorded another net loss for 2018 in the second quarter, but CEO George Hager stressed that Q2 “was a significant and very positive quarter” for the troubled skilled nursing giant. Genesis reported a net loss of $39.61 million, or $0.39 per share, for the second quarter of 2018, compared with a net Read More

  • Nine-Building Skilled Nursing Portfolio Sells for $82M

    Aug 08 2018

    A portfolio of nine skilled nursing facilities, scattered over eight states, sold for $82 million, according to Blueprint Healthcare Real Estate Advisors, an investment advisory firm that specializes in senior housing and health care real estate deals. The portfolio consists of 981 licensed beds, with assets in California, Colorado, Idaho, North Carolina, New Mexico, Rhode Island, Read More

  • Nurse Turnover Dropping in SNFs While Wages Continue Ticking Upwards

    Aug 07 2018

    Registered nurses (RNs) in nursing homes saw higher hourly rates and lower turnover this year, bucking recent retention trends since 2015, according to a new report from the Oakland, N.J.-based Hospital & Healthcare Compensation Service (HCS). In 2018, RNs’ hourly rates rose 3.1%, while turnover fell from 35.69% in 2017 to 33.94% this year. Though an improvement year-over-year, turnover Read More

  • To Avoid Liability, Skilled Nursing Providers Must Avoid Social Media Perils

    Aug 07 2018

    For better or worse, social media has become an integral part of modern life. But the way users act on popular networking sites can lead to potential liability for skilled nursing facilities and other health care institutions. A lurid story about assisted living employees posting to Snapchat in the presence of a dying resident made Read More

  • Hospitals Picking Home Health Over Skilled Nursing Amid Payment Shifts

    Aug 06 2018

    Hospitals that participated in Medicare’s bundled-payment initiatives were particularly focused on getting patients home first and foremost, rather than sending them to skilled nursing facilities, according to a new study published in Health Affairs. That came as a surprise to the researchers, Jane Zhu of the Perelman School of Medicine at the University of Pennsylvania Read More

  • Skilled Nursing Admissions Dropping in Tandem with Lower Hospital Use

    Aug 05 2018

    Admissions to skilled nursing facilities have declined in a manner consistent with a drop in inpatient hospital usage, according to the Medicare Payment Advisory Commission’s (MedPAC) most recent data book. That’s just one of the conclusions from the statistics, released last month by MedPAC — a non-partisan agency that advises Congress on Medicare issues.  For Read More

  • CareTrust Builds Strong Skilled Nursing Pipeline as ‘Logjam’ Starts to Break

    Aug 02 2018

    CareTrust REIT (Nasdaq: CTRE) had a relatively light second quarter for transactions, but the San Clemente, Calif.-based real estate investment trust (REIT) expects to be off the sidelines soon, according to executives on its quarterly earnings call. “Although it was an uncharacteristically quiet quarter for us on the acquisition front, Q2 was one of our Read More

  • Texas Assisted Living Facility Adds Skilled Nursing Beds with a Medicaid Focus

    Aug 02 2018

    Simpson Place Assisted Living expanded its facility in Dallas, adding 50 skilled nursing beds and celebrating with a ribbon cutting last month.. It’s a move that could seem curious given declining skilled occupancy and Texas’ low Medicaid reimbursement rates, but Simpson Place operator StoneGate Senior Living “kind of bucks the trend” in terms of occupancy, according Read More

  • Griffin-American Enters Agreement to Buy $78.5 Million Skilled Nursing Portfolio

    Aug 01 2018

    Griffin-American Healthcare REIT IV Inc. agreed to purchase a 24-facility portfolio consisting of 23 skilled nursing facilities and one assisted living facility for $78.5 million, plus closing costs. The DI Wire first reported on the deal, which Griffin-American entered on July 24. Griffin-American is a publicly registered, non-traded real estate investment trust (REIT) sponsored by American Read More

  • Sapphire Care Group to Take Over 21 Preferred Care Locations in Kentucky

    Jul 31 2018

    Preferred Care Inc., which filed for bankruptcy in November of last year, has transferred its 21 skilled nursing facilities in Kentucky to Sapphire Care Group, The Wall Street Journal reported Monday. Thirty-three of the Plano, Texas-based Preferred Care’s facilities filed for Chapter 11 bankruptcy protection last year in the face of 163 personal injury lawsuits. Read More

  • [UPDATED] Lancaster Pollard Announces $400M Skilled Nursing Refi in California

    Jul 30 2018

    Lancaster Pollard served as the syndication agent on a $400 million refinance of a credit facility for California-based skilled nursing operator Plum Healthcare Group, marking the latest in a string of big-dollar skilled nursing facility portfolio refinancings. Credit Suisse served as the lender for the transaction, working with the Columbus, Ohio-based Lancaster Pollard to design the Read More

  • REITs Take Surprising Lead Role in Active Year for Skilled Nursing Transactions

    Jul 30 2018

    More than halfway through 2018, the skilled nursing transactions landscape has mostly met expectations, but there have been more than a few surprises along the way. The recent deal between Welltower Inc. (NYSE: WELL) and the nonprofit ProMedica Health Systems to take over national operator HCR ManorCare made a splash in the skilled nursing sector when Read More

  • Skilled Nursing Facility’s Assisted Living Sell-Off; Greystone Provides $20.6M Loan

    Jul 29 2018

    Greystone Provides $20.6M Refi to Staten Island SNF Greystone provided a $20.66 million permanent loan insured by the Department of Housing and Urban Development (HUD) to refinance the 238-bed Golden Gate Rehabilitation & Health Care Center in Staten Island, N.Y. The permanent Federal Housing Administration (FHA) financing for the skilled nursing facility carries a 35-year term and Read More

  • HCR ManorCare’s General Counsel Exits Company

    Jul 26 2018

    HCR ManorCare’s general counsel is departing the troubled skilled nursing operator. Richard Parr, who also served as a vice president and secretary for the Toledo, Ohio-based provider, left ManorCare to pursue a new career opportunity, according to an internal e-mail obtained by Skilled Nursing News. Patricia McCormick, who joined ManorCare in 2001 and was promoted to Read More

  • Tweaks to Bundled Payment Model Open Up New Skilled Nursing Opportunities

    Jul 26 2018

    The Centers for Medicare & Medicaid Services (CMS) made some tweaks to the most recent bundled payments program that could boost participation by hospitals and physician groups — and skilled nursing providers should be ready, one expert told Skilled Nursing News. The Bundled Payments for Care Improvement Advanced (BPCI Advanced) initiative was first announced in Read More

  • Centers Looks to Continue Skilled Nursing Turnaround Work in Missouri

    Jul 25 2018

    Centers Health Care’s recent skilled nursing acquisition in Missouri didn’t follow the same pattern as the Bronx, N.Y.-based operator’s growth in the Northeast, but that’s all part of its approach to acquisitions. Last month, the provider acquired three former Serenity Care Group locations in the Kansas City, Mo. market last month, marking the company’s first move into the Read More

  • REIT Sell-Offs, Investor Demand Fuel Strong Skilled Nursing Volume in Q2

    Jul 24 2018

    Portfolio sales drove seniors housing and care volume in the second quarter, and skilled nursing facilities played a major role in that momentum, according to acquisition data from Irving Levin Associates, Inc. The second quarter saw 106 publicly announced seniors housing and care acquisitions, up 35% from the year-ago period and 30% higher than the first Read More

  • Welltower’s $3B Revolving Credit Facility; $40M Acquisition Financing in Ohio

    Jul 24 2018

    Welltower Obtains New $3B Revolving Credit Facility Welltower Inc. (NYSE: WELL) entered into a new credit agreement consisting of a $3 billion unsecured revolving credit facility, a $500 million unsecured term credit facility, and a C$250 million unsecured term credit facility, according to a filing with the Securities and Exchange Commission Tuesday. The Toledo, Ohio-based real estate investment Read More

  • Harborview Arranges $196M HUD Loan for Skilled Nursing, Assisted Living Portfolio

    Jul 23 2018

    Harborview Capital Partners arranged a $196 million Department of Housing and Urban Development (HUD) 232/223(f) refinance loan for a portfolio of 13 skilled nursing and assisted living facilities. The portfolio includes about 1,700 licensed beds. The loan, obtained for a large regional operator who asked to be kept anonymous, was originated by Harborview principals Ephraim and Read More

  • Collaboration on Skilled Nursing Transitions Reduces 30-Day Readmissions

    Jul 23 2018

    A collaborative initiative between nurse practitioners (NPs), doctors, and other medical staff to help patients discharged from a hospital to a skilled nursing facility lowered 30-day hospital readmissions. The Enhanced Care Program fosters collaboration between medical staff and patients in settings where nurse practitioners were available around the clock; medication reconciliation procedures were also followed at the Read More

  • Voice Tech Has ‘A Long Way to Go’ to Meet the Hype in Skilled Nursing

    Jul 22 2018

    Voice technology has promise in senior care, but skilled nursing providers and residents need to keep their expectations tempered, one expert says. When it comes to Amazon’s Alexa voice assistant, Elizabeth Mynatt, the executive director of Georgia Tech’s Institute for People and Technology, has a note of caution. “I think the Alexa is unproven,” Mynatt Read More

  • Carnegie Capital Sources $10M for Georgia Acquisition; $11M Skilled Nursing Refi in Illinois

    Jul 22 2018

    Dwight Capital Provides $4.5M Bridge Financing for Minnesota SNF Acquisition Dwight Bridge Fund, which is managed by the New York-based Dwight Capital’s affiliated investment advisor, financed an assisted living facility (ALF)/skilled nursing facility (SNF) acquisition in Minnesota. DBF provided a $4.5 million bridge loan for the purchase of Caledonia Rehabilitation & Retirement Center in Caledonia, Minn. The 66-bed Read More

  • CareTrust Expands into South Dakota with Acquisition of Former ManorCare SNF

    Jul 19 2018

    CareTrust REIT, Inc. (Nasdaq: CTRE) acquired a 99-bed skilled nursing facility in Aberdeen, S.D., and added the property to its existing master lease with Salt Lake City-based Eduro Healthcare, LLC. The facility, now known as Prairie Heights Healthcare Center, was formerly operated by an affiliate of HCR ManorCare. Eduro took over operations on Wednesday. The total investment was approximately $9.7 Read More

  • CMS Wants to Probe Opioid Use at Skilled Nursing Facilities

    Jul 19 2018

    Amid ongoing concerns about overuse of opioids, the federal government wants to survey nursing home operators about drug safety. The Centers for Medicare & Medicaid Services (CMS) proposed a survey of  1,200 nursing home administrators or directors of nursing, community-based pharmacists, and physicians to evaluate its medication safety and adverse drug event prevention programs — with Read More

  • Illuminate Eyes Regional Skilled Nursing Growth After ManorCare Acquisitions

    Jul 18 2018

    Illuminate HC, which recently took over nine former HCR ManorCare skilled nursing facilities in Michigan, intends to use the deal as the first step toward becoming a regional player. And for now, at least, it has no aims to go beyond that scale. “While once we perhaps aspired to be a national presence with hundreds of Read More

  • PGIM Real Estate Finance Adds to Skilled Nursing Team

    Jul 18 2018

    PGIM Real Estate Finance hired Corley Audorff as a director in its senior housing and health care group, where he will have a specific focus on lending for skilled nursing facilities. PGIM Real Estate Finance is the commercial mortgage business of PGIM, the global investment management businesses of Prudential Financial, Inc. (NYSE: PRU). It has more Read More

  • Ohio Skilled Nursing Facility Sells for $13.5M; Mass. Portfolio Gets $47M in Loans

    Jul 18 2018

    $4.7 Million Raised for New County Skilled Nursing Facility The Door County Medical Center in Sturgeon Bay, Wis., held a groundbreaking ceremony for a new 25,000-square-foot skilled nursing facility, the Door County Daily News reported. The facility is expected to be completed in the next year. Mike Herlache, executive director of the Door County Medical Center Read More

  • Going Beyond Skilled Nursing Boosts Occupancy to 100% at New York Facility

    Jul 17 2018

    At the turn of the century, the New York non-profit Fort Hudson Health System saw opportunities to go beyond its roots as a traditional nursing home provider by expanding into independent housing and home and community-based services. It was a vision that drew Andy Cruikshank, Fort Hudson’s CEO, to take on the role in 2000. Read More

  • CCRCs Move Away From Skilled Nursing As Demand Drops

    Jul 16 2018

    By the industry’s own definition, continuing care retirement communities (CCRCs) include skilled nursing care — but there is a growing trend of developing similar communities that lack such care, according to a report from the commercial real estate services firm CBRE. In addition, some established CCRCs have either closed or significantly cut back on their Read More

  • Distressed SNF Takeovers Can Pay Off, But Risks Abound

    Jul 15 2018

    Struggling skilled nursing facilities present a minefield of potential risks for new owners and operators, but there are ways to mitigate them, even when the current operator is facing serious financial distress. That’s according to Louis Robichaux, senior managing director at the consulting firm Ankura who focuses on health care restructuring, and George Mesires, leader of the senior Read More

  • Illuminate HC To Manage Nine Former ManorCare Facilities in Michigan

    Jul 12 2018

    Illuminate HC will take over nine former HCR ManorCare nursing homes in Michigan. The management contract gives Illuminate a portfolio including 1,054 beds and more than 1,500 employees. The facilities will transition to the brand SKLD, according to a press release announcing the deal. They are located in greater Detroit and Grand Rapids, Michigan. Illuminate, Read More

  • D.C. Post-Acute Continuum Sale; $9.87M Financing for Kentucky SNF Portfolio

    Jul 12 2018

    Post-Acute Continuum in Washington, D.C., Sold to Brooklyn-Based Buyer Healthcare Transactions Group facilitated the sale of the assets of VMT Long-Term Care Management, Inc., a for-profit post-acute services continuum in Washington, D.C. The assets included the leasehold operations of the 230-bed Unique Residential Care Center skilled nursing facility and a Medicare- and Medicaid-certified licensed home Read More

  • Iowa Nursing Home Lobbyists Praise Lowered Fines Under Trump

    Jul 12 2018

    Nursing home lobbyists in Iowa thanked federal regulators for lowering fines on facilities and asked them to “pursue a more collaborative — and less punitive — role” in nursing home regulation, the Des Moines Register reported Wednesday. In a July 7 phone call arranged by U.S. Sen. Charles Grassley, R-Iowa, Iowa Health Care Association (HCA) President Brent Read More

  • Medicare Advantage Beneficiaries Do Better On Outcomes, Costs

    Jul 11 2018

    Patients enrolled in Medicare Advantage programs outperformed traditional fee-for-service (FFS) on several key quality measures, according to a new report from Avalere. MA beneficiaries in Avalere’s study had 23% fewer inpatient stays and 33% fewer emergency room visits than FFS Medicare beneficiaries. MA beneficiaries received more preventive physician tests and services, while FFS Medicare beneficiaries Read More

  • Tryko Partners Acquires Two Baltimore SNFs, Plans Multimillion Upgrades

    Jul 11 2018

    Tryko Partners acquired two skilled nursing facilities totaling 254 beds and plans to launch renovations and programming expansions at both properties. Marquis Health Services, Tryko’s health care affiliate, has assumed operations of the facilities. Tryko is a private equity group based in Brick, N.J., while Marquis has 10 SNFs in the Mid-Atlantic region, with additional Read More

  • Nursing Homes Should Focus on Dining To Boost Resident Experience

    Jul 11 2018

    A skilled nursing facility can bolster resident quality of life by focusing on its dining, a study from the LeadingAge LTSS Center @UMass Boston suggests. That’s according to Natasha Bryant, senior research associate at the LTSS Center, who worked on a study that examined the impact of a person-centered care approach and household model on resident life Read More

  • Skilled Nursing Facilities Have Strong Showing in Great Place to Work Data

    Jul 10 2018

    When Fortune magazine publishes its first “Best Workplaces in Aging Services” list on Sept. 27, it might include some skilled nursing facilities. That wasn’t what Jacquelyn Kung, CEO of Activated Insights, expected when her firm began leading the effort to compile the “Best Workplaces in Aging Services.” Activated Insights is based on the San Francisco corporate Read More

  • KeyBank Provides $67.2M Financing for West Virginia SNF Portfolio

    Jul 10 2018

    KeyBank Real Estate Capital provided $67.2 million in financing for a three-property skilled nursing portfolio in West Virginia, through the Federal Housing Administration’s 232/223(f) loan program. The facilities are include Marmet Center in Marmet, Cedar Ridge Center in Sissonville and Willows Center in Parkersburg. All of them are operated by Genesis Healthcare (NYSE: GEN). They have a Read More

  • Hospital-at-Home Patients Have Lower SNF Admissions

    Jul 10 2018

    A program to provide hospital care in the home led to lower admissions to skilled nursing facilities for the patients who took part in it, a June 25 study found. But SNFs shouldn’t necessarily hit the panic button. The study, which was published in the Journal of the American Medical Association (JAMA), found that just Read More

  • Sabra Sells Nine Genesis Facilities For $81.4M

    Jul 09 2018

    Sabra Health Care REIT (Nasdaq: SBRA) completed the sale of nine facilities leased to Genesis Healthcare (NYSE: GEN) for $81.4 million and one facility leased to Signature HealthCARE for $7 million. The Genesis facilities included seven skilled nursing facilities, one senior housing community and one continuing care retirement community (CCRC). As a result of the sale, Read More

  • NY Times Report Slams Staffing in Nursing Homes

    Jul 09 2018

    Most U.S. nursing homes experience staffing fluctuations and have been underreporting their nursing and caretaking staff levels for years, according to data analyzed by Kaiser Health News for the New York Times. The new federal data comes from daily payroll records that Medicare began gathering and publishing from more than 14,000 nursing homes, as part Read More

  • $23.2M Loan for Florida Expansion; Ensign Acquires Idaho SNF

    Jul 08 2018

    Greystone Provides $14.6M HUD-Insured Loan for Tarrytown Healthcare Facility New York City-based Greystone provided a $14.59 million permanent loan insured by the Department of Housing and Urban Development to refinance Tarrytown Hall Care Center in Westchester County, New York. The Federal Housing Administration financing carries both a 35-year term and amortization period at a low, Read More

  • Aging Population to Be Major Driver of Healthcare M&A

    Jul 05 2018

    The aging population is a major force in the booming health care mergers and acquisitions market, which saw 579 deals for U.S. health care targets last year. West Monroe Partners, a Chicago-based business and technology consulting firm, conducted a survey of 100 market practitioners in collaboration with Mergermarket for a new report on how competition Read More

  • NHI Sees Promise As Health Systems Move Into Skilled Nursing

    Jul 05 2018

    Recent deals by nonprofit health systems ProMedica and Sanford Health to acquire skilled nursing facility operations have put the sector on notice — and one CEO can understand why. Eric Mendelsohn, the President and CEO of National Health Investors (NYSE: NHI), said he hasn’t seen health systems coming to the table for senior living and care Read More

  • Alternate Buyer in Welltower-QCP Deal Drops Out

    Jul 02 2018

    A buyer that could have thrown a wrench into the deal between Quality Care Properties (NYSE: QCP) and Welltower, Inc. (NYSE: WELL) is no longer in the running, according to a July 2 filing with the U.S. Securities and Exchange Commission (SEC). The Bethesda, Md.-based real estate investment trust (REIT) reported on June 12 that a proposal emerged Read More

  • Blueprint Announces Portfolio Sales; $1.5M Loan for CT Nursing Home Acquisition

    Jul 02 2018

    Blueprint Announces Eight-Property SNF Portfolio Sale in Pennsylvania Blueprint Healthcare Real Estate Advisors announced the sale of an eight-property skilled nursing portfolio in southeast Pennsylvania with 1,050 beds; some of these facilities offered high-acuity, specialty care. The seller sought to divest non-core assets, which included a portion of high-barrier-to-entry locations in the Philadelphia area, according Read More

  • Having an In-House Insurance Plan Could Signal PDPM Success

    Jul 01 2018

    Some skilled nursing providers have turned to in-house insurance plans to take more control of the care process, and the move could pay off if the government’s new proposed reimbursement model is finalized. The Patient Driven Payment Model (PDPM), which the Centers for Medicare & Medicaid Services (CMS) proposed in April, would overhaul skilled nursing reimbursements Read More

  • Central Arkansas Gets First Green House; HUD Loan for Tryko Facility

    Jul 01 2018

    Housing & Healthcare Finance Closes on HUD Loan for Tryko Facility in PA The Washington, D.C.-based Housing & Healthcare Finance closed on a 232/223(f) Department of Housing and Urban Development (HUD) loan for New Eastwood Healthcare & Rehabilitation Center. The 97-bed skilled nursing facility in eastern Pennsylvania is owned by Tryko Partners, which acquired it in Read More

  • Illinois Could Owe Nursing Homes $300M Due to Medicaid Eligibility Backlog

    Jun 28 2018

    Illinois could be on the hook for approximately $300 million in nursing care expenses due to a backlog in determining residents’ Medicaid eligibility — all while the state’s providers have been footing the bill in the interim. The Office of Illinois Comptroller Susana Mendoza released a report Thursday that found a sizable logjam of pending Medicaid Read More

  • Voluntary Bundled Payments May Not Help Cut Post-Acute Spending

    Jun 28 2018

    Voluntary bundled payment programs might not be the best way of tackling spending on post-acute care (PAC), at least according to a research letter in the Journal of the American Medical Association. In fact, just 3.7% of PAC organizations took part in Model 3 of the Bundled Payments for Care Improvement (BPCI) initiative, which targets PAC Read More

  • Good Samaritan, Sanford Target Continuum Control with Merger Deal

    Jun 27 2018

    The Evangelical Lutheran Good Samaritan Society and Sanford Health took a key step forward in their plans to merge, signing an affiliation agreement Tuesday to combine the two Sioux Falls, S.D.-based non-profit organizations. Pending regulatory review, hospital chain Sanford and senior care heavyweight Good Samaritan expect to combine by Jan. 1, 2019. The result — if everything Read More

  • PDPM Could Create New Challenges for Skilled Nursing, AHCA Says

    Jun 27 2018

    A newly proposed payment system overhaul for the skilled nursing industry could create new challenges for the sector, according to public comments by trade groups and other stakeholders submitted on the Federal Register. Namely, the American Health Care Association (AHCA) believes the payment system, as proposed by the Centers for Medicare & Medicaid Services (CMS) in Read More

  • Good Samaritan and Sanford Hospital System Agree to Merge

    Jun 26 2018

    The Evangelical Lutheran Good Samaritan Society, one of the largest non-profit senior care providers, on Tuesday announced a vote to approve a merger with Sanford Health, a not-for-profit health system. Good Samaritan has more than 200 locations across the U.S. with about 80 skilled nursing facilities, while Sanford has 44 hospitals. Both organizations are based in Sioux Read More

  • Despite Shorter Stays, Medicare Advantage Improved Skilled Nursing Outcomes

    Jun 26 2018

    Patients enrolled in Medicare Advantage (MA) plans had a shorter rehabilitation stay in a skilled nursing facility and were more likely to be successfully discharged to the community, compared with patients on fee-for-service (FFS) Medicare, according to a new study published in PLOS Medicine. MA patients were also less likely to experience a 30-day hospital Read More

  • Spending on Medicare Advantage Plans Nearly Doubled Over Last Decade

    Jun 25 2018

    Between 2007 and 2017, payments to Medicare Advantage (MA) plans for services covered under Part A and Part B almost doubled, jumping from $78 billion to $210 billion, according to a new report from the Kaiser Family Foundation (KFF). Put another way, as a proportion of overall spending on Medicare, MA plans have grown from 18% Read More

  • Skyline Costs State $475K After Forced Skilled Nursing Takeovers

    Jun 25 2018

    The state of Pennsylvania is set to pay Complete HealthCare Resources $475,000 after the  company took over nine skilled nursing facilities operated by Skyline Healthcare, the Reading Eagle reported. The implosion of Wood Ridge, New Jersey-based Skyline in South Dakota, Kansas and Nebraska has also hit Pennsylvania, where the Department of Health (DOH) had to appoint temporary Read More

  • NYC Skilled Nursing Provider Sees Savings with In-House Emergency Staff

    Jun 24 2018

    As skilled nursing facilities face pressures to improve care in an increasingly value-focused world, one provider has been able to lower its rehospitalization rate into the single digits by adding in-house emergency care. Call9, which is based in Brooklyn, N.Y., and embeds paramedics on-site at skilled nursing facilities, partnered with the Archdiocese of New York’s long-term care Read More

  • SNF for Parolees Proposed in MO; 11-Building Lease Inked

    Jun 24 2018

    SNF for Parolees Proposed in Fulton, Missouri The Georgia-based company CorrectLife, which provides assisted living to parolees or people eligible for parole with no alternate living arrangements, visited Fulton, Mo., to explore the potential construction of 150-bed skilled nursing facility, the Fulton Sun reported on Thursday. Carlo Musso, who founded CorrectLife, is interested in opening Read More

  • Sabra’s Matros Sounds Off on Shifting Incentives and Investors’ Short Memories

    Jun 21 2018

    Sabra Health Care REIT (Nasdaq: SBRA) has made some major skilled nursing waves over the past year, with its acquisition of Care Capital Properties and ongoing attempts to shed assets operated by troubled provider Genesis Healthcare (NYSE: GEN). Rick Matros, the Irvine, Calif.-based real estate investment trust’s (REIT) CEO, has been outspoken about the changes Read More

  • $20M Sub-Acute Facility to Open in Texas; MidCap’s $45M Loan for 5 Buildings

    Jun 21 2018

    $20M Sub-Acute SNF Comes to El Paso, Texas Center at Zaragoza, LLC, based in Colorado Springs, Colo., plans to build a $20 million sub-acute nursing facility in El Paso County in Texas, El Paso Inc. reported on June 15. County commissioners approved a tax incentive agreement totaling $416,965. The three-story facility will be the first sub-acute nursing Read More

  • Short-Term, Non-Profit Nursing Facilities Get Highest Marks from Ohio Seniors

    Jun 20 2018

    Smaller, non-profit nursing homes and some of the shorter-term skilled nursing facilities tended to do well in a satisfaction survey of thousands of nursing home and assisted living residents in Ohio. But residents still called out dining and activities as areas for improvement in the long-term care (LTC) field in the Buckeye State. The Ohio Read More

  • Skilled Nursing Stocks Get Boost From New Payment Model

    Jun 19 2018

    Even as operators and investors sort out the implications of the new proposed skilled nursing payment model, one reviewer has given it a firm thumbs up so far: the stock market. Publicly traded companies with interests in skilled nursing facilities got a shot in the arm from the new Patient-Driven Payment Model when it was Read More

  • $24M Bridge Loan for Long Island Facility; Ohio SNF Sells for $2.6M

    Jun 19 2018

    Carnegie Capital Secures $24M Bridge Loan for Long Island Facility Carnegie Capital, based in Austin, Texas, sourced and structured a $24 million bridge loan to refinance the existing note on a skilled nursing and assisted living facility on Long Island, N.Y. The deal helped restructure the facility’s operating debt and rehabilitate the upper level. The Read More

  • Affiliate of Collapsing Skyline Dodges Class Action Suit in Arkansas

    Jun 18 2018

    A federal judge dismissed a possible class action lawsuit against Skyline Highland Holdings, an entity linked to the manager of the collapsing Skyline Healthcare chain, which has seen multiple skilled nursing facilities enter forced receivership in recent months. The case was filed by plaintiffs James Green, Mercedes Anderson, and Brenda Woodard back in August 2017. Read More

  • New Jersey Facility Snags $13.3M Refi; Centre Care Buys Land for 240-Bed SNF

    Jun 18 2018

    Developer Hits Milestone on $60M SNF in White Plains, N.Y. The Congress Companies, based in Massachusetts, is building a $60 million, 160-bed skilled nursing facility in White Plains, N.Y., and celebrated a topping-off ceremony on June 12, the Westchester County Business Journal reported. The construction of the White Plains Institute for Healthcare & Rehabilitation is being led Read More

  • Nursing Homes Settle $24M Medicaid Lawsuit in Rhode Island

    Jun 17 2018

    Rhode Island reached a settlement with 59 nursing homes that sued the state over Medicaid reimbursement cuts, averting a potential $24 million cost to the state over three years. Under the terms of the consent order, Medicaid rates paid to the state’s nursing facilities — for both managed care and fee-for-service — will increase by Read More

  • Skilled Nursing Investors See Stark State-by-State Cost Differences

    Jun 17 2018

    Long-term health care is an inherently local service, and in that context, it’s not surprising that the cost of investing in a skilled nursing facility — as measured on a per-bed price basis — varies wildly from state to state and region by region. But another factor is timing, according to Ben and Brandon Bohland, Read More

  • Florida Operators Face Stiff Competition, Steep Costs to Meet Emergency Rules

    Jun 14 2018

    As the Atlantic hurricane season kicks off, skilled nursing providers in Florida have been working to meet the requirements of the state’s new nursing home generator law. There have been hurdles along the way. The law, first proposed in the wake of the deaths that followed Hurricane Irma at the Rehabilitation Center at Hollywood Hills, became Read More

  • 131-Bed Building Planned for $28M; Maryland Facility Changes Hands

    Jun 14 2018

    Outcome Health Group Buys Maryland LTC Facility The University of Maryland Shore Nursing and Rehabilitation Center at Chestertown, a long-term care (LTC) and rehabilitation facility, changed hands effective June 1, The Kent County News reported. Outcome Health Group purchased the facility, which used to be part of the University of Maryland Shore Regional Health network Read More

  • Payments Will Rise for Most Providers Under New Model, But Some Could Suffer

    Jun 13 2018

    Most skilled nursing facilities can expect a financial gain under the new Patient Driven Payment Model (PDPM), but some are going to have make adjustments to avoid taking a significant hit as incentives shift. “SNFs with a heavy focus on ultra-high therapy and an ultra-long length of stay (LOS) will really need to take a look Read More

  • Eight-Building Skilled Nursing Portfolio in Missouri Sells for $88.2M

    Jun 13 2018

    Griffin-American Healthcare REIT IV, Inc. announced an agreement to buy a portfolio of eight skilled nursing facilities in Missouri for $88.2 million. The portfolio includes facilities in Kansas City, Salisbury, Florissant, Sedalia, Milan, Trenton, Moberly, and St. Elizabeth, Mo., with a total of 1,112 licensed beds. The SNFs offer skilled nursing, residential care and other ancillary Read More

  • Operators Report Rising Length of Stay Pressure Under New Payment Models

    Jun 12 2018

    Skilled nursing facilities are feeling pressure from several fronts to discharge patients within a specified time to meet strict length-of-stay (LOS) goals, according to a study recently published in Health Services Research. Those include Medicare policy changes and market-based pressures, particularly from Medicare Advantage (MA) plans and hospitals participating in accountable care organizations (ACOs) and bundled Read More

  • $55.4M Skilled Nursing Refi in Brooklyn, $29M Loan in Upstate New York

    Jun 12 2018

    Allure Secures $55.4M Refinance Loan for Brooklyn Nursing Home Allure Group secured a $55.4 million refinancing loan for a nursing home in Brooklyn, N.Y., The Real Deal reported. Popular Community Bank assumed the existing unpaid $29 million balance at King David Center for Nursing and Rehabilitation, the publication said, citing property records filed this week. Popular Read More

  • Nursing Homes Fight Back Against Medicaid Cuts with Lawsuit

    Jun 11 2018

    A group of Montana nursing homes and assisted living facilities sued the state Monday to stop cuts to Medicaid reimbursements, The Associated Press reported. As part of spending decreases throughout the state government intended to address a budget shortfall, Montana’s Department of Public Health and Human Services (DPHHS) cut Medicaid provider reimbursement rates in January. In Read More

  • Shifting List of Top-Paid Skilled Nursing CEOs Shows Industry Volatility

    Jun 11 2018

    What a difference a year makes. In 2017, Skilled Nursing News profiled the salaries of the seven highest-paid CEOs at the biggest skilled nursing companies for the previous year. Of those executives, three didn’t make it to the 2018 roundup of the highest-paid CEOs — but that’s mainly a function of the upheaval that’s shaken Read More

  • Elmcroft Data Breach May Have Affected Skilled Nursing Residents, Employees

    Jun 11 2018

    Former skilled nursing and senior care operator Elmcroft Senior Living late last week revealed a data breach that may have exposed the personal information of former patients, residents, clients, and employees. The Louisville, Ky.-based company became aware on May 12 of an unauthorized third-party that had accessed its services in Louisville two days before, according Read More

  • Four-Building Portfolio Sells for $35M; Centers Adds Kansas City Facilities

    Jun 10 2018

    Liberty Village of Rochelle to Hold Groundbreaking for New Facility Liberty Village of Rochelle in Illinois will hold a groundbreaking ceremony for its new Manor Court Skilled Nursing and Rehabilitation Center on June 20, the Rochelle News-Leader reported. The skilled nursing facility is planned for 64,000 square feet and 92 beds, and is scheduled to open Read More

  • Signature HealthCARE to Pay $30M to Resolve FCA Claims Related to Rehab

    Jun 08 2018

    Signature HealthCARE will pay more than $30 million to resolve allegations that it violated the False Claims Act (FCA) by knowingly submitting false claims to Medicare for rehabilitation therapy services. The settlement resolves allegations leveled in a lawsuit by Kristi Emerson and LeeAnn Tuesca, former Signature therapy employees, filed in federal court in Nashville, Tenn., and Read More

  • What Bleak Medicare Predictions Mean for Skilled Nursing

    Jun 07 2018

    The Medicare fund that helps pay for skilled nursing care is projected to run out of funds for full benefits three years sooner than predicted last year, according to a financial review by the Social Security and Medicare boards of trustees. The situation isn’t quite as dire as some headlines have made it sound (one Read More

  • Ensign Grows in Arizona; Operator Gets Break for Skilled Nursing Expansion

    Jun 07 2018

    Ensign Group Acquires Arizona SNF The Ensign Group (Nasdaq: ENSG) acquired the operations of Sun West Choice Healthcare and Rehabilitation, a 140-bed skilled nursing facility in Sun City West, Ariz. The Mission Viejo, Calif.-based provider has a long-term lease on the facility, which was effective June 1, and the deal brings the number of skilled nursing Read More

  • New Nursing Care Units Take Longest to Fill After Opening

    Jun 06 2018

    Despite a surprisingly high median occupancy number, the lease-up rate for nursing care units lags behind the other three key asset classes in the seniors housing and care space. The National Investment Centers for Senior Housing & Care (NIC) found that median occupancy at nursing care units in new properties sat at 92% after 16 quarters of operation — Read More

  • Therapy Providers Agree: PDPM Improves Upon Old Payment Models

    Jun 05 2018

    A new survey of therapy providers found broad support for the new Patient Driven Payment Model (PDPM), with respondents citing it as an improvement over the Centers for Medicare & Medicaid Services’ (CMS) earlier attempts at payment reform. Specifically, the new survey of 134 therapy professionals — including a mix of contract therapy providers and skilled Read More

  • Providers Strike Back at Lawmakers’ Call for Tighter Regulations

    Jun 05 2018

    The skilled nursing industry pushed back strongly against the idea that the Centers for Medicare & Medicaid Services (CMS) has reduced federal oversight of nursing homes, as argued recently by 17 state attorneys general. “There was no rollback of anything,” Dr. David Gifford, senior vice president of quality and regulatory affairs at the American Health Read More

  • Skilled Nursing Operators Demand Rehab Renovations as PDPM Looms

    Jun 04 2018

    With the advent of the Center for Medicare & Medicaid Services’ (CMS) new Patient Driven Payment Model (PDPM), rehabilitation and therapy in the skilled nursing space has come under intense scrutiny. When CMS introduced PDPM in late April, it touted incentives to treat the needs of the whole patient. One side effect of that focus, however, is Read More

  • New Law Allows Video Monitoring in Louisiana Nursing Homes

    Jun 04 2018

    A new Louisiana law allows nursing home residents and their family members to set up video monitoring devices in nursing home rooms under certain conditions. The law was signed by Gov. John Bel Edwards on May 31. The Louisiana Nursing Home Association (LNHA), the state’s American Health Care Association (AHCA) affiliate, expressed support for the Read More

  • Must-Reads: Report Blisters Consulate; Iowa Attempts to Claw Back $25M

    Jun 03 2018

    Local concerns feature prominently in this week’s roundup of must-read news, where we highlight great skilled nursing stories you might have missed in the past week. Consulate investigation USA Today Network — Florida published an investigation into Consulate Health Care as part of its “Neglected” series, which examines nursing home issues in the state of Florida. The Read More

  • Five-Property Lease in North Carolina; Ziegler Secures $52M Refinancing

    Jun 03 2018

    Blueprint Announces Five-SNF Portfolio Lease in North Carolina Blueprint Healthcare Real Estate Advisors announced the portfolio lease of five North Carolina skilled nursing facilities with a total of 638 beds. The owner was looking to diversify its risk through sale or a new lease to a third-party tenant. Blueprint identified an owner-operator that saw the Read More

  • Carnegie Capital Secures $12M for Maryland SNF; Cross-State Merger in NJ

    May 31 2018

    Carnegie Capital Secures $12M Loan to Refinance Skilled Nursing Facility Carnegie Capital, a commercial real estate finance and advisory firm based in Austin, Texas, sourced and structured a $12 million loan to refinance the existing note on a 115-bed skilled nursing facility and free up additional proceeds to upgrade the building. The loan will also be used Read More

  • Larger Skilled Nursing Portfolios Hit Market as Sell-Off Continues

    May 31 2018

    As occupancy declines, managed care grows, and payment models change, larger skilled nursing portfolio deals are cropping up in the mergers and acquisitions landscape. Skilled nursing players are taking notice. “We also continue to see opportunities involving several larger well-known portfolios of skilled nursing assets, and we expect to participate in the marketing process with Read More

  • Kansas Nursing Homes Navigate ‘Weird’ Issues Left in Skyline’s Wake

    May 30 2018

    When Kansas placed 15 skilled nursing facilities operated by Wood Ridge, N.J.-based Skyline Healthcare into receivership in late March, it exposed some immediate problems for the new operator, Mission Health Communities. The Tampa, Fla.-based Mission agreed to oversee operations and took control of the buildings on March 26, though it’s not clear how long it Read More

  • Former NH Nursing Home Pitched as Mental Health Facility for Teens

    May 30 2018

    After a plan to convert a vacant New Hampshire nursing home into a drug treatment center failed amid community blowback, the facility could soon see second life as a mental health facility for teens. The Bennington, Vt.-based group VPI South, which already operates a facility for girls who have experienced prolonged trauma, proposed opening the Gallagher Read More

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