Grassley Presses for Answers From CMS, DOJ on Troubled NJ Nursing Home

A Republican senator is calling on the Justice Department to open an investigation into the “egregious and flagrant conditions” at the Woodland Behavioral and Nursing Center, a nursing home that has made national headlines amid the COVID-19 pandemic. U.S. Sen. Chuck Grassley of Iowa penned a letter to Attorney General Merrick Garland on Wednesday, urging […]

Streamlined Value Incentive Program Matches CMS Desire to Consolidate Value-Based Care

The Medicare Payment Advisory Commission (MedPAC)’s value incentive program (VIP) seeks to standardize the many value-based purchasing programs that are available to different care settings, including skilled nursing. In its most recent report on Medicare payment policy, MedPAC devoted a chapter to the design of a VIP for post-acute care (PAC) in order to highlight […]

Ensign Group Expands Texas Portfolio; ESI Sells Ohio SNF for $10.75M

The Ensign Group (NASDAQ: ENSG) announced it acquired the real estate and operations of The Waterton Healthcare and Rehabilitation, a 74-bed skilled nursing facility in Tyler, Texas.  In a separate transaction on the same day, Ensign affiliates acquired the operations of Amarsi Assisted Living, a 103-bed assisted living facility located in Glendale, Ariz. and Citadel […]

Revenue Declines Continue As Federal Funding Not Enough to Offset Rising Costs For Nursing Homes

Minimum staffing standards may be on the top of the wish list for many lawmakers, including President Biden, but they won’t likely happen overnight for nursing homes – and declining revenues may be part of the reason why. Excluding the Covid-related financial assistance provided by the federal and state governments, the industry incurred an average […]

After Record Year of Dispositions, Invesque Shrinks Skilled Nursing Portfolio

By Nick Andrews Invesque has plans to continue to trim its portfolio in 2022 following a big fourth-quarter push that led to a record-breaking year for dispositions. The latest transactions show continued movement away from skilled nursing and toward seniors housing. Carmel, Indiana-based Invesque (TSE: IVQ.U) sold more than $210 million in assets in 2021, […]

Private Equity Driving LTC Transactions As Biden Looks to Limit Its Reach

At a time when the Biden administration stated its intent to limit private equity ownership and its “particularly dangerous model” in the skilled nursing space, it appears private equity is driving mergers and acquisition activity in long-term care. That’s according to a report from professional services firm CliftonLarsonAllen (CLA), which showed that dealmaking rebounded toward […]

Senior Care Executives Have High Hopes for Operating Margins While Expenses Still Impede Growth

Industry leaders, including nursing home executives, believe margins will increase between 1% and 5% in the next six months, thanks to an easing pandemic and occupancy recovery. Only 5% of long-term care leaders expect their margins to decrease during that time, according to the latest National Investment Center for Seniors Housing & Care (NIC) executive […]

No Innovation Without Compensation: SNFs Need Federal Support to Realize Biden’s Private Room Plans

Movement at the state and federal level has prompted an expedited shift to more private settings in nursing homes. While the trend isn’t entirely new for the industry, the push from government agencies to make it a compliance issue has garnered mixed reactions. The Biden administration called for reduced room crowding in nursing homes in […]

CMS in ‘Full Court Sprint’ to Carry Out Biden’s Nursing Home Reforms

The Centers for Medicare & Medicaid Services (CMS) is in a “full court sprint” toward fulfilling the Biden administration’s proposed nursing home reforms first announced last week, CMS Principal Deputy Administrator Jonathan Blum said during a stakeholder call on Thursday. Twenty-one initiatives across five strategic goals will have short-, mid- and long-term timelines for implementation, […]

USA Today Report Blasts Nursing Home Data Accessibility On the Heels of Proposed Industry Reforms

The Biden administration wants to make information surrounding nursing home ownership and conditions more publicly accessible. Reporting released by USA Today this week could add fuel to that fire. The report stems from the publication’s nursing home project, where USA Today researchers combed through various databases to generate their findings. Described as a “first-of-its-kind analysis” […]

No Viable Path for Many SNFs to Improve, Avoid Penalties in Value-Based Purchasing

The value-based purchasing program (VBP) may not be offering sufficient incentives for nursing homes to improve, particularly for low-performing facilities in areas with underserved populations. Only 0.7% of poor-performing skilled nursing facilities were able to improve enough to avoid a financial penalty under VBP, a JAMA study found – the program didn’t “offer a viable […]

Two Former Consulate SNFs Sold in Bankruptcy Disposition; Lument Sees $1.49B Year

Evans Senior Investments (ESI) announced it represented the bankruptcy disposition of two skilled nursing communities in Florida tied to Consulate Health Care. The bankruptcy stemmed from a whistleblower case that resulted in a civil fraud judgment of $256 million, of which Consulate Health Care was ordered to pay $4.5 million. Both nursing homes operated under […]

Welltower Undergoes UPREIT Reorganization as Part of Acquisition Strategy

With the goal of improving the real estate investment trust’s ability to buy properties in tax-deferred structures, Welltower (NYSE: WELL) is undergoing a reorganization. The Toledo, Ohio-based REIT will become an umbrella partnership real estate investment trust (UPREIT), which involves forming a publicly traded parent company that will adopt the Welltower name. The existing REIT […]

Competing Incentives: How Improving the Transition to Home Can Pay Off for Nursing Homes

Some skilled nursing providers have looked to improve transitions to the home as one way to build back hospital referrals, but without much direct financial incentive to do so, things like patient education and discharge planning may remain in the periphery for most operators. Value-based payment methodologies, especially for Medicare patients, provide some financial incentives […]

‘Price Gouging’ Leads More Nursing Homes to Launch In-House Staffing Agencies

Facing skyrocketing agency rates, long-term care providers have taken it upon themselves to launch in-house agency services to meet an increasing demand for flexibility among a dwindling number of staff. Operators market the business line as the “best of both worlds,” Eileen Caffey told Skilled Nursing News – additional pay, experience in different care settings […]

ProMedica Posts $275.3M Senior Care Division Loss in 2021, Expects Slowed Occupancy Recovery

While other ProMedica divisions have seen near pre-pandemic recovery, its senior care division patient volumes – which includes skilled nursing assets – are needing more time to recover. A combination of Covid-related admission volume declines, elevated expense levels and reduced government stimulus funds all played a role in stymied recovery last year, the Toledo, Ohio-based […]