New Study Validates Geriatric End-of-Life Screening Tool for Predicting 6-Month Mortality in Health Care Settings, Nursing Homes

A screening tool that predicts short-term mortality of older adults could potentially be used to improve care for high-risk patients visiting emergency departments and other health care settings, including nursing homes. A recent study published in JAMA has highlighted the effectiveness of the Geriatric End-of-Life Screening Tool (GEST) in predicting 6-month mortality in older patients […]

CMS Staffing Mandate Modified to Include LPNs in Limited Way, Still Marginalizes ‘Backbone’ of Nursing Home Workforce

The newly finalized minimum staffing standards by the Centers for Medicare & Medicaid Services (CMS) have ignited a significant debate among nursing home leaders regarding the inclusion and role of licensed practical nurses (LPNs). The mandate, announced on April 22, 2024, establishes new comprehensive minimum nurse staffing requirements, aiming to enhance the quality of care […]

Maine DHHS Scrutinized for Lax Oversight of Nursing Home Elopement Amid National Regulatory Crackdown

The Maine Department of Health and Human Services (DHHS) has come under scrutiny for its oversight of nursing facilities, particularly regarding incidents of resident elopement – a problem that continues to impact facilities across the nation. Judging by Maine’s example, elopement is a tricky problem to tackle, and existence of tough regulation alone isn’t addressing […]

Rural Nursing Homes Foresee Financial Strain, Fear Failure To Qualify for Exemptions from CMS’ Staffing Mandate

Nursing homes in states with large rural communities have long struggled to grapple with workforce issues, and for most of these rural providers there seems to be no end in sight, making fulfilling the federal government’s staffing mandate an impossibility. For such communities, registered nurses (RNs) are especially hard to recruit, and statistics paint a […]

Massachusetts Nursing Home Gets $9.75M Loan, 5 North Carolina Facilities $36.2M Through Capital Funding Group

Capital Funding Group (CFG) has successfully closed a $9.75 million Bridge-to-HUD loan to refinance a 123-bed skilled nursing facility in Massachusetts. The transaction was completed on May 1, 2024, for a nationally recognized borrower. “CFG has been a cornerstone in the healthcare financing sector for more than 30 years, and we’re proud to help yet […]

CLA Experts Discuss Ways To Ease Into CMS Staffing Mandate, Estimate Cost of $5.8 Billion Over a Decade

The staffing mandate will cost the industry $5.8 billion over ten years, creating the need for an additional 101,500 FTEs nationwide, with significant costs attributed to hiring nurse aides and registered nurses (RNs), according to analysis by CliftonLarsonAllen. In a recent webinar hosted by CliftonLarsonAllen, Deb Emerson, Principal at CLA, and Jennifer Boese, Director of […]

Florida’s Long-Term Care Facilities Pressured by Skyrocketing Property Insurance Costs

Over the past five years, long-term care facilities in Florida, including a few nursing homes but mostly assisted-living facilities, have been pressured due to a steep rise in commercial property insurance rates. According to the state’s Agency for Health Care Administration, insurance premiums in Florida rose by 125% during this period, with an average of […]

New Staffing Standards Could Reduce Capacity in New Hampshire Nursing Homes

The staffing mandate could significantly reduce the number of available nursing home beds in New Hampshire, according to reporting in the Concord Monitor. The regulations are causing concern among local nursing home administrators. “The impact of the rules could be that we close more beds,” Kathryn Kindopp, administrator of Maplewood Nursing Home in Westmoreland, told […]

‘A Feasible Plan’: Inside Nursing Homes’ Push for Immigration Reform, Funding for Higher Wages, Workforce Programs

Although there is a chance the federal government’s staffing mandate may be overturned, operators should still be aware of how upcoming changes could impact their operations. This is according to sector experts, who said that while the mandate is well-intentioned, it lacks a comprehensive plan to address the realities of staffing shortages and regional variations […]

‘Significant Backlog of Inspectors’: Alleged Failure To Investigate Nursing Home Complaints Behind State Lawsuit

A recent lawsuit filed in federal court accuses the Maryland Department of Health (MDH) of failing to adequately inspect and investigate complaints in the state’s nursing facilities, leading to significant instances of abuse and neglect. The lawsuit, representing five anonymous residents with mobility impairments and complex health needs, claims MDH’s inaction disproportionately harms residents with […]

Legislation To Overturn CMS’ Nursing Home Staffing Mandate Introduced in Congress

A Congressional Review Act (CRA) to overturn the federal government’s minimum staffing rule for nursing homes was introduced on Tuesday by Representatives Michelle Fischbach (R-Minn.) and Greg Pence (R-Ind.). The legislation aims to reverse the Centers for Medicare & Medicaid Services’ (CMS) staffing mandate.  “The CRA represents a joint resolution (simple majority that can’t be […]

American Healthcare REIT Eliminates Agency Staffing Costs, Expands Portfolio in First Quarter

Executives for American Healthcare REIT (NYSE: AHR) said that long-term care’s operational environment has normalized, allowing the company to eliminate most of its agency staffing and labor expenses.  “[Decreased agency use] is a very positive development,” Gabe Willhite, chief operating officer, said during the company’s first quarter earnings call. “And there’s nothing to suggest that […]

Sabra CEO: Nursing Home Staffing Mandate Not ‘Thoughtfully Reviewed’, Grounds for Legislative, Legal Action

Sabra Health Care REIT’s (Nasdaq: SBRA) CEO Rick Matros said Thursday that the federal government’s premature release of the minimum staffing mandate shows a lack of consideration given to the thousands of comments submitted against it, leaving the sector with no choice but to challenge it. During the California based real estate trust’s (REIT) quarterly […]

Capital Funding Group Secures $20M Bridge-To-HUD Loan for Maryland Nursing Home; Touchstone Acquires 3 Texas Facilities

Capital Funding Group (CFG) secured a $20 million Bridge-to-HUD loan for the refinancing of a 125-bed skilled nursing facility located in Maryland. The transaction was finalized on March 29, 2024. “We’re excited to share the closing of this deal, as it rounded out a strong first quarter of executing financing on behalf of our clients […]

NHI Execs Eye $100M in Deals, Call for a ‘Compromise’ On Nursing Home Staffing Mandate Amid Labor Shortages

Executives for National Health Investors, Inc. (NYSE: NHI) said Tuesday that they are starting to see more deal activity and an increased volume of new inquiries in the last several months.  “We’re looking at opportunities across the continuum of senior housing and skilled nursing, and across multiple products including loan, lease, and joint venture opportunities,” […]

Skilled Nursing Market Faces Capital Challenges Amid Robust Deal Pipeline

Challenges in securing capital in the nursing home sector have grown over the last year even as the deal pipeline has remained steady, with success heavily dependent on the right alignment of operators, real estate, and certain regional markets. Moreover, a consolidation of skilled nursing assets among primary owner-operators is currently underway, marking a shift […]

Over One-Third of Nurses Considering Career Change in 2024 Amid Staffing Mandate Challenges

Over one-third of nurses are considering changing careers this year, signaling a potential job churn for the industry – which may prove especially concerning for operators in the wake of the final minimum staffing mandate. This is according to a recent study conducted by AMN Healthcare, which surveyed 1,155 nurses regarding their career outlook for […]