Shifts in SNF Therapy Could Boost Margins, Ease Labor Pressures, Improve Outcomes

With the public health emergency ending, new therapy trends may take hold in the skilled nursing industry. In particular, an increase in concurrent and group therapy holds the potential to improve patient outcomes while also shoring up margins and addressing labor pain points. “You’re going to start seeing group and concurrent therapy again,” Rick Matros, […]

Solution in Search of a Problem: CMS’ Latest Nursing Home Ownership Proposals Raise Industry Concerns

For the last year, federal regulators have taken steps to increase nursing home ownership transparency, as part of the White House’s reform agenda. The most recent actions have centered on more clearly defining different types of ownership groups and making information more consumer-friendly – and have drawn concern and criticism from within the sector. About […]

Inside 3 Disruptive Trends Reshaping Skilled Nursing Sector

The skilled nursing sector is in the midst of upheaval, and providers must create and execute on strategies that involve difficult choices and significant financial investments if they hope to thrive in the future. “We are in a period of disruption,” Dana Wollschlager, partner and industry practice leader of senior living development and advisory services […]

Omega, PACS Execs: Nursing Home Owners, Operators Must Overcome ‘Myopic’ Approach to Thrive in New Era

To build relationships that can weather hurdles and succeed in a “new era” for nursing homes, owners and operators should focus on how they can drive mutual growth over time, through symbiotic, creative deals generating long-term value. That’s according to executives with Omega Healthcare Investors (NYSE: OHI) and Providence Administrative Consulting Services (PACS), who spoke […]

CMS Data Shows SNFs a ‘Good Landing Spot’ For Less Acute Patients, Emboldens Calls for Ending 3-Day Stay Rule

As nursing home advocates continue to push for ending the 3-day hospital stay requirement, a recently released federal agency report on the use of these waivers by accountable care organizations (ACOs) showcases some of the benefits that they have brought to patients and providers. Use of waivers by ACOs for a 3-day stay did not […]

Inside the Factors Driving High SNF Deal Prices — And Why Market Adjustment May Be Coming

Bed pricing for nursing homes remains astronomically high, despite a spate of economic factors that have dampened dealmaking, leading operators surprised and confused about the trend. Unfavorable interest rates, higher costs of care and market inflation have caused M&A activity to normalize, and yet bed prices haven’t budged. Bed prices averaged $97,000 per bed in […]

Skilled Nursing Providers Step Up to Meet Increasing Behavioral Health Needs, Regulatory Scrutiny

Amina Dubuisson, vice president of clinical services at Ventura Services in Florida, who has been working in health care leadership for over a decade, has noticed a significant change in the skilled nursing provider’s patient population. As the dust settled after the first three years of the pandemic, she began to notice long-term care residents […]

Mission Health CEO: Medicaid Increases Open Door to Services ‘We Never Thought We Could Provide’

Increasing Medicaid rates are finally allowing skilled nursing providers to deliver the level of care their residents need, as acuity is only expected to increase. This is the perspective of Stuart Lindeman, president and CEO of Mission Health Communities. Because of this increasing recognition among states that Medicaid rates must increase, he believes it’s an […]

Skilled Nursing Operators Protest ‘Insane Amount’ of Administration Needed as Medicare Advantage Expands

As the federal government pushes to get more beneficiaries on managed care, nursing home providers say the administrative burden associated with such clients is “extraordinary.” That’s according to Kim Majick, chief development officer at Carespring Health Care Management. A heavier administrative lift is set against a backdrop of dire staffing shortages, along with staffing minimum […]

After Adding 21 SNFs, Optalis Leverages Scale to Innovate

The changing nature of the skilled nursing business has enabled Optalis Healthcare to gain scale, adding 21 facilities through three deals executed in the last year. “The business has changed a lot; it takes a lot more in terms of resource deployment,” Optalis CEO Raj Patel told Skilled Nursing News during an interview at the […]

NHI CEO: SNF Assets ‘Steady Performers’ as Portfolio Optimization Nears Completion

Despite the challenges facing the nursing home industry, National Health Investors Inc. (NYSE: NHI) executives said on Wednesday that the real estate investment trust is on track for stable growth backed by steady performance of its skilled nursing facilities and its portfolio optimization. Still, the REIT’s Q4 2022 results point to ongoing challenges, including two […]

Sabra CEO Upbeat on Skilled Nursing Performance Amid ‘Slog’ of Labor Challenges

Executives at Sabra Health Care REIT (Nasdaq: SBRA) said after they close on a couple transactions in the next couple months, “that’ll pretty much be the end” of a capital recycling program they have been pursuing. They anticipate a quiet year on the acquisition front, with debt a constraint, while the skilled nursing environment remains […]

‘We Need to Start Today’: Nursing Home Providers Strive to Implement Workforce Tech Amid Challenges

As staffing remains one of the leading areas of trouble for nursing homes, operators have turned to technology tools that have improved both retention and recruitment of workers in the last year. But while operators, advocates and even insurance providers associated with the skilled nursing sector applaud the implementation of staffing-related technology, doing so is […]

COOs at Touchstone, Trilogy, iCare Pursue New Initiatives in SNFs to Surmount Some ‘Big Worries’ 

Skilled nursing COOs face a slew of challenges, but are also focused on seizing new opportunities to drive clinical quality, expand revenue streams and differentiate their companies in the marketplace. All this, while keeping a close eye on regulatory and reimbursement headwinds. “The opportunities that are out there as we come out of this public […]

Welltower CEO: ProMedica Transitions on Track, Deal Demonstrates REIT’s ‘Perseverance’

Last year was a period demanding “sheer grit and perseverance” from the Welltower (NYSE: WELL) team, and the new skilled nursing joint venture with Integra Health was one result of their efforts, CEO Shankh Mitra said Thursday during the company’s Q4 2022 earnings call. In that deal, Welltower sold and transitioned 147 skilled nursing facilities […]

‘So Undervalued’: Why Nursing Homes Need to Rethink the Scheduler Role

Is there a job in skilled nursing that can be likened to a Grandmaster chess player? According to Scott Erwin, workforce planning specialist at Reverence, it’s the role of the scheduler. At Reverence, Erwin oversees the development of artificial intelligence and advanced technology that takes some of the burden off of schedulers, and so he […]

Trilogy CEO: Clinical Initiatives Gain Momentum, Medicare Advantage Decisions Expected in 2023

Trilogy Health Services last week announced the appointment of the company’s first-ever chief medical officer, naming Dr. Andrew McNamara to the post. Appointing a CMO is just the latest step in Trilogy’s concerted, multi-year effort to elevate clinical care. The push can be traced to 2019, when Leigh Ann Barney became CEO. “People asked, what’s […]

CareTrust CEO: Medicaid Rebasing in Some States May Be ‘Too Little Too Late’ for SNFs

Medicaid rebasing efforts are driving dealmaking activity for the skilled nursing sector at the moment, as enhanced federal funding dries up and operators scramble to account for rising costs of care and a floundering workforce. That’s according to executives with CareTrust REIT (NYSE: CTRE). James Callister, chief investment officer , said during the company’s latest […]

Nursing Homes Struggle to Maximize Value of Infection Preventionists, with Regulatory Scrutiny Increasing

As nursing homes come under fire for inadequate handling of infection control, many in the industry are calling for equipping facilities with more infection preventionists, and even redefining the role. Recently released data from Covid surges in 2020 seems to show that nursing homes do indeed need to improve in this area, whether through a […]