‘This Isn’t Partisan’: AHCA’s Clif Porter Warns of Long-Term Challenges for Nursing Homes Amid Wins

Clif Porter, president and CEO of the largest advocacy group for nursing homes in America, said that among the year’s major wins for the sector – such as the freeze on provider taxes – were hard-won battles, but certainly a welcome development amid looming challenges and the current economic climate. In an exclusive interview with […]

AHCA’s Clif Porter on Push for ‘Rationalized Regulation,’ Compliance Shifts and Improving Medicare Advantage

The nursing home sector hopes to move away from outdated, punitive oversight and toward a more constructive, modern regulatory model in 2026 and beyond – an approach Clif Porter, president and CEO of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), has been tirelessly working to achieve and refers to as […]

Nursing Homes Follow Regulatory ‘Breadcrumbs’ and Share Staff Across Diversified Portfolio

Having the right staff is key for skilled nursing providers to remain financially viable in a volatile market, and with recent regulatory changes, planning for higher acuity patients takes priority. These are some of the takeaways leaders from Journey Skilled Nursing and Ocean Healthcare shared during a panel discussion at the recent Skilled Nursing News’ […]

Medicare Advantage’s Challenges Amid Strong Census at Nursing Homes is Driving Shifts in Payer Mix, Room Design

As census rebounds across nursing homes, the growing influence – and financial strain – of Medicare Advantage is pushing providers to rethink both their payer mix and physical design of buildings. While the industry is clearly moving toward Medicare Advantage and value-based care models – and making accommodations to balance quality care with reduced reimbursement […]

‘Mixed Feelings’: MDS Section R Removal Offers Savings, Reduces Admin Burdens, But Nursing Homes Say They Need It

As of October 2025, CMS has officially removed Section R from the Minimum Data Set (MDS), eliminating four items related to social determinants of health (SDOH), including questions on food security, housing, and utilities. The finalized change, initially unexpected, is influencing how skilled nursing facilities (SNFs) approach discharge planning and resident care coordination, and it […]

‘Jumping Through Hoops’ Mentality Spells Trouble for Skilled Nursing Providers

Skilled nursing providers are adapting to a new, post-pandemic landscape for working with acute-care partners and participating in value-based care models like accountable care organizations (ACOs). However, it remains essential for SNF providers to get a seat at the table early in the process and play a role in building partnership models. These are some […]

From Risk to Referral Management: How Nursing Homes Are Using Technology to Thrive and Minimize Citations

Technology is shaping operations, care delivery, staffing, and regulatory risk management in nursing homes, and its deployment, long thought to be behind the times, is finally catching up to other sectors within the health care continuum.  From a regulatory and risk management perspective, Brickyard Healthcare’s chief clinical officer, Lisa Chubb, said that the use of […]

‘Everybody Goes Under’: Idaho’s Medicaid Cuts Threaten Nursing Home Closures and Deepen Strain on Fragile Rural Economy

Leadership at Cascadia Healthcare, which operates 25 facilities in Idaho, is raising the alarm over recent back-to-back Medicaid rate cuts in the state, warning that they threaten not only facility closures but could also impact the entire health care ecosystem. Idaho lowered its Medicaid reimbursement rate by 4% on Sept. 1, after lowering rates 3% […]

Inside Creative Solutions’ Acquisition of 18 Nursing Facilities, And What Comes Next

Having acquired the real estate of 18 facilities over a period of 18 months, Creative Solutions in Healthcare is moving forward with an accelerated growth strategy underpinned by HUD financing. “Since we’ve operated across most markets in Texas, we’ve built a deep understanding of where we perform the best, both urban and rural,” Chris Eamiguel, […]

‘Respiratory is One of the Biggest Denials’: Inside the New MDS and Avoiding Costly Compliance Errors at Nursing Homes

In the latest Minimum Data Set (MDS), effective on Oct. 1, providers will need to pay close attention to definition changes, including the term used to define gender, as well as to the sections on Falls and Therapy Services, which have become known as major sources of compliance errors and revenue loss. Sector experts advise […]

Trilogy Chief Medical Officer: Payers, SNF Providers Have Many Opportunities to Simplify Medicare Advantage

The rise of Medicare Advantage has created problems related to skilled nursing, including “unneeded and unnecessary care delays,” according to Trilogy Health Services Chief Medical Officer Andrew McNamara, M.D. However, SNF providers also have to better understand Medicare Advantage in order to address these issues, McNamara told Skilled Nursing News in an interview that has […]

‘Golden Age of Census’: To Seize the Moment, Nursing Homes Must Mirror Hospitals’ AI Use, Unburden Staff

While census remains strong at nursing homes, certain factors – such as insufficient hiring of skilled clinical workers and limited use of technology and AI tools to align with referral partners and hospitals – could negatively impact census. Andy Frasure, COO of Larry H. Miller Senior Health, and Steve Hart, COO of Heritage Operations Group, […]

Long-Term Care Pharmacy Giant Omnicare Files For Bankruptcy, Explores Restructuring Options

Long-term care pharmacy Omnicare has entered into Chapter 11 bankruptcy proceedings and is considering various paths forward, including a standalone restructuring or a sale. Omnicare is a subsidiary of CVS Health (NYSE: CVS) and provides pharmacy services to the long-term care market, including skilled nursing facilities, independent living communities and assisted living communities. The LTC […]

CMS Proposal Raises Stakes Around 3-Day Stay Rule, Redefining Skilled Nursing Facilities’ Role

A proposal from the Centers for Medicare & Medicaid Services (CMS) to phase out a list of inpatient-only hospital procedures threatens skilled nursing facility (SNF) access if the so-called three-day stay rule is not eliminated, and also should prompt bigger thinking about the role SNFs can and should play in the U.S. health care system. […]

These Are The Top Benefits Nursing Homes Seek From Dining, Environmental Services Tech

By Kristin Carroll Increased resident satisfaction is the top benefit that nursing home providers are hoping to achieve by implementing more technology in their dining and environmental services. That’s according to a survey of nursing home providers conducted by Skilled Nursing News in early summer 2025. The survey focused on strategies for managing environmental, dining, […]

What’s Driving Skilled Nursing M&A With ‘COVID Hangover Over’

Despite macroeconomic and regulatory uncertainties, the investment outlook for skilled nursing and assisted living is robust. That’s according to panelists at Skilled Nursing News’ recent RETHINK conference, who highlighted that conditions are finally normalizing in the skilled nursing space, five years after the COVID-19 pandemic struck. “The COVID hangover is over,” said Sam Bechthold, chief […]

Nursing Homes Drive Quality Outcomes With Sharper Focus On ‘Best Medicine We Have’

In their quest to reduce hospitalizations and improve patient outcomes, nursing home providers should not underestimate the difference that strong hydration and nutrition programs can make. This was one theme of the recent Skilled Nursing News RETHINK Conference in Chicago, where leaders with various providers spoke of their companies’ efforts and achievements in these areas. […]

Longer Pre-SNF Hospital Stays More Likely For Medicare Advantage Beneficiaries

Hospital length of stay has been increasing more dramatically for Medicare Advantage beneficiaries than traditional Medicare beneficiaries, and this trend is especially pronounced for people who are discharged to a skilled nursing facility. This is according to an article recently published in JAMA Internal Medicine. In the third quarter of 2023, hospital patients on Medicare […]