DOL’s Final Rule on Worker Classification To Increase Legal Woes, Administrative Burdens for Nursing Homes

Many skilled nursing operators will need to reclassify their existing relationships with independent contractors and rethink future ones in the wake of a final rule issued by the Department of Labor (DOL) on Tuesday. The DOL’s new rule revises guidance on how to determine who is an employee and who is an independent contractor under […]

Missouri Rep. Calls Abrupt Northview Nursing Home Closure ‘Appalling,’ Demands Formal HHS Investigation

Following the sudden closure of Northview Village, St. Louis’ largest nursing home, Rep. Cori Bush (D-Mo.) is calling for a formal investigation into the finances, provision of care and use of Medicaid and Medicare funds of the facility. Bush sent a letter to the U.S. Department of Health & Human Services (HHS) Secretary Xavier Becerra […]

KFF: Nursing Home Deficiencies Jumped Almost 10% Since 2015 and Staffing Levels Are To Blame

Deficiencies in nursing homes, both on average and those deemed more serious, have increased over time – partly as a result of decreasing staffing levels. Between 2015 and 2023, facilities with serious deficiencies, or violations of federal regulations, increased from 17% to 26%, according to a data note published on Friday by KFF. The average […]

Nursing Home Associations: HHS Needs To Do Its Part to Boost Vaccine Uptake as Latest CDC Data Shows Lags

The Department of Health and Human Services (HHS) and its Secretary, Xavier Becerra, need to “do its part” to increase Covid vaccination rates among nursing home residents, starting with easing logistical issues that continue to be barriers to uptake. That’s according to LeadingAge President and CEO Katie Smith Sloan, who also cited the benefits of […]

When Disparities and Differences in Resources Abound, Medicaid Acts as Stopgap

The need for Medicaid as stopgap coverage for long-term care is more apparent when looking at differences in race, gender and ethnicity, and rural versus urban status of the residents. This is according to an analysis conducted by ATI Advisory, which identified the impact of disparities and differences in resources – finances, insurance and social […]

Repositioning Nursing Homes For Acuity, More Closures, Less Deal Making Expected in 2024

As the skilled nursing industry heads toward a new year with continued labor shortages and reimbursement gaps, service repositioning and closures among operators are expected trends for the space. And although there are signs of positivity in the form of increased Medicaid reimbursement in some states, extensive rural closures are creating “nursing home deserts” and […]

LeadingAge CEO Calls Out Political Inaction on ‘Dangerously Broken’ Nursing Home Funding System

Decades-long underfunding of nursing homes continues to create unnecessary hardships for aging Americans as access issues deepen. And yet, attempts to change the current financial system have fallen on deaf ears. In an effort to get the attention of lawmakers in Washington, LeadingAge President and CEO Katie Smith Sloan took aim with this view at […]

MedPAC Advises Cutting Skilled Nursing Medicare Payment Rate by 3%

The Medicare Payment Advisory Commission (MedPAC) is recommending that for fiscal year 2025, Congress should reduce the 2024 Medicare-based payment rates for skilled nursing facilities (SNFs) by 3%, citing strong margin projections, occupancy growth and access to capital for the sector. “We project the SNF margins in 2024 to remain high even with the downward […]

OIG’s Audit of Nursing Home Workers in Louisiana Finds Flaws in Background Check Process

A federally commissioned report released Wednesday found that nursing homes in Louisiana failed to complete background checks on a portion of their non-licensed employees. In conducting the audit to examine whether Louisiana nursing homes complied with federal requirements for backgrounds checks, the Office of Inspector General (OIG) chose a sample of 9 Louisiana nursing homes […]

Dealmaking In Nursing Homes: Bubble Will Burst As States Aim for Budget Neutrality During Medicaid Recalibration

In adjusting to new case-mix systems under the Patient Driven Payment Model (PDPM), the changes to reimbursement rates might be more widespread and large-scale than anticipated, posing financing threats to the nursing home sector because lenders are basing loans on rate projections that are expected to be scaled back. The goal of budget neutrality – […]

Nursing Homes’ Letter to CMS Calls Out Lack of Teeth – and Clarity – in Final Rule’s Medicare Advantage Reform

In order to keep Medicare Advantage plans in check for denial of services, provider organizations are pressuring federal authorities to do more, and asking them to closely monitor and aggressively enforce reforms for these plans as envisioned in a final rule that takes effect on Jan. 1. Companies managing MA plans have said they don’t […]

Building off Its Annual Nursing Home List, Newsweek Unveils CCRC Rankings

As patient preference continues to shift away from nursing homes, public attention is increasingly on alternate modes of skilled nursing care as well, including continuing care retirement communities (CCRCs). Newsweek, for one, came out with a ranking of such communities in partnership with global market and consumer data firm Statista. The companies expect rankings to […]

CMS Issues Final Rule For Transparency in Ownership of Nursing Homes

The Biden-Harris Administration is taking additional action to empower nursing home residents and their families to make informed decisions about care and to hold nursing homes accountable for the service they provide by requiring nursing homes to disclose additional ownership and management information to CMS and states and making this information public. This is a […]

‘Deeply Flawed’: LPNs Speak Out On Their Exclusion from Nursing Home Staffing Proposal

As advocacy efforts to oppose the federal government’s proposed staffing mandate continue, the National Association for Licensed Practical Nurses (NALPN) is lending its voice towards the withdrawal of the mandate by sharing a joint letter it sent to the federal agency. The role of licensed practical nurses (LPNs) has been chopped off from the proposal, […]

Majority of Nursing Home Workers Behind on Flu, Covid Vaccinations

With the country well into flu season, the majority of nursing home workers remain unvaccinated for the flu as well as Covid-19. Fewer than one in every four health care workers received up-to-date Covid vaccines, and less than half have gotten the latest flu shot, according to 2023 data collected by the Centers for Disease […]

AG Rhodes CEO: Bad Policies Driven by Politics Hurt Person-Centered Care in Nursing Homes

As CEO of Atlanta-based nonprofit A.G. Rhodes and LeadingAge board member, Deke Cateau knows that well-intentioned policies sometimes simply don’t work in the real world – and can even wreak havoc for nursing homes. “If we have individuals … making critical changes to an industry that they do not understand, it’s dangerous. It would be […]