‘Counterintuitive to the Goal:’ Impending Five-Star Staffing Measures Don’t Address Ongoing Labor Challenges

Operators and nursing home industry leaders wait with bated breath for the implementation of new staffing measures in its five-star rating system starting in July, a move seen by some as insensitive in light of a historic staffing shortage and soaring agency use. While facilities have been reporting staffing turnover and weekend staffing data since […]

Nursing Homes See Movement on Staffing Agency Reform

There has been a flurry of proposed legislation to better regulate staffing agencies, as those in the sector continue to charge soaring prices for much-needed staff in nursing homes. Operators and the state associations that represent them have pressed lawmakers to pass legislation on the largely unregulated staffing agency industry, with the exception of a […]

Why Skilled Nursing Providers Must Embrace the DON of Tomorrow

The director of nursing (DON) role has picked up dozens of additional responsibilities during the pandemic, clinical leaders say, as the nursing home sector continues to work through a historic staffing shortage. The result can amount to, at times, an “extremely stressful” position, according to North Shore Healthcare Chief Clinical Officer Tina Belongia. DONs across […]

Experiment Over: Future of Nursing Home 3-Day Stay Waiver in Doubt Post-PHE

While the Centers for Medicare & Medicaid Services (CMS) has been winding down certain waivers tied to the public health emergency (PHE), the agency has been noticeably silent about what could be the most impactful of the pandemic-related waivers – suspension of the three-day stay requirement. Industry leaders aren’t holding out much hope that the […]

Staffing Shortages Lead Nursing Homes to Rethink MDS Coordinator Role

Persistent staffing shortages combined with regulatory headwinds have put even more pressure on nursing home MDS coordinators, a specialty position that itself has not been immune to the job turnover felt across the sector. And their role to ensure that facilities get the reimbursement they earn and the right care is provided may be more […]

Leaving Money on the Table: SNFs Must Better Manage PDPM Reimbursement with Medicare Cuts Looming

It will be three years this October since the Patient-Driven Payment Model (PDPM) was first implemented, and some nursing homes are still struggling to adjust. While a global pandemic and unprecedented staffing shortages are partly to blame for problems in PDPM-related processes, so too is widespread staff agency use. And now, with a potential $320 […]

Former CMS Chief Verma: Focus on SNF Ownership a ‘Colossal Waste of Time,’ More Holistic Approach Needed to Drive Quality

As the Centers for Medicare & Medicaid Services moves ahead with efforts to increase transparency over nursing home ownership — and with private equity in particular taking heat — the former head of the government agency called some of the initiatives “a colossal waste of time.” Instead, former CMS Administrator Seema Verma believes a more […]

Covid-Related Nursing Home Lawsuits to ‘Skyrocket’ With Protections on Shaky Ground

While federal protections like the Public Readiness and Emergency Preparedness (PREP) Act provide at least a partial legal shield to nursing homes, an influx of Covid-related lawsuits could be coming down the pipeline. Litigators are looking to test nursing homes’ legal protections as lawsuit filing deadlines for the first few months of the pandemic arrive, […]