While many industry leaders vociferously condemned the finalized federal staffing requirements for nursing homes that were released on Monday, analysts covering publicly traded companies in the sector were relatively circumspect. They see the requirements as posing a risk, but analysts who communicated with Skilled Nursing News also generally remained upbeat about the longer-term prospects for […]
Category: Compliance
The Centers for Medicare & Medicaid Services (CMS) on Monday unveiled the finalized minimum staffing standards for nursing homes, drawing sharp – and deeply apprehensive – responses from leaders in the sector. CEOs of nursing home owners and operators and leaders of industry associations were all but unanimous in their reactions; among those who spoke […]
One state has committed more than $1.1 billion to boosting community living options for people who would otherwise be in a nursing home, following a landmark class action lawsuit settlement. The 54-page settlement agreement still needs a judge’s approval. The original case, titled Marsters v. Healey, involved six residents who were unable to leave their […]
A legal settlement reached by Omega Healthcare Investors Inc. (NYSE: OHI), if finalized, will change some of the real estate investment trust’s corporate governance policies and practices related to diversity, equity, inclusion and belonging, the company announced Monday. Omega’s insurance company will also pay $850,000 in attorney fees and expenses, while a court hearing scheduled […]
The Centers for Medicare & Medicaid Services’ (CMS) recently proposed Value-Based Purchasing Program updates include staffing provisions that are being met with provider concern, although other updates should be well received once the dust settles. Among recommended changes, CMS is proposing allowing SNFs to review and correct Payroll-Based Journal (PBJ) data beginning with the fiscal […]
Government leaders are cracking down on long-term care providers in Arizona, expanding health officials’ authority to monitor and fine operators in nursing homes, as well as assisted living and memory care. Legislation was signed into law on Monday, originally designed to establish minimum training standards for staff working with memory care residents, according to a […]
The nursing home industry, along with other settings in long-term care, is expected to be a central campaign focus for presidential candidates in future elections. One reason is growth of the older population just as the Medicare trust fund is projected to show a deficit starting around 2026 when the oldest of baby boomers will […]
Medicare Advantage plans might lower their payments to nursing homes in 2025, to absorb the federal government’s benchmark rate cut to insurers. Nursing home advocacy groups are worried that this move by the Centers for Medicare & Medicaid Services (CMS) to cut Medicare Advantage rates may be passed on to nursing home providers. The Medicare […]
The federal government’s proposed Medicare payment increase for 2025 is not sitting well with the nursing home sector, with financial experts and operators raising concerns that the bump fails to compensate for inflation-induced operating costs – and a staffing proposal anticipated to cost in the billions each year. For some experts, the Centers for Medicare […]
North Dakota has some of the highest staffing levels in the country – no small feat considering the many pockets of rural communities. The state has achieved this because of a very supportive legislative body that recognizes the value of long-term care services, including skilled nursing, operators and associations say. Garth Rydland, president and CEO […]
A majority of discharges of mentally ill patients from nursing homes are initiated by facilities due to dangerous behaviors, and perhaps many of these patients should never have been admitted in the first place given “the challenges” at nursing homes, according to the Office of Inspector General (OIG). OIG’s review issued Wednesday suggests that of […]
Some nursing homes in Kansas have been misclassified as continuing care retirement communities (CCRCs), resulting in the state losing close to $88 million in assessment revenue. That’s according to a performance audit conducted by the Kansas Medicaid Inspector General’s (MIG) office, which found that 68% of CCRC certifications between July 2020 and Aug. 31, 2023 […]
Infection-related hospitalizations and deaths among nursing home residents decreased as a result of a coordinated intervention adopted by facilities, along with hospitals and long-term acute care hospitals (LTCHs). The intervention, called SHIELD-OC, was centered around reducing superbugs, or multidrug-resistant organisms (MDROs), and involved 35 health care facilities in Orange County, Calif., according to a study […]
The Centers for Medicare & Medicaid Services (CMS) issued its proposed rule that updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System for fiscal year 2025. CMS also proposed to expand the penalties that can be imposed through regulatory revision to allow for more per instance […]
As nursing homes are still in the process of updating their procedures to align with October 2023’s MDS requirements, avoiding compliance and payment problems involves having accurate data, and it all begins with its collection. Data collection has become a tough exercise in the midst of staffing challenges, and many facilities have yet to update […]
Clinical complexity and rising acuity at nursing homes isn’t going away any time soon so nursing homes are adapting their clinical practices and also renewing ways they train staff – and surveyors. This trend of sicker residents has led to a hospital-like sorting and prioritizing of patients in a manner similar to a triage, said […]
As financial transparency continues to be one of the top nursing home reform initiatives of state and federal officials, Connecticut Governor Ned Lamont has taken this push one step further with the potential use of forensic audits. Gov. Lamont introduced a bill to authorize the use of forensic audits when the state Department of Social […]
Nursing facilities were among six provider types with the most patient abuse and neglect convictions tied to Medicaid than other provider types in 2023, as a whopping 841 criminal and civil patient and abuse complaints related to the sector – topping all other categories – are still open to investigation. There are 238 open nursing […]
As a “chunk” of the nursing home sector teeters on the brink, the political will of the White House and the unions to implement the federal staffing mandate appears to be at odds with its practicality, affording the industry a chance to challenge it both legislatively and legally. This view was expressed by Ensign CEO […]
The largest nursing home in St. Louis, which was shuttered abruptly in December, is now facing more fines linked to safety and administration requirement violations when moving residents out. The Centers for Medicare & Medicaid Services (CMS) is fining Northview Village directors Makhlouf and Lorraine Suissa and Eric Rothner more than $18,000 per day, totaling […]
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