More than 1,000 nursing home leaders, along with associations like LeadingAge and the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), sent a joint letter to House Ways and Means Committee leaders to reject the federal minimum staffing proposal. The letter, spearheaded by AHCA/NCAL, was sent late Thursday and signed by state […]
Category: Compliance
The Office of the Inspector General (OIG) is recommending that the federal government bolster its support to nursing homes – including through policies that help strengthen the workforce – in order to improve quality of care. In its latest report, which draws upon lessons learned during the pandemic, OIG lays forth a set of five […]
Flaws with the Medicaid redetermination process are leading to an increasing number of existing nursing home residents being found ineligible for Medicaid coverage — creating headaches for nursing homes. This view is held by officials at several state health care associations, who spoke to Skilled Nursing News. Montana, for one, has Medicaid redetermination information being […]
The year ahead for Sabra Health Care REIT (Nasdaq: SBRA) presents a “terrific” opportunity for improved margins and potential dealmaking, with eyes on multiple asset classes, according to Sabra CEO Rick Matros. While the California-based real estate investment trust (REIT) has focused in the past couple years on diversifying its portfolio – namely adding behavioral […]
Health care settings, including the nursing home sector, performed worse than expected for about half of the federal government’s quality measures during the Covid-19 pandemic, although key measures such as rehospitalization rates for short-stay residents did surprisingly better, the Centers for Medicare & Medicaid Services (CMS) reported Wednesday. Overall, the pandemic had major impacts on […]
States are seeing in real time what a federal minimum staffing mandate may cost them, as a disagreement between Connecticut and its nursing homes has come to a head. The state owes its nursing homes $55 million for staffing requirements imposed between March 2023 and this past January when an enhanced version of the directive […]
Survey backlogs have caused headaches for nursing homes, and Delaware is one state that is using third party contractors to successfully drastically reduce the backlog in a move that is being applauded by nursing home operators. Delaware contracted with Healthcare Management Solutions to help clear its backlog of nursing home and assisted living surveys, doubling […]
In a move to enhance the quality of care in Iowa’s nursing homes, Iowa lawmakers advanced a new bill that proposes joint training for nursing home staff and inspectors in order to better address complaints. Recent data shows complaints and citations have drastically increased over the last year. The Department of Inspections, Appeals and Licensing […]
The volume of non-compliant fines quadrupled in the post-pandemic period between 2020 and 2022, with a staggering 36,370 such fines being issued to nursing homes, costing the industry a total of $560 million nationwide, according to the 2024 Marcum Three-Year Nursing Home Statistical Review. The high cost to the sector from fines was despite the […]
The Centers for Medicare & Medicaid Services (CMS) is placing limits on the use of artificial intelligence (AI) tools in denials of claims related to Medicare Advantage plans, and adding more guidance to health care providers on post-acute care admissions. The agency issued an FAQ Tuesday to address concerns related to coverage criteria and utilization […]
Piece by piece, nursing home operators are seeing stricter government oversight of Medicare Advantage (MA) plans, a welcome relief given that partnerships with such managed care plans have become a huge source of administrative burden for providers in the sector, especially as workforce shortages persist. Most recently, the Centers for Medicare & Medicaid Services (CMS) […]
CMS isn’t expected to finalize the minimum staffing proposal until the summer at the earliest, with the agency having to wade through more than 40,000 comments before moving forward with the rule. The voices of skilled nursing providers, along with coalition partners like the American Hospital Association, will hopefully have been heard by CMS and […]
Acquisitions and localized growth, along with the looming federal minimum staffing proposal and legal settlements were top of mind for executives of the Ensign Group (Nasdaq: ENSG) as the California-based organization closed out the year. Managed care revenue and census increased during the quarter by 12.3% and 3.5% respectively, compared to the prior year’s quarter, […]
Two more nursing homes in New Jersey have their Medicaid funding suspended following allegations of massive fraud by the owners related to their New York facilities. Deptford Center for Rehabilitation and Healthcare, and Hammonton Center for Rehabilitation and Healthcare will lose their Medicaid funding on May 24, according to the Office of the State Comptroller […]
Following the abrupt closure in December of Northview Village, St. Louis’ largest skilled nursing facility, federal agencies issued a scathing 59-page report detailing the failures of leadership immediately before and after the facility shut its doors. The U.S. Department of Health & Human Services (HHS) found the facility failed to follow its emergency preparedness plan, […]
As wildfires continue to plague the western U.S. and Canada, the repercussions of the resulting smoke infiltrating long-term care facilities have become a significant concern for nursing home residents across many parts of the country. Luke Montrose, an environmental toxicologist at Colorado State University, conducted a study in 2020, which found that one facility allowed […]
Iowa nursing homes may see cameras in resident rooms – with state legislators progressing a bill on the matter. The legislation will allow the use of “granny cams” despite many operator misgivings, providing families with a video feed of activity inside a resident’s room, according to a report published in the Iowa Capital Dispatch. Fourteen […]
Recent nursing home restructurings have often involved additions of other segments of the care continuum. The example of Linn Health & Rehabilitation bears this out. The Rhode Island-based provider of skilled nursing, therapy services and long-term care has opted to shift its operating structure, adding assisted living and memory care, after suffering enormous financial losses […]
The Office of the Inspector General (OIG) will be auditing nursing home survey practices this year with results expected in 2025, following concerns that third-party contractors may not have sufficient oversight in the space. OIG suggested closer scrutiny of the Centers for Medicare & Medicaid Services (CMS) regulatory practices when it came to surveys, given […]
Owners of nursing homes in New Jersey are being barred from the state’s Medicaid program after the abrupt closure of their facility last fall that displaced more than 70 residents, jeopardizing their safety. The suspension from the federal program for Gail and Ezra Bogner, who owned the now defunct Princeton Care Center and Woodland Behavioral […]
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