As Trilogy Health Services has grown from two facilities to 127 since Leigh Ann Barney came on board, the senior care company has continued to scale its business by being “strategically opportunistic.” What that means, according to Barney, is that Trilogy has acquired or built buildings by following the organization’s core tenants: Offering care across […]
Nursing home operators were able to tell the Centers for Medicare & Medicaid Services (CMS) directly how much certain waivers helped their organizations during the pandemic, with the temporary nurse aide (TNA) and three-day stay waivers being the most beneficial. SNF industry leaders also made their case for extending waivers or making some permanent during […]
Leaders from three large health systems say transparency, a willingness to work together and take on new residents, and more communicative, mindful care transitions are the best ways to strengthen relationships between hospitals and nursing homes. Hospital executives have seen their relationships with skilled nursing operators expand in dynamic ways – sometimes strengthened, other times […]
Recruiting and retaining a skilled, motivated workforce continues to be one of the most vexing issues facing the industry, especially as competition has extended far beyond the nursing home down the street. There is no one “silver bullet” to solve the workforce crisis and staffing solutions are often market specific, industry leaders say. Indiana-based Majestic […]
Skilled nursing operators shouldn’t be scared of losing market share to the shift to home trend, including SNF-at-home – at least not in the near-term. Instead, operators need to look at shifts to home-based care as an opportunity to diversify business lines in the future, as patient preference, Medicare Advantage (MA) plans and technology advancements […]
The skilled nursing sector has endured whiplash since the early days of the pandemic, with federal agencies at first supporting the sector only to call for vast reform several years later. Such a cycle is one owners and investors have seen before, and one not likely to break any time soon – but that doesn’t […]
While nursing home operators welcome more time to certify temporary nurse aides (TNAs), many believe it’s simply not enough — and must be just the first in a series of steps the federal government has to take — to help revive a seriously depleted workforce from top to bottom. The Centers for Medicare & Medicaid […]
Nursing homes racing to certify hundreds of temporary nurse aides ahead of an Oct. 7 deadline may have some additional time to do so. The updated Centers for Medicare & Medicaid Services (CMS) guidance, issued on Monday and first reported by Bloomberg Law, provides opportunities for individual facility and statewide or county waivers when barriers […]
Nursing home providers and industry leaders renewed their pleas this week to federal government officials to consider non-nursing positions in its proposed minimum staffing requirements, perhaps to no avail. An upcoming study to help determine an appropriate staffing level will squarely focus on nursing staff, specifically registered nurses (RNs), licensed practical nurses (LPNs), licensed vocational […]
Donna Kelsey considers herself an optimistic realist. As the head of American Senior Communities (ASC), Kelsey remains hopeful about the opportunity to boost census across the company’s 102 facilities. She also recognizes the realities of continuing to operate in a pandemic where federal and state regulations for nursing homes remain tight as the rest of […]
More than two years after Covid-19 first hit the United States, more nursing home operators are expanding services for residents, in part to address care gaps exposed by the pandemic. Palliative and hospice care in particular are two service lines operators are targeting. Murfreesboro, Tenn.-based National Healthcare Corp. (NHC) acquired outstanding stakes in Caris Healthcare […]
Coming out of three-plus years of isolation and uncertainty during the worst of the pandemic, perhaps it’s not a surprise that the nation’s nursing homes residents are suffering from increased indications of anxiety and depression. The number of residents that show clear signs of behavioral health challenges is coupled with, in some cases, a severe […]
Current immigration policies are creating unnecessary roadblocks that hinder the recovery and potential growth of the nursing home industry’s workforce by “leaps and bounds.” And the situation has only become increasingly more dire as the sector faces a labor shortage at levels not seen in the last three decades. The ability to bring over international […]
Industry leaders looking to boost staffing numbers in 2022 and beyond can no longer sit on the sidelines expecting workers to join the sector simply based on a company’s marketing efforts or increased wages. Instead, those at the helm of nursing home companies should take an active role in getting young people introduced to the […]
The federal government provided relief to the nursing home industry in the form of a phased-in parity adjustment and a 2.7% pay bump, but a potentially enormous obstacle still stands in the way of the sector’s recovery. While many industry leaders believe a federal staffing ratio is all but guaranteed, the Centers for Medicare & […]
Continued federal and state movement toward more patient-driven care has had a ripple effect across the care continuum, in a lot of ways changing relationships between health care sectors that are normally siloed. Nursing homes and hospital systems are no exception, with the Patient-Driven Payment Model (PDPM) prompting relationship building efforts on both ends. Communication […]
Licensed practical nurses (LPNs) want to take on more leadership responsibilities – and operators want them to be in such positions – as the pandemic, coupled with the Patient-Driven Payment Model (PDPM) and staffing crisis, force employers to rethink paths to promotion. The LPN wasn’t always the first choice for leadership positions, according to Catherine […]
As the Centers for Medicare & Medicaid Services (CMS) works to establish federal minimum staffing levels, industry leaders are calling on the government agency to broaden the caregiver definition. The current federal requirement does not provide a specific daily minimum standard, rather, it states that nursing homes must provide “…sufficient nursing staff to attain or […]
PruittHealth continues on its track toward growth, particularly in urban markets, but its CEO Neil Pruitt says the federal government needs to put more resources toward rural markets for operators. The Norcross, Georgia-based operator has set its sights on expanding into contiguous markets while deepening its presence in certain states – Tennessee is next on […]
While the nursing home industry has been struck with headlining reforms and looming mandates set to shake the whole sector, some compliance issues have largely flown under the radar for operators. Compliance surrounding trauma-informed care and care quality metrics, such as unplanned weight loss, loss of mobility and pressure injuries, are all still important areas […]
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