Traditional skilled nursing environments remain highly institutional, characterized by visible nurses’ stations, medical equipment and hospital-like layouts. Peter van Kalkeren, COO of Skokie, Presbyterian Living, wants to change that. As Presbyterian Living prepares for measured growth while strengthening its existing operations, the Skokie, Illinois-based organization is updating its buildings to adapt its skilled nursing facilities […]
Category: Finance
Omega Healthcare Investors (NYSE: OHI) acquired additional skilled nursing facilities during and after the second quarter, while also reshaping its operator portfolio through the transition of facilities from Ciena Healthcare to Saber Healthcare Group, executives said Thursday. Skilled nursing investment opportunities remain attractive for Omega, with executives saying that they expect a “material pick-up” in […]
Following a strong second quarter, Ensign Group (Nasdaq: ENSG) strengthened its outlook for the year, with executives highlighting Wednesday the high occupancy levels at its facilities backed by strength in key clinical metrics. “[Our Mission] is to dignify post-acute care in the eyes of the world through moments of truth,” Port said during the company’s […]
Pennsylvania’s new state budget approved a financial boost for nursing homes by setting a guaranteed minimum Medicaid reimbursement level, a change providers say will improve financial stability as facilities contend with rising demand, workforce shortages and mounting costs. The policy, signed into law by Gov. Josh Shapiro as part of Pennsylvania’s 2026-27 budget, establishes a […]
A $308 million refinance was completed for a 13-facility skilled nursing facility (SNF) portfolio, along with more than $448 million in total financing. A separate $70.8 million financing package was also completed for five SNFs. Meanwhile, a total of 22 SNFs changed hands across multiple states. $70.8M in financing for 5 Ohio SNFs CFG announced the […]
American Healthcare REIT (NYSE: AHR) has named Jeffrey Hanson as its new CEO, effective immediately, following the retirement of Danny Prosky. Hanson, who has served as interim CEO and president since February, will continue as chairman of the board, the company said in a press release Wednesday. The company also promoted Chief Operating Officer Gabe […]
Avamere is making good on its plan to exit the skilled nursing business, with landlord Sabra Health Care REIT (Nasdaq: SBRA) announcing plans Tuesday to transition all 26 of its leased Avamere properties to new operators, including 22 that would be taken over by Cascadia Healthcare. The remaining four would be transferred to another existing Sabra tenant. It is unclear […]
The U.S. Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) on Tuesday deferred more than $1 billion in federal Medicaid payments to California and Minnesota. The agencies plan to expand this deferment tool in the future. That’s approximately $867.5 million in deferred federal payments to California, and $199 million […]
As the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) model winds down this year, federal findings offer insights into the future of accountable care for medically complex beneficiaries – many of whom reside in a nursing home. ACO REACH reduced gross Medicare spending by $706 million overall, the American Health Care […]
Recruiting and retaining qualified clinical staff continues to be one of the greatest operational and financial concerns for nursing homes and other long-term care providers, according to the July 2026 Ziegler CFO Hotline survey released Wednesday. And although staffing conditions across all senior living segments have improved, maintaining workforce gains remains top of mind for […]
Artificial intelligence is helping nursing homes plug the “leaky buckets” in their Quality Assurance and Performance Improvement (QAPI) programs by identifying documentation gaps before they become survey deficiencies, denials or compliance issues. Instead of forming QAPI programs in reaction to surveys or audits, AI-driven QAPI assists back-office staff with intake and narrows down how clinicians […]
A six-facility portfolio in Ohio, totaling 636 beds, changed hands. Meanwhile, Ensign added more nursing homes to its Texas footprint. Ensign Adds SNFs to Portfolio The Ensign Group (Nasdaq: ENSG) acquired two nursing homes in Texas via subsidiaries of its real estate investment trust, Standard Bearer REIT. The facilities total 250 beds and are located […]
The rise of payviders — integrated payer-provider organizations with significant scale and market influence — is shifting the balance of power across healthcare, including skilled nursing. Payviders are expected to continue growing in certain markets, particularly in areas where Medicaid programs encourage or require provider-owned health plans. However, their success is not guaranteed, and many […]
Nursing homes in violation of staffing requirements in New York were fined nearly $4.2 million in the last week, marking the second round of enforcement under the state’s minimum staffing law. The second round of fines, which involves 25 facilities, covers staffing violations through 2023 – the state Department of Health issued more than $8 […]
Saber Healthcare Group is expanding its footprint with the acquisition of 27 skilled nursing facilities from Ciena Healthcare across Ohio, Virginia, and North Carolina, the company announced Monday. The expansion, which is one Saber’s largest transactions, deepens its presence in the three states. It includes seven facilities in North Carolina, four in Virginia and 16 […]
A skilled nursing operator secured $318.8 million in financing across two transactions, including funding for the acquisition and sale-leaseback of 22 facilities and a working capital line of credit supporting a 40-facility portfolio. Meanwhile, a Florida-based skilled nursing facility operator received a $2 million asset-based revolving line of credit. CFG closes $318.8M in financing for […]
PACS Group (NYSE: PACS) announced Monday that its subsidiaries have entered into a definitive agreement to acquire the operations of 34 skilled nursing facilities across six western states from Eduro Healthcare, a family-owned company. The transaction includes 22 facilities in Texas, six in Montana, three in South Dakota and one facility each in New Mexico, […]
The 2026 Medicare Trustees Report projects that the Medicare Part A trust fund will be depleted by the second quarter of 2033, as total spending on Medicare Parts A and B reached $481 billion in 2025, with skilled nursing facility services accounting for approximately $31 billion of that total. This is according to an analysis […]
The skilled nursing sector entered 2026 in a different environment than it faced a year ago, one rife with opportunities to expand its footprint and service lines, as well as redefine its business model. While operators continue to face reimbursement pressure, managed care complexity and workforce challenges, they have also been able to move away […]
Selectis Health has entered into a definitive merger agreement with affiliates of Black Pearl Equities, a New York-based investment group. Meanwhile, three skilled nursing transactions totaling more than $34 million recently closed across Arizona, California and Nevada. Selectis Health Acquisition Selectis Health has entered into a definitive merger agreement with affiliates of Black Pearl Equities, […]

