What Service Lines 5 Nursing Home Leaders Plan to Invest In For the Future

With data suggesting that more than 400 nursing homes could close in 2022 and pandemic-related federal funding coming to an end, SNFs are increasingly having to find ways to solidify their role in the post-acute care continuum moving forward. For nursing home leaders, this means identifying what types of investments will move the needle forward […]

Nursing Homes Pay ‘Exorbitant’ Agency Costs to Comply With Staffing Minimums

State staffing minimum laws are colliding with spiking agency costs, with some facilities forced to continue or increase the use of expensive temporary staff to meet state requirements. The dissonance is especially felt in states like New York, which has the largest Medicaid reimbursement shortfall in the nation, according to Stephen Hanse, president and CEO […]

Closures, Consolidation, Sales: Skilled Nursing Ownership Goes Through Shakeup

For-profit nursing home owners such as private equity firms and real estate investment trusts are under fire from the federal government — but current trends suggest that not-for-profit ownership alone is not a viable alternative to meet the needs of the United States’ aging population. Freestanding senior housing and care not-for-profits (NFPs) are closing altogether, […]

CMS Works to Further Reduce Inappropriate Medication Use in Nursing Homes as Part of Biden Reforms

The Biden administration’s recent efforts to further reduce inappropriate medications in nursing homes has been a multi-year endeavor for industry leaders, but many in the space believe there is still a long way to go. As part of the administration’s nursing home reforms, the Centers for Medicare & Medicaid Services (CMS) will launch a new […]

‘We’re Hurting Big Time’: Medicare Therapy Cut Worsens SNF Staffing Crisis, Care Access

Nursing home residents, staff and company leadership in the physical therapy space are already seeing a bottleneck in access to care, driven by cuts to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) that went into effect three months ago. One significant cut among Medicare Part B physical and occupational therapy […]

Future of the CNA: Nursing Home Reform Efforts, Staffing Crisis Drive Changes in Key Role

Recent calls for nursing home reform and actions from regulators and lawmakers have drawn renewed attention to the role that certified nursing assistants currently play in care centers – and how their role could evolve. Some skilled nursing operators have responded to calls for expanding the CNA role by creating more specialized positions, and legislatures […]

[UPDATED] CMS’s Proposed $320M Decrease in Nursing Home Medicare Funding Could Be ‘Ruinous’ for Struggling Operators

The federal government on Monday proposed its payment rate update to nursing home reimbursements for fiscal 2023, which includes a 4.6% cut related to the Patient-Driven Payment Model. That cut from the Centers for Medicare & Medicaid Services (CMS) amounts to a total loss of $320 million, according to the agency. CMS – in its […]

[UPDATED] CMS to Phase Out Nursing Home TNA Program, Other PHE Waivers

In light of steadily increasing vaccination rates for nursing home staff and residents, and overall improvement to outbreaks in the space, the Centers for Medicare & Medicaid Services (CMS) on Thursday said it is phasing out some of the temporary waivers linked to COVID-19 and the public health emergency (PHE). Among those is the temporary […]

A Broken System: New Proposals to Overhaul Nursing Homes Laid Out in Landmark Report

The way care is financed, delivered and regulated in the nursing home sector is both ineffective and inefficient, a new report from the National Academies of Sciences, Engineering, and Medicine found, as significant strategic investment will be needed to improve what has become a fragmented and unsustainable system. The wide ranging report called for swift […]

‘We’ve Got a Real Problem Here’: Parkinson Warns SNF Operators Could Face Medicare Funding Cuts

Skilled nursing operators may soon face disastrous Medicare funding cuts, American Health Care Association President and CEO Mark Parkinson warned on Thursday. The Centers for Medicare & Medicaid Services (CMS) is expected to release its latest proposed payment rule for skilled nursing providers in the coming weeks. While the nursing home sector has successfully fought […]

Nursing Home Administrator Hiring, Retention Challenges Deepen Industry Labor Struggles

Staffing challenges continue to strain skilled nursing facilities, and not just at the caregiver level. Operators are acutely aware that once a long-time administrator decides to leave the building, other staff may follow. It also takes time to fill the position – often more than a caregiver role – because depending on the state, administrators […]

Tying Staff Wages to Medicaid Rates May Help SNFs on the Brink, But CMS Blueprint Should be Flexible

While nursing home operators and industry trade groups appreciate the Biden administration’s proposal to use Medicaid as a tool to boost staff wages in the industry, some wonder if the federal government’s approach is too broad for an increasingly diverse industry. Facilities vary widely based on region and community demographics, company culture and size. Still, […]