As Hospitals Struggle to Free Up Beds — and Nursing Homes Lock Down — In-House Dialysis Provides Relief

By waiving the three-day stay requirement for post-acute skilled nursing coverage under Medicare, the federal government has clearly indicated a desire to free up hospital beds by relying more heavily on nursing homes to provide higher-acuity services. Residents who require routine dialysis treatments are some of the most at-risk patients — and although this population […]

Once an Afterthought, Nursing Homes Embrace Social Media as Essential During COVID-19 Crisis

When Jonah Blumenthal, co-founder of the Pomona, N.Y.-based marketing firm TypoDuctions, first started pitching nursing home operators on the potential benefits of using social media, the response was decidedly skeptical. “Five years ago, people thought we were nuts — why in the world would a nursing home want social media?” Blumenthal told SNN recently. Engaging […]

Amid Shortages, Using PPE According to CMS Guidelines Could Cost Nursing Homes $10K a Day — Or More

Updated guidelines on the use of personal protective equipment (PPE) are causing major headaches for health care providers across the continuum, as both acute and post-acute care settings grapple with supply shortages and a surge in cases of COVID-19. Those headaches include grappling with significant shortages of equipment in the face of the highly contagious […]

Nursing Homes Shouldn’t Fear Overreacting to COVID-19 — Even If It Means Getting Ahead of CDC, CMS

As the chief medical officer for publicly traded nursing home giant Genesis HealthCare (NYSE: GEN), Dr. Richard Feifer has a bird’s-eye view on the strategies that hundreds of individual nursing homes have implemented in the fight against COVID-19. Appearing on the most recent episode of SNN’s “Rethink” podcast, Feifer was blunt about the decisions that […]

CMS: Nursing Homes Should Separate Staff Into Teams, Develop Dedicated Wings and Buildings for COVID-19

Building on individual state actions, the federal government on Thursday night directed the nation’s nursing home operators to begin setting up separate wings — or entire facilities — for residents who have tested positive for COVID-19, while also encouraging operators to use separate teams of staff members to better monitor developing cases. The Centers for […]

SNN Poll: Nearly 30% of Operators Pressured to Admit COVID-19 Cases, 28% Report Families Removing Residents

Nearly a third of skilled nursing operators reported feeling pressure to admit residents who had tested positive for the novel coronavirus, according to a recent poll conducted by Skilled Nursing News — while nearly the same percentage have seen family members take their loved ones out of the nursing home setting due to COVID-19 fears. […]

Skilled Nursing Telehealth Adoption Not Without Challenges — But COVID-19 Changes Likely Here to Stay

About a month after COVID-19 first arrived on America’s radar, the federal government continues to tear down the dense web of regulations surrounding all aspects of the health care continuum in an attempt to fight back against the coronavirus pandemic. As health care providers and officials look to prevent all non-emergency visits to nursing homes, […]

Some Managed Care Plans Lift Restrictions on Skilled Nursing Coverage Amid COVID-19 — But Not All

Multiple managed care plans have made changes to their procedures for admissions to the skilled nursing setting amid the ongoing coronavirus pandemic, with several major companies suspending prior authorization requirements for admissions to a skilled nursing facility. The changes, however, are not uniform — and that’s if the managed care organization (MCO) chooses to make […]

How Extended Care Clinical Worked to Halt a Nursing Home COVID-19 Outbreak

Less than 10 days ago, the Chateau Nursing & Rehabilitation facility in the suburbs of Chicago was in an incredibly difficult position: One day after 22 residents were initially confirmed to have contracted the novel coronavirus, the number of cases climbed to 46, according to local news reports. With long-term and post-acute care providers well […]

Coronavirus Stimulus Bill Includes $200M for CMS Infection-Control Efforts at Nursing Homes, $100B in Health Grants

The $2 trillion coronavirus stimulus bill that was approved late Wednesday in the Senate includes $200 million in funding for a federal push to bolster infection-control efforts in the nation’s nursing homes. The Centers for Medicare & Medicaid Services (CMS) has placed infection control at the center of its emergency nursing home inspection protocols, suspending […]

CMS Cracks Window for Virtual Therapy Visits in Nursing Homes Amid COVID-19, But Barriers Remain

Therapy providers were partially included in the federal government’s attempts to waive restrictions on various health providers amid the coronavirus, but some experts say this recent round won’t enable sufficient virtual care for nursing home residents — and also doesn’t decrease the risks therapists are experiencing on the ground amid the pandemic. An expanded telehealth […]

Signature’s Chief Medical Officer: COVID-19 Crisis Will Usher in ‘New Era’ of Skilled Nursing, Post-Acute Care

As both the chief medical officer for Signature HealthCARE and president of AMDA, the Society for Post-Acute and Long-Term Care Medicine, Dr. Arif Nazir has a micro- and macro-level view on how skilled nursing facilities are fighting the coronavirus. And even in these early days of the crisis, Nazir believes that the sweeping emergency steps […]

While Recognizing Dangers, California Tells Nursing Homes to Prepare for COVID-19 Patients [UPDATED]

The California Department of Public Health (CDPH) issued recommendations for skilled nursing facilities on preparing for COVID-19 — and told them to prepare to receive and care for residents with suspected or confirmed COVID-19 infections. The all-facilities letter (AFL) sent on March 19 tells SNFs to prepare for COVID-19, the disease caused by the novel […]

CMS Move to Delay Elective Surgeries Could Create Lasting Strain on Skilled Nursing Facilities

Skilled nursing facilities, and post-acute providers in general, will feel pain even beyond the immediate short-term challenges of protecting residents and staff from the spread of the novel coronavirus, several experts predicted Thursday. The Centers for Medicare & Medicaid Services late on Wednesday recommended the delay of “all elective surgeries, non-essential medical, surgical, and dental […]

Post-Acute Bed Capacity Concerns Loom as COVID-19 Cases Grow

As the number of confirmed COVID-19 cases in the U.S. mounts, concerns about hospital bed capacity are rising in proportion — and skilled nursing facilities need to be ready to help ease the stress on the acute care system, according to multiple providers. The Centers for Medicare & Medicaid Services (CMS) seemed to confirm this […]

CMS Expands Nursing Home Telehealth Coverage, Waives HIPAA Penalties During COVID-19 Outbreak

The Trump administration on Tuesday announced an emergency expansion of telehealth coverage for Medicare beneficiaries amid the COVID-19 outbreak, removing multiple regulatory barriers to doctors providing remote care for nursing home residents. Retroactive to March 6, Medicare can pay for virtual consultations provided through telehealth platforms across the country, including those conducted in a patient’s […]

As Admission Holds Loom, Skilled Nursing Facilities and Hospitals Must Stay in Constant COVID-19 Contact

The residents and patients at skilled nursing facilities are uniquely imperiled by COVID-19, the disease caused by the novel coronavirus that’s rapidly altering the routines of everyday life worldwide. As a result, SNFs across the country have gone into lockdown, with the federal government on Friday issuing a blanket ban of non-essential visits. Their hospital […]