GUIDE Unworkable for Some SNF and Home Health Providers, CMS Open to Fixes

The GUIDE (Guiding an Improved Dementia Experience) model is proving difficult to implement for some providers who initially were excited about it, with one large nursing home provider already exiting the program. An official with the Centers for Medicare & Medicaid Services (CMS) said that lessons learned from early experiences in the program will inform […]

CMS Tightens Audit Oversight As Improper Payments Rise and Nursing Homes Lead in Doc Errors

Audit activity is expanding in the nursing home sector, with improper payments rising and nursing homes continuing to lead in documentation errors. As a result, the Centers for Medicare and Medicaid Services (CMS) is expecting better documentation quality, as well as timely responses. A nearly 10% rise in improper payments has intensified CMS’ oversight of […]

Wide Range of TEAM Readiness, But Some Skilled Nursing Providers Poised to Capitalize

With the Transforming Episode Accountability Model (TEAM) launching in January, the level of readiness varies greatly among skilled nursing providers, as well as hospitals mandated to take part in the initiative. Some nursing home providers are in the position of educating hospitals about the program, giving these SNF operators a chance to stand out as […]

How Skilled Nursing Providers Are Rising to 3 Top Reimbursement Challenges

Achieving financial stability and growth in the current reimbursement environment is no small task for nursing home providers. Three particular challenges relate to value-based purchasing (VBP) program changes, effects of the One Big Beautiful Bill Act (OBBBA) and the continued rise of Medicare Advantage, leaders with Ignite Medical Resorts and ArchCare said during a recent […]

Nursing Homes Lean on a Supply Chain Mindset and the Scheduler Role for Chaos Control

Skilled nursing organizations are finally realizing the scheduler’s role – crucial in balancing care and budgetary needs – in the ideal form they envisioned amid the crippling staffing shortages that plagued the sector following the COVID-19 pandemic. Schedulers have proven to be the most effective means of chaos control in facilities, provided they have the […]

‘Gatekeeping Power’: 3-Day Stay Rule Remains Locked in by Preferred Provider Networks, Star Ratings for Nursing Homes

Despite calls by advocacy groups for nursing homes to eliminate the 3-day hospital stay rule, the structure of insurance plans, preferred provider networks and lobbying interests might make that a distant reality. According to Joe Veno, president of EF Senior Living Management, insurers and provider networks have invested substantial resources in building systems around the […]

Palliative, Hospice Access Issues Reduce SNFs to ‘Holding Areas’ for Declining Patients

The phenomenon of patients trapped in a “rehabbed to death” cycle is all too prevalent, and it could be disrupted by better access to palliative care and earlier admission into hospice, skilled nursing leaders believe. Their observations come following a study published in the Journal of the American Geriatrics Society. The study’s authors proposed that […]

‘The Good, Bad and Ugly’: Inside Understanding Work Culture to Keep Staffing Chaos in Check at Nursing Homes

It’s no surprise that the principle of understanding employee needs and wants is key to controlling the staffing chaos – an ever-present threat at nursing homes – and yet it is also the step most often applied incorrectly. According to panelists at a recent Skilled Nursing News webinar titled, Beyond the Chaos: A Proactive Playbook […]

Northwind Group Raises $342.5M for Debt Fund, Expects to Allocate 70% to Nursing Home Assets 

The Northwind Group announced Thursday the closing of its second health care debt fund, which raised $342.5 million and exceeded its $250 million target. About 70% of the capital is expected to go toward financing skilled nursing assets, a sector the company’s leaders described as more stable and rebounding amid limited supply. Less than 30% […]

US News Ratings Show Best Nursing Homes Provide 20% More Staffing Per Resident Day

U.S. News and World Report’s nursing home ratings for 2026 expand metrics used for evaluation while also adding data from a greater variety of sources than in the past. Quality indicators nearly doubled, with emphasis placed on staffing across different roles – and the results show a correlation between staffing levels and top-rated facilities. The […]

Quality Still the ‘Stake in the Ground’ as Nursing Home Operators Tackle Dining, Staffing and Reimbursement Pressures

After years of pandemic-driven focus away from dietary departments, dining is back in the spotlight – and impacting operations. Residents’ preference for in-room meals has created social and staffing challenges, while expectations for quality dining remain high, and this has resulted in some solutions that improve both clinical care and quality while reducing burdens for […]

Slower Hospital Discharge of Medicare Advantage Patients Shapes SNF Admissions Practices

Recently released research affirmed what skilled nursing operators know all too well: Medicare Advantage requirements are creating impediments to patients’ timely care transitions. That’s according to SNF provider leaders who spoke with Skilled Nursing News (SNN) in the wake of a JAMA study outlining how Medicare Advantage patients averaged longer pre-SNF hospital stays than traditional […]

AHR Execs on Leveraging Trilogy Model Across Long-Term Care Portfolio as Segment Drives 3Q ‘Outsized Growth’

American Healthcare REIT (NYSE: AHR) reported another strong quarter, lifted by the best operating environment for long-term care in decades, executives said, highlighting Trilogy as one of its leading segments driven by a centralized revenue management approach that AHR is now leveraging across its portfolio. AHR’s quarterly performance was generally a testament to the strength […]

Inside Sabra’s Push to Maximize on Current Market Conditions with Plans for Nursing Home Deals in 2026 

Sabra Health Care REIT (Nasdaq: SBRA) continued its shift away from skilled nursing facilities (SNFs) toward managed senior housing operations during the third quarter, but executives pushed back on the notion that the move reflects “herd” behavior, citing favorable demographics and market conditions. While Sabra’s focus on SNFs this year has been less, it won’t […]

PruittHealth CEO: Aligning with Another Major Post-Acute Provider Will Drive Population Health

The CEO of PruittHealth is bullish on how a newly announced partnership with another major post-acute provider will drive population health efforts while focusing the organizations on their true competition. PruittHealth and Community Health Services of Georgia (CHSGa) are the two largest post-acute care providers in the Peach State; their partnership, announced on Oct. 31, […]

‘Census Momentum’: Nursing Home Giant Ensign Grows Footprint, Service Lines, Physician Involvement in 3Q

Amid record occupancy, rising Medicare managed care, and growth through 22 acquisitions in the third quarter, Ensign Group (Nasdaq: ENSG) maintained strong clinical performance and added new service lines to care for more complex residents. The demand for Ensign’s services will only grow given that the facilities are successfully able to care for higher acuity […]

‘The Private Ensign’: Omega Execs Laud $222.4M Saber Healthcare Deal as One of a Kind for the Nursing Home Sector

Executives at Omega Healthcare Investors (NYSE: OHI) said the company’s third quarter was marked by operational improvements and high occupancy, enabling the company to pursue additional investments, as they shared details on its latest $222.4 million joint venture with affiliates of Saber Healthcare. CEO Taylor Pickett lauded the Saber deal as one of a kind. […]