The Future of Labor Activism in Nursing Homes

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% […]

Why the Future of Standalone Skilled Nursing Facilities Could Be Dim

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 […]

[UPDATED] CMS to ‘Crack Down’ on Troubled Nursing Homes Through Special Focus Facility Program Changes

In its latest move to increase scrutiny of the skilled nursing industry, the Biden administration is toughening requirements for nursing homes that fall into its Special Focus Facilities (SFF) program. Specifically, the Centers for Medicare & Medicaid Services (CMS) is making completion requirements more challenging and increasing enforcement actions if SNFs fail to show improvement, […]

Rethinking the Role of the Nursing Home CEO

Doing away with large, multi-layered corporate structures, as some of the largest skilled nursing operators have done in recent months, has given companies both big and small the opportunity to assess — and in some cases — rethink the role of the company’s top executive. Iowa-based Accura HealthCare CEO Ted LeNeave purposely placed himself at […]

What Nursing Homes Should Consider As CMS’s Requirements of Participation Deadline Nears

As nursing homes make final preparations for Phase 3 updates to the requirements of participation set to take effect in the coming days, providers and legal experts expect infection prevention and behavioral health to be where surveyors focus first. Readiness for the “low hanging fruit” is a good place for providers to start given the sheer amount […]

Nursing Home Industry Recovery Requires More Pain and Innovation

It’s hard to pin down how nursing home operators should be feeling as the end of the year approaches. The best way I could describe it, one week after attending the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) conference in Nashville, is a combination of optimism and pessimism that fluctuates depending on the […]

Why A.G. Rhodes is in a ‘Uniquely Competitive Position’ Amid Industry Ownership Upheaval, Obstacles

In spite of current trends suggesting a skilled nursing ownership shakeup, particularly an uptick in nonprofit operators either closing completely or selling to for-profit operators, one leader in the space has a differing view on their role in the sector. Georgia-based nonprofit A.G. Rhodes CEO Deke Cateau thinks that amid all of this change coming […]

Good Samaritan CEO: ‘We’ve Still Got a Long Way to Go’ With Thousands of Open Positions

With roughly 2,000 job openings to fill, Evangelical Lutheran Good Samaritan Society CEO Nate Schema has had to attack the issue from all sides. Most recently Good Samaritan launched a director of nursing (DON) in training program in hopes of developing a “very defined pathway to grow high potential people.” The not-for-profit senior care giant […]

Nursing Home Workforce, Medicare Advantage, Therapy Pay in Focus on Capitol Hill

While the spotlight on skilled nursing continues to shine bright, an election year has advocacy groups certain that legislative efforts will be pared down to just a couple key pieces Congress aims to tackle this fall. Policy dedicated to boosting a floundering workforce, expanding telehealth beyond public health emergency (PHE) waivers, and streamlining authorization processes […]

SNF Operators Cautious Over CDC Mask Changes Amid Regulatory Whiplash, Fatigued Staff

The majority of nursing homes will not be able to take advantage of the Centers for Disease Control and Prevention’s (CDC) updated mask policy as many are still in high transmission zones for Covid-19. The CDC last month issued updated guidance that removed its blanket masking policy to better reflect vaccine efforts, infection-induced immunity and […]

3 Nursing Home Legal Issues to Watch in 2022 and Beyond

As a flurry of regulations and mandates descend upon the nursing home sector, such changes could create legal obstacles, and suggest yet another difficult and onerous year for providers. Staffing mandates, the aftermath of the end of the public health emergency (PHE), Covid liability and the PREP Act, all create “existential threats” for skilled nursing […]

Ensign On Track to Overtake Genesis As Largest Nursing Home Operator

The Ensign Group (Nasdaq: ENSG) is poised to overtake Genesis HealthCare as the largest nursing home operator in the country as it continues to build upon its rapidly growing portfolio, according to ownership data released last week by the Centers for Medicare & Medicaid Services (CMS). Ensign could be the largest skilled nursing provider in […]

REITs Gain Dealmaking Edge, Will Pursue Prized Skilled Nursing Operator Relationships

Real estate investment trust (REIT) dealmaking for the rest of this year and into 2023 will largely be driven by the desire to deepen existing or secure new partnerships with skilled nursing operators that have “weathered the storm exceptionally well.” That’s according to Michael Segal, executive managing director and partner at Blueprint Healthcare Real Estate […]

‘Powerful Data’ Could Inform CMS’ Nursing Home Minimum Staffing Standards

As federal minimum staffing requirements loom for skilled nursing providers, analysts with the Medicare Payment Advisory Commission (MedPAC) unveiled crucial data detailing the effects of state-level standards on the industry. While research found state minimum staffing requirements increased staffing levels and in some cases improved quality measures, there were some unintended consequences: a decrease in […]

‘The World is Changing’: How HDG Is Adapting for the Future of Skilled Nursing

“Wild” and “crazy” are adjectives that describe aspects of the skilled nursing business at the moment, according to Health Dimensions Group (HDG) CEO Erin Shvetzoff Hennessey. Labor is “just wild,” she told Skilled Nursing News during an interview at the recent National Investment Center for Seniors Housing & Care (NIC) conference in Washington, D.C. And […]

‘A Totally Different Level’: How Covid Changed the Nursing Home Activity Director Role

Activity coordinators in the skilled nursing space have had to get infinitely more creative in the face of pandemic precautions – and residents’ resulting depression and anxiety borne from isolation. People who fill the role must be “dynamic” in creating and executing resident programming and have the bandwidth to do more customized programs, according to […]