Skilled Nursing Dealbook: Two Hospital Systems Selling Their Nursing Homes, Including a 99-Bed Facility in Missouri 

A 99-bed nursing home connected to a hospital in Missouri was sold to Strawberry Fields REIT. Meanwhile, New York-based ArchCare, a nonprofit Catholic healthcare system, plans to sell one of its skilled nursing facilities (SNFs). ArchCare sells SNF ArchCare, a nonprofit Catholic health care system affiliated with the Archdiocese of New York, plans to sell […]

Cascadia Healthcare Expanding Oregon Footprint With Acquisition of Sapphire Health’s Nursing Home Portfolio 

Cascadia Healthcare is on track to become Oregon’s largest post-acute care provider with plans to acquire 11 facilities from Sapphire Health Services, a Salem-based senior care provider. Cascadia Chief Financial Officer and Principal Steve LaForte shared the latest deal news exclusively with Skilled Nursing News on Wednesday during the RETHINK 2026 conference in Philadelphia. The […]

‘Playing a Game of Chicken’: Saber, Creative Solutions and Majestic Care Execs on Negotiating With Medicare Advantage Plans 

Walking away from a Medicare Advantage plan may be disruptive, but some of the largest nursing home providers haven’t hesitated to cut ties with plans that fail to reimburse adequately. They say the risks can outweigh the rewards, particularly when promised increases in referral volume often don’t materialize.   At the opening session for Skilled Nursing […]

Gaps in CMS’ Payment Model: How TEAM’s Communication, Interoperability, and 3-Day Stay Waiver May Affect Nursing Home Revenue 

The value-based care payment model, Transforming Episode Accountability Model (TEAM), is confronting challenges related to communication and interoperability across hospitals and nursing homes, including the timely identification of potential TEAM-eligible patients.  Moreover, some clinical leaders believe the three-day inpatient stay waiver for TEAM could use a revamp to include additional episodes of care to account […]

Nursing Home and Executives Agree to Pay $1M For Overbilling Allegations 

Massachusetts nursing home operator RegalCare Management Group and two of its executives have agreed to pay $1 million to resolve allegations that the company submitted false claims to Medicare and Medicaid for medically unnecessary rehabilitation therapy, federal prosecutors said Wednesday. RegalCare, owner Eliyahu Mirlis and executive Hector Caraballo admitted that, between 2018 and 2023, their […]

Lessons for Nursing Homes as the TEAM Model Drives Changes in Hospital Referral Partnerships 

Nursing homes are facing greater pressure to prove their value as the Centers for Medicare and Medicaid Services (CMS) holds hospitals and ACOs more accountable for post-discharge costs, readmissions, length of stay and patient outcomes – factors that can influence which facilities hospitals end up choosing as referral partners.  The changes mean SNFs should be prepared to demonstrate their ability to control costs and […]

Skilled Nursing Dealbook: $180M in Financing for a 7-Facility Portfolio in North Carolina and Virginia

August Healthcare Group and 980Investments received $180 million in financing for a portfolio of seven nursing homes across North Carolina and Virginia. Meanwhile, a healthcare organization operating 15 facilities across various post-acute care settings, including skilled nursing, received $10 million in financing. $180M in financing for 7-SNF portfolio August Healthcare Group and 980Investments received $180 […]

In With the Old: How Clinical Dashboards and Existing Tech Is Helping SNFs Maximize Reimbursement, Reduce Payer Burden 

To maximize payments, nursing homes don’t necessarily need to deploy more technology but instead make better use of existing software, especially clinical dashboards, which are currently underutilized. Data derived from clinical dashboards can prevent attrition of payment. And, more widespread use of clinical dashboards should be a standard practice across nursing homes, according to Danielle […]

Skilled Nursing Dealbook: 4 Nursing Home Sales Across Florida, Tennessee 

Several transactions involving skilled nursing facilities (SNFs) included the sale of three facilities in Florida and one in Tennessee. Florida SNF sales Forest Healthcare Advisors closed two Florida transactions, including the sale of a 99-bed skilled nursing facility in Daytona Beach that traded at a high per-bed price for the state and the sale of two skilled nursing facilities on […]

Skilled Nursing Dealbook: $413M in Financings Across 13 States; 2-Facility Nursing Home Portfolio Changes Hands 

CFG announced the closing of 24 transactions totaling more than $413 million from late June through late August. Meanwhile, a two-facility skilled nursing portfolio in Vermont, totaling 94 licensed beds, changed hands. $413M in financing across 13 states CFG announced the closing of 24 transactions totaling more than $413 million from late June through late […]

CareTrust REIT Acquires Nursing Home Portfolio for $400M

CareTrust REIT (NYSE: CTRE) announced Tuesday an approximately $400 million acquisition of a large portfolio of skilled nursing facilities with more than 2,600 beds in the Southwest. The facilities are located in markets where both CareTrust and the operator have established scale and extensive operating experience, a press release for the California-based real estate investment […]

‘Revving the Engines Up’: PACS Execs Provide Updates on Growth Strategy, Eduro and Florida Acquisitions 

Josh Jergensen, president and COO of PACS Group (NYSE: PACS), said Tuesday that the nursing home giant is just getting started on its growth plans following its latest transaction to acquire 32 facilities in Florida. The transaction comes on the heels of PACS’ 34-facility acquisition of Eduro facilities, announced in June. “We’re kind of revving […]

LeadingAge CEO Katie Smith Sloan to Step Down in March as Search for Successor Gets Underway

LeadingAge President and CEO Katie Smith Sloan will step down effective March 31, 2027, the national association representing nonprofit and mission-driven providers serving older adults announced Monday. Smith Sloan and the LeadingAge board have worked collaboratively on a smooth transition plan to prevent any disruptions, LeadingAge said in a statement to Skilled Nursing News.   “She […]

Inside Nursing Homes’ Contract Management for Overcoming Medicare Advantage Burdens

The pain points stemming from the continued expansion of Medicare Advantage (MA) have lingered for so long without a course correction that some nursing home organizations have altered their contracting practices with managed care groups. The headline per-diem rate is no longer the primary factor in deciding whether to accept or renew an MA contract […]

MatrixCare’s New CEO on More Patient Time, Less Tech Juggling for Nursing Homes 

Newly appointed MatrixCare CEO Jonathan Lujan is keenly aware that technology intended to ease the post-acute sector’s burdens from heavy regulation to unpredictable reimbursement can sometimes add to them. And so, his immediate goal is to help staff spend more time at the bedside and less time managing technology.  Under his watch, Lujan wants MatrixCare to become an organization known […]

Nursing Home Jobs Nearly Flat in August as Healthcare Hiring Slows 

Job growth at skilled nursing facilities (SNFs) essentially stayed unchanged in August compared to a month ago, according to data released Friday by the Bureau of Labor Statistics (BLS). Seasonally adjusted employment for SNFs rose from 1.5901 million in July to 1.5902 million in August. Meanwhile, healthcare hiring overall remained positive but sluggish, with job […]

American Healthcare REIT Names Public Storage CFO Aric Chang as New Chief Financial Officer 

American Healthcare REIT (NYSE: AHR) announced Wednesday the appointment of Aric Chang as its chief financial officer, effective October 1, 2026. Chang succeeds Brian Peay, who is retiring after a decade in the position. Peay will continue to serve in his role through September 30, 2026. Chang joins AHR from Public Storage (NYSE: PSA), an […]

‘A Slippery Slope’: Case-Mix Creep, Expanded MDS Reporting Could Dampen SNF Payment Gains 

With greater scrutiny of case-mix growth and coding, nursing homes should be strengthening documentation. Operators should also prepare now for expanded MDS reporting requirements beginning in 2029, reimbursement experts said.  To be sure, the Centers for Medicare and Medicaid Services (CMS) is not implementing a case-mix adjustment in the FY 2027 final rule, but the rule’s language makes clear […]

Links Healthcare to Acquire 20 Maine Nursing Homes and Assisted-Living Centers From First Atlantic 

Links Healthcare Group is in the early stages of acquiring First Atlantic Healthcare’s portfolio of 20 nursing homes and assisted-living facilities based in Maine. The facilities changing hands span nine Maine counties and include more than 1,300 beds, making the deal a significant potential change in ownership across the state’s long-term-care system. First Atlantic jointly […]

‘Don’t Penalize Good Actors’: Nursing Homes Urged to Respond to Broad Oversight as Comment Period Ends August 31 

Nursing homes would be wise to establish protocols – and comment on a certain proposed rule – to safeguard themselves from complications stemming from fraud, waste and abuse initiatives underway as part of a broader focus on Medicare and Medicaid program integrity.  That’s because the Trump administration has made this a government-wide priority, and one of the first glimpses […]