[UPDATED] Judge Rejects Bid to Halt Nursing Home Staffing Rule

A federal judge has rejected a request to temporarily stop the implementation of the federal nursing home staffing mandate in a much-awaited ruling issued Thursday. Judge Leonard T. Strand of the U.S. District Court for Northern Iowa found that the preliminary injunction – sought by 20 states, 17 LeadingAge affiliates and two Kansas nursing home facilities […]

CMS’ Latest Guidance Plagued by Lack of Clarity on Infection Prevention and Staffing, Leading to Concerns of Unfair Survey Citations

The Centers for Medicare & Medicaid Services (CMS) compiled an ambitious checklist of changes for the nursing home industry as part of its 2025 mission and priorities document released this week, but a lack of details on staffing-related issues and infection protocols is raising concerns about a fair survey process. Surveyor guidance was a major […]

‘Situation Remains Dynamic’: Wildfires Burn Down 2 Nursing Homes as 35 Facilities Evacuated

As Southern California braces for strong Santa Ana winds through Wednesday evening, nursing home associations say that wildfires have already significantly impacted long-term care facilities, with at least three being destroyed and evacuation efforts becoming complicated by ever-expanding evacuation zones. Two skilled nursing facilities, The Pasadena Park Healthcare & Wellness Center and Two Palms Care […]

As CMS Proposes 4.33% Medicare Advantage Pay Increase, Experts See Better Negotiation Outlook for Nursing Homes

The Centers for Medicare and Medicaid Services (CMS) proposed a 4.33% increase in payments to Medicare Advantage plans for 2026, which could have an overall positive trickle-down effect on nursing homes. Expected to be finalized under President-elect Donald Trump’s administration, this slight payment boost comes after MA providers faced a modest rate reduction for 2025. […]

‘A Band Aid on a Gaping Wound’: CMS’ $20M Incentive for RNs in Nursing Homes Leaves Much to be Desired

The Centers for Medicare and Medicaid Services (CMS) plans to offer up to $20 million to boost the registered nurse (RN) workforce in nursing homes, but this, along with the agency’s Nursing Home Staffing Campaign, misses the mark on many levels, according to operators. This funding grants nursing students seeking to become RNs up to […]

Executive Outlook 2025: While MA ‘Tightens the Screws’ on Nursing Homes, Sector Focuses on Reform, Workforce Solutions, I-SNPs

While 2025 remains a bit uncertain due to the federal staffing mandate and a new White House administration, leaders in the nursing home industry plan to continue working toward improving quality of care, addressing workforce challenges and advocating for fair regulation and reimbursements. Clif Porter, president and CEO of the American Health Care Association/National Center […]

Top Skilled Nursing Trends for 2025

Despite the sector continuing to grapple with staffing shortages, rising operational costs, and regulatory uncertainty, emerging trends have skilled nursing leaders gearing up for a positive 2025, with fewer challenges and more opportunities on the horizon. As we look ahead, several key trends are expected to shape the sector from regulatory shifts to financial turbulence, […]

CMS: Nursing Home Surveys To Incorporate Reporting of a Wider Set of Respiratory Illnesses

The Centers for Medicare and Medicaid Services (CMS) issued a memo to surveyors on Tuesday stating that the expanded reporting requirements for acute respiratory illnesses, which the agency discussed at length during early December’s open door forum, should be incorporated into the survey process. The new requirements related to acute respiratory illnesses for nursing homes […]

92 Nursing Homes Sue NY Department of Health Over Cost-Cutting Move

Ninety-two nursing homes have filed a federal lawsuit against the New York State Department of Health (DOH), as the agency approved no reimbursement for older facilities needing capital improvements in 2025. This is an addendum to the state’s 10% reduction for the industry approved in April. The cost-cutting amendment adopted by the state DOH and […]

Former American Senior Communities CEO, Guilty of Fraud, Granted Clemency By Biden

Nursing home operator American Senior Communities’ former CEO James Burkhart was among nearly 1,500 people whose sentences were commuted as part of the largest single-day act of clemency in modern history by President Joe Biden, who also issued 39 pardons on the same day. Burkhart led a $19.4 million fraud scheme involving nursing homes owned […]

[UPDATED] CMS Rolls Out Nursing Home Staffing Campaign, Promises ‘Free’ CNA Training, RN Incentives

The Centers for Medicare & Medicaid Services (CMS) has issued details on a national staffing campaign for the nursing home sector, aimed at increasing the number of nurses working in nursing homes and at state agencies that inspect nursing homes for compliance. The campaign continues the initiatives outlined in April, which ties $75 million funded […]

‘Republican Trifecta,’ Federal Budget Negotiations Could Have a Positive Impact on the Nursing Home Sector 

Nursing home leaders are anticipating big changes to the sector with President Donald Trump’s inauguration drawing closer. The federal staffing mandate is likely to be on the chopping block, as Republicans eye $22 billion in savings if it is delayed or stopped. However, operators must balance this win, among potential others, with the incoming administration’s […]

CMS Breaks Down New Acute Respiratory Illnesses Reporting Requirements for Nursing Homes

New reporting requirements related to acute respiratory illnesses for nursing homes will take effect on Jan. 1, according to the Centers for Medicare & Medicaid Services (CMS). Nursing homes must report data related to, but not limited to, the flu, Covid-19 and respiratory syncytial virus (RSV).  The rule essentially replaces existing reporting requirements. Questions pertaining […]

OIG Finds Most Nonprofit and Government Nursing Homes Complied with Infection Prevention Requirements

A vast majority of nonprofit and government-owned nursing homes across the U.S. complied with federal infection prevention training requirements, according to the results of an audit conducted by the Office of Inspector General (OIG), released Tuesday. Those that failed to comply cited staffing challenges. The OIG’s audit, conducted between April 2024 through October 2024, examined […]

OIG Guidance Has Nursing Home Corporate Compliance – And ‘Tunneling’ – in its Crosshairs

Federal agencies are honing in on ownership transparency and corporate-level compliance, most recently with the Office of Inspector General (OIG) citing concerns about certain practices that allow nursing homes to hide profits. OIG’s latest guidance focuses on the practice of “tunneling,” which refers to the misrepresentation or concealment of profitability in payments to related parties, […]

Last Gasp or Reckoning: Making Sense of 2025 Nursing Home Survey Changes

Surveyors will be evaluating for compliance in new ways, as a result of nursing home survey changes for 2025. While significant, these changes reflect federal initiatives that associations and operators have been seeing for some time now. Nursing home providers are parsing through recent, significant changes to the survey process and trying to grasp the […]

CMS Unveils Major Changes for Nursing Home Surveys for 2025

The Centers for Medicare and Medicaid Services (CMS) is set to implement a series of major revisions to its long-term care survey guidelines, effective February 2025. The changes, which were shared in an advance copy of a 900-page document, focus on a variety of areas, ranging from admission agreements and medication management to infection control […]

Trump Picks Dr. Mehmet Oz to Head CMS

President-elect Donald Trump has picked Dr. Mehmet Oz, the renowned celebrity physician, to serve as administrator of the Centers for Medicare & Medicaid Services (CMS). The appointment was announced on Tuesday afternoon. “Our broken Healthcare System harms everyday Americans, and crushes our Country’s budget. Dr. Oz will be a leader in incentivizing Disease Prevention, so […]