ESI Facilitates Lease Deal for Skilled Nursing Units in the Midwest; CIBC Brokers $12M in Financing for Kansas SNF

Evans Senior Investments (ESI) has arranged a lease transaction for a substantial skilled nursing and supportive living portfolio that spans across Illinois and Missouri. ESI successfully secured a tenant and finalized a ten-year lease agreement for this portfolio, which encompasses 13 communities and over 1,600 licensed beds in both states. The lease spans a decade […]

Closing the Medicaid Gap Is Just the First Step, as Nursing Homes Fight for Predictable Reimbursement

Nursing homes and the state associations that represent them continue to put pressure on legislators to match Medicaid rates with rising costs, and change how often rebasing occurs to give operators a more even playing field. In a lot of cases, Medicaid increases helped lessen the gap between costs and stagnant rates. But, legislators still […]

‘Tougher Every Day’: Nursing Home Operators, CCRCs Weigh in on Future of Skilled Nursing

Operating a skilled nursing facility today is considered a difficult business with regulations and reimbursement woes making the space “tougher every day.” As a result, some operators say they regularly budget a loss for skilled nursing services, and if it weren’t for other lines of business, skilled nursing would be unsustainable. This dire view of […]

Nursing Home and CCRC Spending Grew 5.6% to $191.3B in 2022 – After Dropping 7.8% in 2021

Nursing homes and continuing care retirement communities (CCRCs) made up $191.3 billion of national health expenditures in 2022, an increase from $181.1 billion in 2021, reaching levels close to the onset of the Covid-19 pandemic. Pre-pandemic, such expenditures sat between $162 billion and $174.1 billion between 2016 and 2019, according to a survey published by […]

Repositioning Nursing Homes For Acuity, More Closures, Less Deal Making Expected in 2024

As the skilled nursing industry heads toward a new year with continued labor shortages and reimbursement gaps, service repositioning and closures among operators are expected trends for the space. And although there are signs of positivity in the form of increased Medicaid reimbursement in some states, extensive rural closures are creating “nursing home deserts” and […]

LeadingAge CEO Calls Out Political Inaction on ‘Dangerously Broken’ Nursing Home Funding System

Decades-long underfunding of nursing homes continues to create unnecessary hardships for aging Americans as access issues deepen. And yet, attempts to change the current financial system have fallen on deaf ears. In an effort to get the attention of lawmakers in Washington, LeadingAge President and CEO Katie Smith Sloan took aim with this view at […]

York Private Equity Partners With Comprehensive Rehab Consultants; Eads Investment Brokerage Facilitates Sale of Southern Illinois Skilled Nursing

York Capital Management’s private equity arm, York Private Equity, entered into a strategic growth partnership with Comprehensive Rehab Consultants (CRC), a physiatry, psychiatry, and care transition group. “We chose York as our partner given their long-term, collaborative approach and proven experience supporting businesses in the post-acute healthcare industry. This partnership will allow CRC to broaden […]

Omega Expects Q4 Financials to Be Hurt by Nursing Home Rent Shortfall From LaVie

Omega Healthcare Investors (NYSE:OHI) disclosed that two of its operators failed to meet their contractual rent obligations in November, raising concerns about the potential impact on the company’s fourth-quarter funds available for distribution. During the company’s third quarter 2023 earnings call previously, Omega had announced that it sold 29 LaVie facilities for gross proceeds of […]

Nursing Home Occupancy ‘Disappointingly Flat’ in November but States’ Medicaid Rebasing Encouraging

Healthcare Real Estate Investment Trusts (REITs) specializing in post-acute care facilities experienced “disappointingly flat” occupancy rates in November, according to investment analysts. BMO Capital Market’s Juan Sanabria highlighted the challenges faced by skilled nursing facilities (SNFs) in maintaining growth, with market share loss to home health. The Centers for Medicare & Medicaid Services (CMS) data […]

Skilled Nursing Industry’s Recovery Advances Despite Labor Challenges, High Interest Rates

The skilled nursing sector made significant strides in recovery nationally, with positive trends in occupancy rates and demand for care. However, challenges such as labor shortages and constrained liquidity continued to shape the industry landscape. This is according to Marcus & Milichap, a commercial real estate brokerage firm, which issued its latest national report. The […]

Curana Health Expands I-SNP With Ciena Healthcare; Ensign Grows in Texas With Champions Healthcare Deal

Curana Health is set to broaden its collaboration with Ciena Healthcare to introduce an I-SNP (Institutional Special Needs Plan) model to residents across Ciena’s 31 facilities throughout Michigan. In this expanded partnership, Align Senior Care, a wholly-owned subsidiary of Curana Health, will provide upgraded benefits and on-site preventative clinical care tailored for Medicare-eligible residents within […]

U.S. News Ranking Exposes Critical Staffing Shortages at Nursing Homes, With Only 5% Meeting CMS Proposal’s Requirements

The U.S. News & World Report’s 2024 Best Nursing Homes ratings released Tuesday reveals that only fewer than 5% of nursing homes across the country will meet both the current federal staffing requirements and the newly proposed standards by the Biden administration. The report comes on the heels of the end of the comment period […]

‘Great Recalibration’: Nursing Home Industry Can Expect To See Deals Increase in 2024

In a recent investor survey conducted by Cushman & Wakefield, more than 90 leaders in the U.S. Seniors Housing and Care industry shared their insights providing takeaways that shed light on the current and future state of nursing homes across the nation. The report suggests that increased transaction activity can be anticipated going into 2024, […]

Bright Spots and Overhangs: NHI Execs Weigh in on Occupancy Gains, Cost of Capital, Nursing Home Staffing Mandate

Cost of capital, occupancy recovery across all assets and the minimum staffing proposal were top of mind for National Health Investors Inc. (NYSE: NHI) during its third quarter earnings call on Wednesday. NHI CEO Eric Mendelsohn said there was a bit of a fakeout in terms of occupancy recovery last December, with operators saying there […]

Welltower’s Acquisition Pace Adds $2B to the Pot, With $600M Earmarked for Nursing Homes

Welltower Inc. (NYSE: WELL) continues to ramp up acquisitions to increase bottom line growth, including investment in skilled nursing facilities, with about $600 million earmarked for SNF deals in the upcoming financial quarters. The Ohio-based real estate investment trust (REIT) recently announced $2 billion in potential deals tied to the launch of an equity offering, […]

CMS Flooded With Staggering 40K-Plus Comments on Nursing Home Staffing Mandate

More than two months after the Centers for Medicare & Medicaid Services (CMS) announced its minimum staffing proposal for the skilled nursing industry, commentary from stakeholders came to a close Monday with a staggering 40,000-plus comments received. Reviewing the hefty load of comments on the proposal may take as long as a year, according to […]

Optimistic Economic Outlook for Nursing Homes as Occupancy Rises by 40 bps in October

Occupancy for skilled nursing facilities (SNFs) increased nationally by 40 basis points month-over-month through October 22, 2023, following a prior increase of 15 basis points, according to BMO Capital Markets’ analysis on SNF REIT occupancy data for October. Real estate investment trusts (REITs) have been outperforming this overall increase, with a 45 basis point rise […]

CMS Finalizes Physician Fee Schedule, with ACO Changes Relevant to Nursing Homes

The Centers for Medicare & Medicaid Services (CMS) aims to further advance its overall value-based care strategy with the finalized 20224 Medicare Physician Fee Schedule (PFS) – adding ways for medically complex, high-cost beneficiaries like those in nursing homes to participate in Medicare Shared Savings Programs (MSSPs). Additionally, CMS therapy assistants can be more generally […]