Nursing Home Advocacy Group Pushes Back on ‘Unattainable’ Staffing and Spending Law

As the nursing home workforce emergency worsens across the country, aging services organizations are pushing back on “illegal and unconstitutional” staffing laws. LeadingAge New York, for example, on Monday filed a lawsuit seeking to overturn two state mandates: one requiring a minimum staffing ratio and another which dictates where nursing homes may direct their funds. […]

Why Skilled Nursing Providers Must Embrace the DON of Tomorrow

The director of nursing (DON) role has picked up dozens of additional responsibilities during the pandemic, clinical leaders say, as the nursing home sector continues to work through a historic staffing shortage. The result can amount to, at times, an “extremely stressful” position, according to North Shore Healthcare Chief Clinical Officer Tina Belongia. DONs across […]

Experiment Over: Future of Nursing Home 3-Day Stay Waiver in Doubt Post-PHE

While the Centers for Medicare & Medicaid Services (CMS) has been winding down certain waivers tied to the public health emergency (PHE), the agency has been noticeably silent about what could be the most impactful of the pandemic-related waivers – suspension of the three-day stay requirement. Industry leaders aren’t holding out much hope that the […]

How Nursing Home Operators Can Improve Survey Responses

With the White House’s stated intention to raise the dollar limit on per-instance financial penalties levied on poor-performing nursing homes from $21,000 to $1 million, learning the ins and outs of the survey process from both the state and federal level will be more important than ever for operators. Dealing with “rogue employees” is one […]

Vaccine Mandates Do Not Worsen Nursing Home Staffing Woes as Feared

After months of uproar following the announcement that Covid-19 vaccinations would be required for health care workers, it appears the policy may not have hurt nursing home staffing the way that some had initially feared. In fact, staffing shortages have improved since the staff vaccination went into effect, KFF researchers found. An analysis of federal […]

Former CMS Chief Verma: Focus on SNF Ownership a ‘Colossal Waste of Time,’ More Holistic Approach Needed to Drive Quality

As the Centers for Medicare & Medicaid Services moves ahead with efforts to increase transparency over nursing home ownership — and with private equity in particular taking heat — the former head of the government agency called some of the initiatives “a colossal waste of time.” Instead, former CMS Administrator Seema Verma believes a more […]

Covid-Related Nursing Home Lawsuits to ‘Skyrocket’ With Protections on Shaky Ground

While federal protections like the Public Readiness and Emergency Preparedness (PREP) Act provide at least a partial legal shield to nursing homes, an influx of Covid-related lawsuits could be coming down the pipeline. Litigators are looking to test nursing homes’ legal protections as lawsuit filing deadlines for the first few months of the pandemic arrive, […]

Forbes’ Gleckman: Biden’s PE Ownership Scrutiny is ‘Two Beats Behind’

While the calls for nursing home ownership reform tied to private equity (PE) have grown louder from the current administration and other federal figureheads, industry leaders say such endeavors are old hat — investors are already leaving the SNF sector in favor of home health and private-pay senior housing. That’s according to an article published […]

CMS: Sunsetting TNA Program, PHE Waivers the Right Next Step for Nursing Homes

Following this month’s announcement to sunset certain waivers associated with the public health emergency (PHE) during the pandemic, the Centers for Medicare & Medicaid Services (CMS) said it’s time to restore “minimum protections” to the nursing home setting, and “get back to normal operations.” Evan Shulman, director for the division of nursing homes under CMS […]

Diabetes Overtreatment Common in Nursing Homes as White House Focuses Efforts on Unnecessary Meds

While the Biden administration’s overprescription reform in nursing homes focuses mostly on antipsychotics, research has found that other disease treatments – including medication for type 2 diabetes – are overprescribed as well. About 40% of nursing home residents with type 2 diabetes were either overtreated or potentially overtreated, according to results published in the Journal […]

CMS Works to Further Reduce Inappropriate Medication Use in Nursing Homes as Part of Biden Reforms

The Biden administration’s recent efforts to further reduce inappropriate medications in nursing homes has been a multi-year endeavor for industry leaders, but many in the space believe there is still a long way to go. As part of the administration’s nursing home reforms, the Centers for Medicare & Medicaid Services (CMS) will launch a new […]

Staffing Measures, Touted in Biden Reforms, ‘Encroaching Significantly’ on State Value-Based Purchasing Programs

The Biden administration is working toward pushing its value-based care agenda on nursing homes by way of state Medicaid programs, a daunting task with no two programs the same, and reimbursement rates varying widely based on state. As evidenced in reforms announced in February, federal agencies are also focused on tying staffing-related measures to value-based […]

Future of the CNA: Nursing Home Reform Efforts, Staffing Crisis Drive Changes in Key Role

Recent calls for nursing home reform and actions from regulators and lawmakers have drawn renewed attention to the role that certified nursing assistants currently play in care centers – and how their role could evolve. Some skilled nursing operators have responded to calls for expanding the CNA role by creating more specialized positions, and legislatures […]