‘Big Ugly Dilemma’: Nursing Homes Not Ready to Absorb Overflow From Hospitals, Optional HCBS Population After OBBBA

As states brace for cuts to optional home care and hospital bottlenecks due to Medicaid reductions in the federal budget reconciliation bill, nursing homes will need to handle the overflow – but whether most facilities across the U.S. are prepared for the surge is another matter. This scenario is especially true in states where the […]

‘Not Entirely Spared’: Nursing Homes in the Eye of the Storm Unfolding in the Aftermath of the Big Beautiful Bill

The One Big Beautiful Bill Act (OBBBA) has unintended consequences, with more tailwinds than headwinds, for nursing homes and other long-term care, placing greater burdens on states.  According to ATI Advisory CEO Anne Tumlinson, who spoke at a webinar on Tuesday alongside other experts about the impact of OBBBA on long-term care, nursing homes are […]

‘One Voice Matters’: Inside the Retentionist Role at Nursing Homes to Tackle Workforce Woes

The Retentionist role may be the newest effort to bolster the workforce at nursing homes, which have long struggled with labor instability and shortages. With state funding backing the effort, Monarch Health Management – an operator of 45 skilled nursing facilities (SNFs) as well as over 20 long-term care communities across Minnesota – has seen […]

‘Recut, Redone, or Sold’: How High Interest Rates Are Contributing to Nursing Home Financial Strain

Nursing operators, especially those who own their own facilities, are facing financial strain caused by high interest rates as they attempt to restructure existing loans. While HUD loans and loans financed through real estate investment trust (REITs) are safe from interest rate fluctuations, other forms of financing are facing higher interest rates when converting debt […]

[Updated] Skilled Nursing Giant Genesis HealthCare Files For Chapter 11 Bankruptcy

Genesis HealthCare, one of the nation’s largest nursing home providers, has declared Chapter 11 bankruptcy. The potential buyer is affiliated with ReGen Healthcare, which is a current investor in Genesis, the company shared in an emailed statement to Skilled Nursing News. “The proposed transaction, the terms of which will be publicly disclosed shortly, is subject […]

‘Money Out of Their Pocket’: Impact on Nursing Home Workforce from the Big Beautiful Bill

The One Big Beautiful Bill Act (OBBBA) could have major implications for employers of low-wage and part-time workers, especially in sectors like long-term care, including nursing homes. By imposing new Medicaid work requirements and more frequent eligibility checks, the law risks disrupting employee stability and increasing workforce turnover. The bill’s Medicaid reforms and greater scrutiny […]

Inside Common Nursing Home Litigation Pitfalls Tied to Clinical Issues, Staff Classifications, and IJs

Litigation risks remain top of mind for nursing home operators, often tied to falls, resident behaviors as well as wounds and pressure injuries. The combination of higher acuity residents, lower reimbursements and staff shortages create a recipe for more lawsuits in these clinical areas. Misclassification of 1099 workers, or independent contractors, and the special focus […]

‘Pool of Piranhas’: Nursing Home Closures, New Buyers and Medicaid Rates All Play into Seller’s Market

The nursing home sector’s ‘scarcity premium’ trend is driving market conditions, as closures exceed new developments annually, especially in rural areas. At the same time, buyer demand has grown, from new entrants into the industry, driving up nursing home valuations. Overall, a unique combination of limited supply, growing demand and variable state incentives have created […]

[Updated] Senate Passes Bill Keeping Helpful Nursing Home Provisions Intact But Worries Remain

In the latest version of President Donald Trump’s budget reconciliation bill, which passed the Senate on Tuesday by a narrow margin, a 10-year moratorium on the staffing mandate remains intact. Provider taxes for nursing homes are also unaffected, though uncertainty about the large Medicaid cuts’ indirect impact worries many in the sector. The bill passed […]

‘Where to Apply Pain’: Nursing Homes Warn of Closures, Revenue Loss as GOP Budget Bill Nears Final Vote

Close to 600 nursing homes across the nation could face increased risk of closure under proposed Medicaid cuts in the Republican budget bill, with the high-risk facilities disproportionately located in urban areas and concentrated in states like Illinois, Texas, California, Georgia, and Ohio. Nursing homes in some states will be even more deeply impacted by […]

Capital Deployment on Razor-Thin Margins: Inside the Investment Choices Nursing Homes Are Making

Editor’s Note: The following article is based on a webinar that covered several topics that will be under discussion during our upcoming RETHINK conference in Chicago, Aug. 18-20. To learn more about RETHINK and purchase a ticket, please go to: https://skillednursingnews.com/snn-live-event/rethink/ Given that access to capital is easy to find but harder to justify in […]

‘How Do We Fit In?’: Reimagining the Nursing Home Sector Depends on Reimbursement Diversification

Editor’s Note: The following article is based on a webinar that covered several topics that will be under discussion during our upcoming RETHINK conference in Chicago, Aug. 18-20. To learn more about RETHINK and purchase a ticket, please go to: https://skillednursingnews.com/snn-live-event/rethink/ Nursing homes looking to reimagine their company’s future are right now focused on reimbursement […]

CarDon CEO Zach Cattell: Managed Medicaid is ‘Biggest Wrench’ Pushing System Overhaul 

As Zach Cattell, the newly appointed president and CEO of CarDon & Associates, celebrates wins, he is mindful of several challenges stemming from both federal and state policies, with the biggest one currently being Indiana’s shift to managed Medicaid. Managed Medicaid is only currently implemented in a few states such as Illinois, Iowa, Ohio and […]

‘Most Harmful’: Health Insurer Prior Authorization Reforms Fall Short of Nursing Home Industry Expectations

More than 40 health insurance providers announced a joint initiative on Monday and met with Trump administration officials to overhaul and streamline the prior authorization process by reducing administrative burdens on health care providers. However, there remains a big question mark over whether the move will ease pain points for nursing homes.  The insurers –  […]

Senate GOP Plan Spares Nursing Homes from Provider Tax Cuts, But ‘Smaller Medicaid Funds Pie’ Looms

Senate Republicans are pushing a proposal to scale back Medicaid provider taxes to help fund a sweeping budget package – but nursing homes and intermediate care facilities would be exempt from the cuts. A draft from the Senate Finance Committee proposes gradually reducing the maximum provider tax rate in Medicaid expansion states from 6% to […]

‘Punitive and Vindictive’ Regulation: Inside Ignite’s Juggling of Burdens from Medicare Advantage to Surveys

Ignite Medical Resorts is entering the second half of 2025 eager for regulatory reform, but it has been able to overcome burdens stemming from managed care so far by envisioning it as a “core competency” alongside a strong focus on tech innovation. The company is also forging ahead with plans to grow its physical footprint […]

AI-Powered Monitoring Gains Traction in Nursing Homes Amid Staffing Shortages and Higher Acuity

Nursing homes are implementing clinical tech, especially AI, to support staffing.The trend could signal a broader shift as nursing homes pursue tech-enabled care coordination to remain competitive and meet increasing acuity demands. Operators see the practice as a way to strengthen partnerships, especially with hospitals, in turn aiding in referrals. But, tight margins tied to […]