Skilled Nursing Dealbook: Houston Nursing Home Sells for $15M, Multistate Provider Gets $30M in Financing 

A Houston-based nursing home sold for $15 million following a court-approved bankruptcy sale. Meanwhile, a multistate provider secured a $30 million healthcare receivables financing facility to support operations across its 18 skilled nursing and post-acute care facilities. Multistate post-acute care provider gets $30M in financing A multistate post-acute care provider secured a $30 million healthcare […]

‘Future Regulation’: MDS Audit Discrepancies Highlight Nursing Homes’ Record-Retention Gaps

Nursing home validation audits so far show MDS coding gaps tied to insufficient or missing documentation, often because of inadequate record-retention practices. And while penalties currently focus mainly on submission timelines, federal agencies could use the findings to inform future regulations related to quality reporting, experts said.  MDS accuracy and documentation are a growing area of scrutiny […]

Sicker Medicare Advantage Enrollees, Including in Nursing Homes, More Likely to Switch to Traditional Medicare

Older adults with newer, more complex medical conditions were more likely to leave a Medicare Advantage plan for traditional Medicare, and this likelihood increased as medical complexity increased, according to a new study released Friday.  The study published in the JAMA Health Forum builds on earlier research showing that people who develop serious illnesses, including cancer, were more likely to leave MA.  In the latest exploration, the researchers […]

Inside the Litigation Impact of CMS’ New Risk-Based Survey Process on Nursing Homes 

The new risk-based nursing-home survey process, set to begin September 8, could raise litigation concerns because the streamlined approach uses fewer survey activities and a smaller resident sample, potentially allowing problems relevant to civil liability cases to go undetected. The Centers for Medicare and Medicaid Services’ (CMS) surveys are also only a snapshot of a facility at a particular […]

Shorter MDS Reporting Window and Growing Emphasis on Accuracy Underpin CMS’ Quality Reporting Push 

Minimum Data Set (MDS) submissions are about to become a lot more complicated for skilled nursing facilities (SNFs), as the Centers for Medicare & Medicaid Services (CMS) places greater emphasis on the accuracy and timeliness of quality reporting while tightening the MDS reporting window in its final payment rule. Under the FY 2027 SNF Final […]

Skilled Nursing Dealbook: Nursing Home Portfolios Change Hands in Michigan, New Mexico

  A three-facility, 347-bed skilled nursing portfolio in Michigan changed hands. Meanwhile, a three-facility, 360-bed portfolio in New Mexico was also sold. 347-bed SNF sold in Michigan Evans Senior Investments (ESI) completed the sale of a three-facility, 347-bed skilled nursing portfolio in Michigan on behalf of an institutional owner exiting the state. Welltower acquired the […]

Nursing Home Executive Salaries Rise in 2026, With Executive Directors/CEOs Seeing a 4.08% Increase 

Executive and key department head salaries at nursing homes increased in 2026 as turnover rates and the use of sign-on bonuses continued to decline. This is according to the 2026-2027 Nursing Home Salary & Benefits Report from the Hospital & Healthcare Compensation Service (HCS) released Thursday.   The report found that compensation growth was concentrated among core administrative and operational leaders. Executive […]

Inside Rising ‘Nuclear Verdicts’ in Nursing Homes and Lessons for Operational Change From Recent Litigation 

There is a growing prevalence of so-called nuclear verdicts – jury awards ranging from around $1 million to $3 million for nursing homes. However, legal experts say these decisions also offer clear lessons for operational changes that providers can make to reduce risk.  Juror anger is the leading factor driving outsized awards, according to Mollie Werwas, an attorney with Illinois-based Airdo […]

The Rising Importance of Social Services in Nursing Homes

The role of social services is rapidly becoming more complex and central in nursing homes, as caseloads are increasingly shaped by higher clinical acuity and the growing complexity of residents’ mental health and social circumstances. As a result, staffing needs cannot be based simply on the number of residents. Also, as operators adopt more integrated […]

Skilled Nursing Dealbook: $170.5M in Financing Closed For 7 Skilled Nursing Facilities and Portfolios 

VIUM Capital completed seven financing transactions totaling $170.5 million for skilled nursing properties and portfolios from May through July 2026. In a separate transaction, a sale involving three skilled nursing and long-term care facilities in Ohio on behalf of a public REIT and its longtime operating partner was completed. $170.5M in SNF financing VIUM completed […]

American Healthcare REIT’s $1.4B Investment Push Fueled by ‘Powerful’ Tailwinds for Long-Term Care, Including Nursing Homes 

American Healthcare REIT (NYSE: AHR) is leaning further into the long-term care opportunity, as executives touted powerful demographic tailwinds Friday and outlined plans to scale operating partner Trilogy’s model across its broader portfolio following $1.4 billion in year-to-date investments. AHR posted a strong second quarter, driven primarily by its senior housing operating portfolio (SHOP) rather […]

‘Density in Texas’: PACS Invests $191M in First Half, Sees Strong Nursing Home Pipeline Beyond Eduro Deal  

PACS Group (NYSE: PACS) reported a strong second quarter and raised full-year guidance, with executives sharing more details Wednesday on its 34-facility, multistate acquisition from Eduro Healthcare. Earnings momentum for the nursing home giant continued to be driven by operational improvements rather than acquisitions alone as skilled nursing investments remained a key priority, both through […]

‘It’s So Institutional’: Presbyterian Living Prepares for Growth While Reimagining Skilled Nursing Care 

Traditional skilled nursing environments remain highly institutional, characterized by visible nurses’ stations, medical equipment and hospital-like layouts. Peter van Kalkeren, COO of Skokie, Presbyterian Living, wants to change that. As Presbyterian Living prepares for measured growth while strengthening its existing operations, the Skokie, Illinois-based organization is updating its buildings to adapt its skilled nursing facilities […]

Medicare Advantage Linked to Lower Nursing Home, Post-Acute Care Use in 5-State Study 

Medicare Advantage (MA) reduces the use of nursing home and other post-acute care services without measurable short-term effects on mortality or time spent at home, according to a study published Monday in Health Affairs that examined retirees in five states.  The study explored the effects of MA enrollment on healthcare utilization by analyzing a natural experiment involving more than 220,000 retired […]

Omega Healthcare Grows Nursing Home Portfolio in 2Q, Shifts 20 Ciena Facilities to Saber Healthcare

Omega Healthcare Investors (NYSE: OHI) acquired additional skilled nursing facilities during and after the second quarter, while also reshaping its operator portfolio through the transition of facilities from Ciena Healthcare to Saber Healthcare Group, executives said Thursday. Skilled nursing investment opportunities remain attractive for Omega, with executives saying that they expect a “material pick-up” in […]

‘Moments of Truth’: Nursing Home Giant Ensign on ‘One Clinical’ Model Behind Earnings Success, $850M Available for Investment 

Following a strong second quarter, Ensign Group (Nasdaq: ENSG) strengthened its outlook for the year, with executives highlighting Wednesday the high occupancy levels at its facilities backed by strength in key clinical metrics. “[Our Mission] is to dignify post-acute care in the eyes of the world through moments of truth,” Port said during the company’s […]

‘Historic Victory’: State’s New Medicaid Reimbursement Floor to Add $215M in Federal Funds, Stabilizing Nursing Home Funding 

Pennsylvania’s new state budget approved a financial boost for nursing homes by setting a guaranteed minimum Medicaid reimbursement level, a change providers say will improve financial stability as facilities contend with rising demand, workforce shortages and mounting costs. The policy, signed into law by Gov. Josh Shapiro as part of Pennsylvania’s 2026-27 budget, establishes a […]

Skilled Nursing Dealbook: 13 Facilities in Pennsylvania Get $80M in Financing; 5-Facility Portfolio Changes Hands in Ohio

About $80 million in financing was provided for 13 facilities in Pennsylvania, while a five-facility skilled nursing portfolio in Ohio changed hands. $80M in financing for 4 SNFs CIBC closed a $27 million commercial mortgage for four skilled nursing facilities in Pennsylvania. The portfolio totals 465 beds and will be owned by a Pennsylvania-based regional […]

‘Bet on Our Care’: ALIYA CEO on Strengthening Nursing Home Footprint, Expanding Ownership Opportunities, Launching ACO  

ALIYA has spent the past several years transforming distressed skilled nursing facilities into higher-performing operations, but CEO Efriam Weinfeld said the company’s focus has recently shifted from rapid expansion to strengthening its existing footprint, including by giving facility leaders a greater ownership stake in their communities.   “[Earlier] our mentality was to grow in order to […]

Skilled Nursing Dealbook: 22 SNFs Change Hands Across Ohio, Tennessee and the Midwest; $308M in Financing for 13 Facilities

A $308 million refinance was completed for a 13-facility skilled nursing facility (SNF) portfolio, along with more than $448 million in total financing. A separate $70.8 million financing package was also completed for five SNFs. Meanwhile, a total of 22 SNFs changed hands across multiple states. $70.8M in financing for 5 Ohio SNFs CFG announced the […]