Genesis Continues ACO Push with Senior Living Properties Partnership

National skilled nursing giant Genesis HealthCare (NYSE: GEN) continued its drive to bring more outside operators into its accountable care organization (ACO) this week, announcing a new accord with Senior Living Properties. Under the terms of the deal, the Fort Worth, Texas-based Senior Living Properties will see some of its buildings — along with select […]

Three Months into PDPM, Teasing Out Therapy Opportunities — and Fixing Common Mistakes

Three months into the Patient-Driven Payment Model (PDPM), operators are still strategizing how to best streamline coding and reimbursements. Some are beginning to glean positive results with increased margins, whether it’s through an increase in more efficient group and concurrent modalities or a reduction in therapy headcounts — or both. But operators still have areas […]

Skilled Nursing Operators See Disaster Ahead As CMS Takes Aim at Medicaid-Boosting Provider Taxes

The federal government has proposed a rule governing the use of Medicaid supplemental payments for nursing homes that could have drastic effects on the reimbursement they receive. But the ripples of the rule don’t stop there. They could also overhaul the taxes that providers pay in several states — taxes that in turn contribute to […]

Editor’s Take: Skilled Nursing Industry Shouldn’t Block Out the Long-Term View When Making PDPM Changes

Just about every major policy change, no matter how well intentioned, has butterfly effects that no one can foresee — along with changes that, while foreseen, still can cause real harm to real people. The news of therapy layoffs and hour reductions that swept through the skilled nursing world earlier last year fell into the […]

Skilled Nursing Executive Outlook: ‘Question of Nursing Homes’ Viability Will Continue’ in 2020

Though the early days of 2020 have brought some optimism around the state of the post-acute and long-term care industry, executives in the space continue to emphasize that the coming 12 months could bring make-or-break decisions for operators and their partners. One day after American Health Care Association (AHCA) CEO Mark Parkinson told SNN that […]

Welltower CEO DeRosa: ‘We Have Never Abandoned’ Post-Acute Care, Even in Bad Times

Despite helming a presentation that highlighted his company’s move away from health care companies that rely on government reimbursements, Welltower Inc. (NYSE: WELL) CEO Tom DeRosa this week asserted the firm’s longstanding commitment to post-acute care. “This is a business that we have never abandoned, even in the dark days of that sector, and reimbursement […]

Lancaster Pollard Closes $420M Refinance for 26 Plum Healthcare Skilled Nursing Facilities

Lancaster Pollard on Wednesday announced the completion of a $420 million portfolio refinancing for 26 skilled nursing facilities operated by Plum Healthcare Group. The transaction marked the first Department of Housing and Urban Development-backed loan transaction for the Carlsbad, Calif.-based Plum, according to a release announcing the deal. In 2018, the Columbus, Ohio-based Lancaster Pollard […]

AHCA’s Parkinson: PDPM is Running Above Budget-Neutral, But Clawbacks Aren’t Inevitable

Early analyses of the new Medicare payment model for nursing homes indicate that operators may be pulling in more money than the federal government intended — leading to widespread speculation that adjustments could be coming sometime in 2020. American Health Care Association (AHCA) president and CEO Mark Parkinson agrees with the idea that the Patient-Driven […]

CVS Health CEO: Omnicare Long-Term Care Pharmacy Business ‘Disappointing’

CVS Health (NYSE: CVS) CEO Larry Merlo this week described the health care giant’s experience with its Omnicare long-term pharmacy subsidiary, which serves nursing homes nationwide, as “disappointing.” Speaking Tuesday at the J.P. Morgan Healthcare Conference in San Francisco, Merlo made a small reference to frustrations over struggles in the long-term care space since CVS […]

Greystone’s $71.3M Skilled Nursing Deal; Innovative Health’s $14.7M Construction Loan

Greystone on Tuesday announced its role in the $71.3 million refinance of Massapequa Center Rehabilitation and Nursing, a 320 bed skilled nursing facility in Massapequa, N.Y., on Long Island. The Department of Housing and Urban Development (HUD)-backed loan replaces bridge financing originated in the fall of 2017 for the acquisition of the facility, which offers […]

Proposed Medicaid Rule Would Mean Billions in Cuts, Waves of Nursing Home Closures

With skilled nursing facilities in multiple states facing significant shortfalls in their Medicaid reimbursement, supplemental payment programs used to bolster rates have become a lifeline. This is especially true for Texas and Indiana, both of which employ programs designed to get SNFs a higher rate for Medicaid services through varying mechanisms. Both states are motivated […]

Planned Strike Complicates Transfer of Bankrupt Nursing Home to New Owners

The transfer of a bankrupt nursing home in New York may soon hit another snag as a union representing the facility’s workers tentatively approved a strike in response to the potential new owner’s request to reject its labor contracts. Employees of the Bethlehem Commons Care Center in Delmar, N.Y., represented by 1199SEIU United Healthcare Workers […]

Welltower Continues Health System Push with Jefferson Health Joint Venture

Welltower Inc. (NYSE: WELL) on Monday continued its recent push to partner with major health systems, announcing a joint venture with the non-profit Jefferson Health. A hospital heavyweight in the Philadelphia metro area, Jefferson — affiliated with Thomas Jefferson University — will begin providing clinical care at Welltower’s senior housing, assisted living, and memory care […]

Verma: Overhaul Led to Significant Growth in ACOs Taking on Risk, But Verdict Out on Spending

A federal overhaul to the Medicare Shared Savings Program (MSSP), implemented late in 2018, has led to an increase in the number of accountable care organizations (ACOs) taking on downside risk. The redesign of the program, dubbed “Pathways to Success,” generally required new ACOs to take accountability for spending increases after two years; previously ACOs […]

Confessions of a Therapist Post-PDPM: ‘You’re Not Valuable to Them Because You’re Not Making Money’

Among the many early takeaways from the new Patient-Driven Payment Model (PDPM), perhaps the most immediate was its effect on rank-and-file therapists who work at skilled nursing facilities. Almost instantly after the PDPM shift on October 1, Skilled Nursing News received a flurry of e-mails from therapists who were laid off or saw their hours […]

Helios’s $16M Nursing Home Deal in MA; Trilogy Health Plotting $11.7M Care Center

Helios Healthcare Advisors negotiated the $16 million sale of a 169-bed nursing home in Middlesex County, Mass. The Chicago-based Helios facilitated the transaction for an owner/operator based in New Jersey. The deal represented the buyer’s first purchase in the Massachusetts market, and proved to be a competitive sale — with more than 10 offers from […]

Avalon’s Five-SNF Pickup for $33M; Dwight’s $116M Fourth Quarter

MidCap Financial provided a $33 million mortgage for a lease-purchase option on five skilled nursing facilities in Oregon for Avalon Healthcare Group. The Salt Lake City-based Avalon operates post-acute facilities in Hawaii, Oregon, Washington, and Utah. MidCap’s Department of Housing and Urban Development (HUD) lending team will work with Avalon to begin the bridge-to-HUD refinance […]

Sabra Installs Ignite as Operator of Three Oklahoma Skilled Nursing Facilities

Ignite Medical Resorts, an Illinois-based operator of post-acute care facilities, continued its expansion push this week in a new partnership with Sabra Health Care REIT (Nasdaq: SBRA). Ignite formally took over management of three Sabra-owned properties in Oklahoma City, Bartlesville, and Norman, Okla. on New Year’s Day, the provider announced Thursday. The previous operator, Vision […]

Median Skilled Nursing Margin Breaks Even, But ‘Long-Term Financial Viability is Uncertain’

The margins for skilled nursing facilities finally broke out of the red and to break-even levels, according to the latest benchmarking report from consulting firm Plante Moran. But occupancy remained stagnant from 2017 to 2018, and staffing costs continue to increase. And Medicaid remains the elephant in the room when it comes to making the […]