While many owners in the skilled nursing space saw a reduction in beds this year, the biggest losers were overwhelmingly government entities and not-for-profit organizations, while for-profit entities have lost far fewer beds. In terms of bed reduction by location, rural markets largely took the hit, according to Lisa McCracken, director of senior living research […]
For the nursing home industry, 2022 will go down as a historic year, in no small part because the Biden administration announced a comprehensive list of nursing home reforms. The proposals include provisions for minimum staffing requirements, increased financial transparency for operators, and programs to target ‘bad actors’ with financial penalties and increased scrutiny. Not […]
Bernie McGuinness, CEO of Majestic Care, always knew that he wanted a rewarding career where he could work with people and make a tangible impact. His pursuit of such a career led him from being a certified nursing assistant (CNA) to the CEO of a nursing home company that he co-founded. Majestic Care now has […]
The pandemic created myriad risk factors for nursing home operators, many of whom have been primarily focused on staffing shortages and infection control for the past three years. Yet as the industry continues to evolve, operators may need to diversify their risk mitigation strategies to prepare for higher acuity residents, the implementation of the Phase […]
Administrators and executives with decades of experience believe leadership in the skilled nursing space has fundamentally changed. A reactionary mindset has taken hold among nursing home administrators, affecting morale within facilities and slowing the evolution of the sector. It’s incredibly difficult to look at overall recovery and have a wider perspective when there’s such a […]
Skilled nursing operators should anticipate further distress in the coming months and into 2023, which will likely result in even greater divides among providers. The winners and losers already are being sorted, as the latest round of real estate investment trust (REIT) earnings made clear. And unsurprisingly, strong regional operators are leading the pack. Welltower […]
Despite federal efforts to curb inappropriate medication use in the nursing home setting, national entities say the overall use of psychotropic drugs in the space remained “high and unchanged” since 2011. A report released Thursday by the Department of Health & Human Services (HHS) Office of the Inspector General (OIG) delved into the continued use […]
As one of, if not the largest nursing home operator in the country, The Ensign Group (Nasdaq: ENSG) has quickly filled turnaround properties with a robust talent pipeline – including having 30 to 40 administrators-in-training at all times – despite a historic staffing shortage. Leadership also delved into why the Texas Medicaid rate is such […]
Leaders in the skilled nursing space have increasingly seen value in creating a primary care strategy, with some intending to become part of a risk-based model as part of that strategy — especially as acuity continues to be high among residents. Operators looking to shift to such a strategy need a clear vision of how […]
Despite the federal government’s likely decision to keep the public health emergency (PHE) in place past January, the nursing home industry continues to prepare for operations without the safety net of certain waivers. Leaders in the space say any continuation of PHE waivers – temporary or permanent – should be dependent on cost and patient […]
Covid-19 infections and deaths in nursing homes plummeted after the omicron variant receded and efforts were undertaken to ensure staff and residents were vaccinated, boosted and masked. Yet as fall fades into winter, many operators are bracing for the likelihood of a tripledemic: Covid-19, Respiratory Syncytial Virus (RSV) and influenza all at once. Mandatory masking […]
As several states across the country have extended or made permanent nursing home Medicaid rate bumps tied to the pandemic, at least in part to stem the tide of high staffing costs and inflationary pressures, Texas operators are anxiously awaiting their fate ahead of next year’s legislative session. Focused Post Acute Care Partners CEO Mark […]
As nursing home operators continue to tackle the host of issues that have challenged them throughout 2022, many have set their sights on what’s in store for the year ahead. Industry-wide staffing shortages, an ever changing regulatory environment and record inflation will likely remain pain points for the sector heading into the new year, but […]
Larger implications surrounding a nursing home case to be heard by the U.S. Supreme Court on Nov. 8 has both operators and civil rights activists anxiously awaiting a decision. For SNF operators, the case could determine whether state-owned nursing homes are shielded from federal lawsuits. Far-reaching questions regarding Medicaid beneficiaries and their rights in federal […]
With wage inflation and crushing labor market shortages, skilled nursing operators face steep competition relative to other industries — especially those in regions where labor availability is limited and employer demand is high. The industry as a whole still remains 220,200 jobs below pre-pandemic levels, and 312,600 jobs below its peak in September 2011, according […]
Therapy providers in the nursing home space believe their role in increasing mobility will contribute to upside in the sector – especially within the context of the Patient-Driven Payment Model (PDPM), pandemic recovery and staffing challenges. It’s a draw for prospective residents and their families, both on the short-term and long-term side, as clinical improvements […]
In 2014, Hebrew Home at Riverdale’s Medical Director Zachary Palace was faced with a perplexing question: By permitting residents to exercise their full rights as citizens of the state, could he put the senior care center at risk for non-compliance? At that time the Compassionate Care Act, New York’s medical cannabis law, had just been […]
An already risky move to turnaround a building on the Centers for Medicare & Medicaid Services’ (CMS) Special Focus Facility list may become an even greater challenge. Those that have taken on the task say recent punitive restrictions could mean less operators will opt to purchase these types of facilities in future. In turn, especially […]
Despite the nursing home industry being in the grips of a staffing crisis – with more leverage in the hands of direct care workers – unionization in the space hasn’t taken off across the country like many were expecting. Instead, national unionization in the sector slowly increased from just under 10% in 2010 to 16.8% […]
The nursing home industry remains largely fragmented, evidenced by the fact that just under one-third of the sector is currently made up of single site providers. But that number is beginning to slowly decline — having fallen two percentage points over the course of the Covid-19 pandemic, according to NIC MAP Data, powered by NIC […]
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