American Healthcare REIT Names Jeffrey Hanson CEO as Danny Prosky Retires 

American Healthcare REIT (NYSE: AHR) has named Jeffrey Hanson as its new CEO, effective immediately, following the retirement of Danny Prosky. Hanson, who has served as interim CEO and president since February, will continue as chairman of the board, the company said in a press release Wednesday. The company also promoted Chief Operating Officer Gabe […]

Avamere Moves Forward with Nursing Home Exit as Cascadia Expands Footprint with 22 Properties

Avamere is making good on its plan to exit the skilled nursing business, with landlord Sabra Health Care REIT (Nasdaq: SBRA) announcing plans Tuesday to transition all 26 of its leased Avamere properties to new operators, including 22 that would be taken over by Cascadia Healthcare.  The remaining four would be transferred to another existing Sabra tenant. It is unclear […]

How Nursing Homes Are Stabilizing Clinical Staffing With a ‘Shadow Workforce,’ Higher Wages and Career Ladders  

The quality of clinical workers in nursing homes has improved in 2026 as more temporary workers have transitioned into permanent roles, driven by higher wages, better benefits and greater career opportunities, according to leaders at these organizations. At the same time, as the skilled nursing workforce has stabilized over the past year, major providers have […]

[UPDATED] CMS Updating Nursing Home Inspections with Risk-Based Survey Model 

The Centers for Medicare and Medicaid Services (CMS) is launching a new risk-based survey process to “modernize” nursing home oversight by focusing inspection resources where they are most needed while recognizing high-performing facilities, the agency said Thursday. The agency noted that the changes to the survey process are driven by limited funding for nursing home […]

Workforce Costs Remain a Top Operating Pressure for Nursing Homes and Long-Term Care, Ziegler CFO Survey States 

Recruiting and retaining qualified clinical staff continues to be one of the greatest operational and financial concerns for nursing homes and other long-term care providers, according to the July 2026 Ziegler CFO Hotline survey released Wednesday. And although staffing conditions across all senior living segments have improved, maintaining workforce gains remains top of mind for […]

Federal Probe Charges Nursing Home Owner in Alleged $64M Medicare Fraud Scheme Involving Durable Medical Equipment 

The former owner of an Illinois-based nursing home has been charged with healthcare fraud in connection with an alleged scheme involving more than $64 million in fraudulent Medicare claims related to durable medical equipment (DME).  Rajiv Shah, who was the primary owner of St. Anthony’s Nursing and Rehabilitation Center in Rock Island, Ill., has been charged with […]

For Improving Reimbursement, Nursing Homes Turn to Local Health Plan Models, Better Discharge Planning, Concessions in MA Shift 

In dealing with Medicare Advantage pain points, skilled nursing providers are shifting their focus from resisting managed care to building stronger ties with health plans. This includes pruning unprofitable contracts, improving discharge planning, and some “soul searching” and concessions by each party as margins diminish for both health plans and providers. And while reimbursement pressures, […]

‘Obsolete, Outdated, Excessively Burdensome’: Ahead of Potential August CMS Deregulation Rule, Nursing Homes Call for Reform

Ahead of a potential CMS proposed rule aimed at reducing administrative burdens across health care – including nursing homes – that could be released in August, providers are urging the agency to standardize surveyor training, Medicare medical reviews and Minimum Data Set requirements. They argue the changes would improve consistency, reduce administrative burdens and allow […]

Court Upholds $15M Restitution in Pennsylvania Nursing Home Staffing Fraud Case

A federal appeals court upheld the convictions of two Pennsylvania nursing home operators accused of falsifying staffing records to secure Medicare and Medicaid funding, leaving intact more than $15 million in restitution and probation imposed by a lower court. The U.S. Court of Appeals for the Third Circuit on Tuesday ruled that sufficient evidence supported […]

Inside the Rise of Payviders: How Payer-Provider Integration Is Reshaping Nursing Home Profits

The rise of payviders — integrated payer-provider organizations with significant scale and market influence — is shifting the balance of power across healthcare, including skilled nursing. Payviders are expected to continue growing in certain markets, particularly in areas where Medicaid programs encourage or require provider-owned health plans. However, their success is not guaranteed, and many […]

State Weighs Tougher Staffing Rules Amid Rising Deficiencies as Medicaid Rates Are Cut

Colorado nursing homes are seeing higher citations and resident complaints as state regulators weigh changes to minimum staffing standards for nursing homes. The number of formal complaints from SNF residents in Colorado continued to climb, reaching 7,426 during the 2025 fiscal year across the state’s nursing homes and assisted living communities, a story in the […]

Saber Healthcare Acquires 27 Skilled Nursing Facilities Across 3 States from Ciena 

Saber Healthcare Group is expanding its footprint with the acquisition of 27 skilled nursing facilities from Ciena Healthcare across Ohio, Virginia, and North Carolina, the company announced Monday. The expansion, which is one Saber’s largest transactions, deepens its presence in the three states. It includes seven facilities in North Carolina, four in Virginia and 16 […]

Connecticut-Based Nursing Home Operator Settles to Pay $2.75M Over Understaffing, Neglect and Resident Harm Allegations

Bear Mountain Healthcare, a Connecticut-based nursing home operator, has agreed to pay $2.75 million to settle allegations that it chronically understaffed 11 Massachusetts skilled nursing facilities, resulting in neglect, resident harm and false claims submitted to the state’s Medicaid program. The settlement, announced Wednesday by the Massachusetts Attorney General’s Office, follows an investigation covering the […]

[UPDATED] CMS Proposes New Medicare Enrollment Safeguards to Combat Fraud and Recover Improper Payments, Including at Nursing Homes

The Centers for Medicare and Medicaid Services (CMS) is proposing new provider enrollment safeguards aimed at reducing fraud, waste and abuse. Although included in the Calendar Year 2027 Home Health Prospective Payment System (PPS) proposed rule, the enrollment provisions would apply across all Medicare provider and supplier types, including skilled nursing facilities (SNFs). The proposal […]

Skilled Nursing Dealbook: Operator Secures $318.8M for 22-Facility Acquisition, 40-Facility Portfolio

A skilled nursing operator secured $318.8 million in financing across two transactions, including funding for the acquisition and sale-leaseback of 22 facilities and a working capital line of credit supporting a 40-facility portfolio. Meanwhile, a Florida-based skilled nursing facility operator received a $2 million asset-based revolving line of credit. CFG closes $318.8M in financing for […]

Across 7 States: Amid Managed Medicaid Push, Nursing Homes See Lessons in What Works – and What Doesn’t

Managed Medicaid hasn’t always worked well for nursing home providers, with some states modifying or scrapping their programs due to payment lags and higher costs – the latest casualty being Indiana’s program. And yet, managed Medicaid is expected to spread across the nation. Lessons from failed experiments with Indiana – and experience with problems in […]

Nursing Home Giant PACS Acquires 34 Facilities From Eduro Healthcare, Expands Into 4 New States

PACS Group (NYSE: PACS) announced Monday that its subsidiaries have entered into a definitive agreement to acquire the operations of 34 skilled nursing facilities across six western states from Eduro Healthcare, a family-owned company. The transaction includes 22 facilities in Texas, six in Montana, three in South Dakota and one facility each in New Mexico, […]

Inside the ‘Pushes and Pulls’ of Cascadia’s Field-Driven Model – and How It’s Shaping Its Growth Strategy

As Cascadia Healthcare continues to expand its footprint and diversify its service lines, the company is doubling down on a decentralized, field-driven operating model that empowers individual facility leaders to make business decisions locally rather than from a corporate office. That philosophy has shaped everything from vendor relationships to growth strategy – and remains central […]

Top Five Skilled Nursing Providers to Watch in 2026

The skilled nursing sector entered 2026 in a different environment than it faced a year ago, one rife with opportunities to expand its footprint and service lines, as well as redefine its business model. While operators continue to face reimbursement pressure, managed care complexity and workforce challenges, they have also been able to move away […]