Confessions of a Skilled Nursing Operator: ‘ACOs Have Been a Disaster for SNFs’

With the U.S. health care system lumbering toward value-based care and grappling with how to match payments with outcomes, accountable care organizations (ACOs) have come under the spotlight. But despite conflicting reports about their capacity to produce savings and improve care, one operator tells Skilled Nursing Question that there is no doubt about one thing: […]

Cost of Nursing Home Care Consistently Outpaces Inflation, Study Finds

The out-of-pocket cost of receiving care in a nursing home has consistently grown faster than gains in consumer and medical care prices, raising questions about the affordability for seniors without Medicaid coverage or long-term care insurance, according to a study published in the journal Medical Care Research and Review. The study — which drew from […]

Welltower CEO: Calling ProMedica Joint Venture a SNF Deal is ‘Pedestrian View’

Welltower (NYSE: WELL) CEO Tom DeRosa touted a big-picture view of his company’s skilled nursing investments this week, describing post-acute services as part of a larger health care ecosystem — one that is vertically integrated and thinks holistically about care. And because of that, he’s adamant that there’s more to the real estate investment trust’s […]

‘SNF Star Ratings Matter’: Nursing Homes with High Ratings Produce Better Outcomes

Despite ongoing debate about the data used to calculate the federal government’s five-star ratings for nursing homes, a new study found that higher-rated skilled nursing facilities produce better outcomes for residents. Properties with higher ratings on provider performance report cards outperform lower-ranked SNFs on a variety of metrics, researchers from the National Bureau of Economic […]

OIG Clears Nursing Home with 93% Very High, Ultra-High Therapy After Review

In an unusual outcome, the federal government’s top health care watchdog arm publicly cleared a nursing home it suspected of providing unnecessarily intensive therapy services. The Department of Health and Human Services (HHS) this week determined that the skilled nursing facility at an Oklahoma continuing care retirement community (CCRC) properly supported all its therapy minutes […]

Altenheim CEO: More Skilled Nursing Closures Coming Unless Providers ‘Change Their Mindset’

The future of non-profits in the skilled nursing space — and the future of non-profit continuing care retirement communities — has been increasingly uncertain, if not outright bleak. Not-for-profit skilled nursing facilities were among the most notable casualties of low Medicaid rates in the state of Texas, while in New York, officials went so far […]

Ventas Backs $1.5B Refi of Colony Capital’s Health Properties; SLP’s Rural SNF Portfolio Expands to 37

Colony Capital, Inc. (NYSE: CLNY) on Thursday announced the successful refinance of a $1.73 billion consolidated loan on its health care portfolio, which includes skilled nursing facilities, senior housing properties, hospitals, and medical office buildings. The new interest-only loan totals $1.52 billion, with a five-year term and a blended interest rate of one-month LIBOR plus […]

Skilled Nursing Facilities, Therapy Provider to Pay $9.7M to Settle False Claims Act Allegations [Updated]

Physical therapy provider Quality Therapy & Consultation and four skilled nursing facilities — all in the Chicago metropolitan area — agreed to pay $9.7 million to resolve allegations of False Claims Act violations, the U.S. Attorney’s Office for the Northern District of Illinois announced Tuesday. The settlement and consent judgments resolve allegations that Quality Therapy […]

How Skilled Nursing Facilities Can Win Under the New Five-Star System

The federal government hit skilled nursing facilities with a flurry of changes to its quality rating system earlier this year, but by diving into their own data, SNFs can pinpoint how to do better — while making the best use of their limited resources. Some key steps include scrutinizing a facility’s Certification and Survey Provider […]

New York Offers $27M for Program That Shifts Skilled Nursing Residents to the Home

Officials in New York State have offered a $27 million grant to a non-profit that can help transition nursing home residents into home- and community-based settings. The state’s Department of Health invited qualifying non-profits to submit their ideas for administering a Transition Center program, according to the official request for proposals (RFP). Crain’s New York […]

Despite Recent Challenges, Skilled Nursing-REIT Relationship Isn’t Going Away

Though the leasing relationships between real estate investment trusts (REITs) and their skilled nursing tenants have come under scrutiny — and criticism — in recent months, it may be premature to declare their permanent demise. “There’ll be health care — broadly defined — REITs that’ll move in and out of the sector, upsize and downsize,” […]

Receiver to Close Another Former Skyline Skilled Nursing Facility

The receiver in charge of the Covington Care and Rehabilitation skilled nursing facility — formerly operated by the troubled Skyline Healthcare chain — in Sioux Falls, S.D., will pursue plans to close the property. “After careful assessment and evaluation, the receiver has made the very difficult decision to propose a plan to close Covington,” Black […]

Under PDPM, Providers Should Expect Close Scrutiny of Nursing Records

The new Medicare model for skilled nursing facilities more closely links reimbursements with resident conditions — and making sure that facilities completely document those conditions will soon be an essential step for success. But because payment under the current Resource Utilization Group (RUG) system is driven primarily by therapy minutes, capturing those conditions on the […]

Eduro Takes Over Two Dycora SNFs in California; $1.5M Texas Turnaround

A pair of properties formerly operated by the troubled Dycora Transitional Health and Living chain in the Golden State have a new owner. Eduro Healthcare entered the California market with the acquisition of the two former Dycora properties in Fresno and Stockton, Calif. Michael Bewsey, managing partner at the Salt Lake City-based Eduro, characterized the […]