While Recognizing Dangers, California Tells Nursing Homes to Prepare for COVID-19 Patients [UPDATED]

The California Department of Public Health (CDPH) issued recommendations for skilled nursing facilities on preparing for COVID-19 — and told them to prepare to receive and care for residents with suspected or confirmed COVID-19 infections. The all-facilities letter (AFL) sent on March 19 tells SNFs to prepare for COVID-19, the disease caused by the novel […]

CMS Move to Delay Elective Surgeries Could Create Lasting Strain on Skilled Nursing Facilities

Skilled nursing facilities, and post-acute providers in general, will feel pain even beyond the immediate short-term challenges of protecting residents and staff from the spread of the novel coronavirus, several experts predicted Thursday. The Centers for Medicare & Medicaid Services late on Wednesday recommended the delay of “all elective surgeries, non-essential medical, surgical, and dental […]

Post-Acute Bed Capacity Concerns Loom as COVID-19 Cases Grow

As the number of confirmed COVID-19 cases in the U.S. mounts, concerns about hospital bed capacity are rising in proportion — and skilled nursing facilities need to be ready to help ease the stress on the acute care system, according to multiple providers. The Centers for Medicare & Medicaid Services (CMS) seemed to confirm this […]

CMS Expands Nursing Home Telehealth Coverage, Waives HIPAA Penalties During COVID-19 Outbreak

The Trump administration on Tuesday announced an emergency expansion of telehealth coverage for Medicare beneficiaries amid the COVID-19 outbreak, removing multiple regulatory barriers to doctors providing remote care for nursing home residents. Retroactive to March 6, Medicare can pay for virtual consultations provided through telehealth platforms across the country, including those conducted in a patient’s […]

Genesis Reports One COVID-19 Case, Confirms Hospital Demand for Overflow Beds at Nursing Homes

Genesis HealthCare (NYSE: GEN), one of the largest post-acute operators in the U.S., reported one confirmed case of the COVID-19 disease at one of its facilities, in an otherwise optimistic fourth-quarter and year-end earnings call for 2019. The Kennett Square, Pa.-based operator, which has hundreds of skilled nursing facilities and assisted and senior living centers […]

As Admission Holds Loom, Skilled Nursing Facilities and Hospitals Must Stay in Constant COVID-19 Contact

The residents and patients at skilled nursing facilities are uniquely imperiled by COVID-19, the disease caused by the novel coronavirus that’s rapidly altering the routines of everyday life worldwide. As a result, SNFs across the country have gone into lockdown, with the federal government on Friday issuing a blanket ban of non-essential visits. Their hospital […]

$1B in Supplemental Nursing Home Funds Diverted to County Health Systems in Indiana

Hospital executives in the state of Indiana redirected at least $1.17 billion in extra Medicaid dollars, drawn down from the state’s supplemental payment program to boost nursing home reimbursement, toward projects to expand their own health systems, an investigation by the IndyStar published on Thursday revealed. The multi-part series — which tackled the funding system […]

After PDPM, ‘More Than Half’ of Therapists Report Mandate to Provide Group, Concurrent Therapy

The Patient-Driven Payment Model (PDPM) was specifically designed to reimburse skilled nursing facilities based on the condition of the patients that they treat, rather than by the minutes of therapy provided to those patients. As part of the change, the Centers for Medicare & Medicaid Services (CMS) included a 25% cap on group and concurrent […]

REIT Stocks Fall Again After Reports of New Nursing Home Coronavirus Case

Another skilled nursing facility in the state of Washington has reported an outbreak of COVID-19, the disease caused by the novel coronavirus that is sweeping the globe — resulting in major declines in the stock prices of several real estate investment trusts (REITs) with holdings in the skilled nursing and senior housing sectors. That facility, […]

Why Even the Best Operator Can’t Fix a Bad Skilled Nursing Market

Skilled nursing operators with a strong regional focus and market presence are attractive to potential investors and capital partners, but ultimately the realities of the market will trump even the best operator. The operator-driven nature of the SNF field makes the people involved in a given facility paramount, but investors can’t overlook how susceptible nursing […]

CMS to ‘Immediately’ Refocus Nursing Home Inspections on Infection Control Amid Coronavirus

In the wake of an outbreak of the novel coronavirus at a Washington nursing home, the Centers for Medicare & Medicaid Services (CMS) will immediately refocus inspections of skilled nursing facilities on compliance with the agency’s infection control policies — and suspend all non-emergency survey work, the agency announced on Wednesday. “We obviously are looking […]

Ensign Adds Two Skilled Nursing Facilities in Colorado; UPMC Offloads SNF to New York Owner-Operator

The Ensign Group (Nasdaq: ENSG) acquired the operations of two skilled nursing facilities in Commerce City, Colo., effective March 1, the provider announced Tuesday. The two SNFs, the 105-bed Ridgeview Post Acute and the 83-bed Irondale Post Acute, will be subject to triple-net leases. “We are thrilled to add these two operations to our growing […]

ManorCare Helps Bolster ProMedica’s Financial Fortunes Amid Insurance Struggles

ProMedica Health System’s struggles with its insurance arm hit the non-profit’s bottom line throughout 2019, but the addition of skilled nursing operator HCR ManorCare contributed to a significant increase in total operating revenue for the year. In its unaudited financial report for the 2019 calendar year, the health system reported that its operating performance for […]

‘Nobody Would Qualify’: Skilled Nursing Lenders Adapt to Difficult Medicaid Math

Operators have begun to settle into the Patient-Driven Payment Model, the overhaul for Medicare reimbursement that took effect for skilled nursing facilities last year. But most nursing home residents will be covered by their state’s Medicaid program, and reimbursement shortfalls across the country have created a landscape where most nursing homes are barely breaking even […]

Skilled Nursing Operators Can Find Success Under the ‘Quite Similar’ PDPM and I-SNP Models

The Patient-Driven Payment Model (PDPM) overhauled the way skilled nursing facilities are paid for their services to Medicare fee-for-service patients when it took effect last year – removing therapy as a driver of reimbursement and putting an emphasis on patient conditions. That gives it more than a passing resemblance to a lightning rod in the […]

$46.8M for SNF/Adult Day Portfolio in New York; Hospital Seeks SNF Buyer Amid Medicaid Cuts

MONTICELLOAM and its affiliates provided a $46.8 million first-lien debt financing to refinance a skilled nursing property and two adult day care facilities with a combined 407 beds in New York. The deal includes a $3 million working capital loan to the operating company of the properties, which was provided by Monticello Commercial Capital, LLC, […]

Sale of Six Absolut Facilities Approved in Bankruptcy Court; $23M SNF Opens in Detroit

The U.S. Bankruptcy Court for the Eastern District of New York approved RCA Healthcare Management to take over six Absolut Care nursing home sites, starting with a consulting agreement beginning March 1 with the current owners of Absolut. Buffalo Business First reported the news last week. Absolut filed for Chapter 11 bankruptcy protection last fall, […]