‘It’s So Institutional’: Presbyterian Living Prepares for Growth While Reimagining Skilled Nursing Care 

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 […]

Omega Healthcare Grows Nursing Home Portfolio in 2Q, Shifts 20 Ciena Facilities to Saber Healthcare

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 […]

‘Moments of Truth’: Nursing Home Giant Ensign on ‘One Clinical’ Model Behind Earnings Success, $850M Available for Investment 

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 […]

‘Historic Victory’: State’s New Medicaid Reimbursement Floor to Add $215M in Federal Funds, Stabilizing Nursing Home Funding 

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 […]

Skilled Nursing Dealbook: 22 SNFs Change Hands Across Ohio, Tennessee and the Midwest; $308M in Financing for 13 Facilities

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 Names Jeffrey Hanson CEO as Danny Prosky Retires 

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 Moves Forward with Nursing Home Exit as Cascadia Expands Footprint with 22 Properties

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 […]

$1B Medicaid Payment Delay Could Ripple Through Nursing Home Sector in California, Minnesota 

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 […]

ACO REACH Saved $706M in Spending, 8.9% Decline Among High-Needs Cohort Linked to Nursing Homes 

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 […]

Workforce Costs Remain a Top Operating Pressure for Nursing Homes and Long-Term Care, Ziegler CFO Survey States 

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 […]

No ‘Leaky Buckets’ With AI-Driven Nursing Home QAPI Programs 

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 […]

Skilled Nursing Dealbook: Ensign Expands Texas Footprint; 6-Facility Ohio Portfolio Sold

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 […]

Inside the Rise of Payviders: How Payer-Provider Integration Is Reshaping Nursing Home Profits

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 […]

Saber Healthcare Acquires 27 Skilled Nursing Facilities Across 3 States from Ciena 

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 […]

Skilled Nursing Dealbook: Operator Secures $318.8M for 22-Facility Acquisition, 40-Facility Portfolio

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 […]

Nursing Home Giant PACS Acquires 34 Facilities From Eduro Healthcare, Expands Into 4 New States

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, […]

Top Five Skilled Nursing Providers to Watch in 2026

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 […]

Skilled Nursing Dealbook: Selectis Health Acquired by Black Pearl; $34M in Financing for 3 Deals

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, […]