Bill Tied to Direct Care Payments for Medicaid Managed Care at SNFs Advances in Texas  

A Texas senate bill that will require nursing facilities to meet the state’s direct care payment ratio is advancing through the legislature. The proposed bill will force nursing facilities through Texas’s Medicaid managed care program to ensure that at least 80% of the medical assistance reimbursement amount received is spent on direct care expenses. It […]

SNF Use Up with 3-Day Stay Waiver, But Faster Discharges, No Major Cost Increases

Stays at skilled nursing facilities without a prior hospital stay increased dramatically during the pandemic, but patient care costs did not see a major increase. That’s according to a new study published in the Journal of the American Medical Association (JAMA). The study also found that SNF stays were linked with “potentially” faster discharge for […]

Ensign CEO: Feds’ Staffing Mandate May Include Long Phase-In, Lots of ‘Wood to Chop’ on Big California Portfolio

Nursing home operators may see a long phase-in for a federal minimum staffing requirement, and a host of exceptions, when more details finally come – but, it’s difficult to speculate on hypotheticals and may not help operators to dwell on the “what-ifs.” That’s according to Ensign Group (Nasdaq: ENSG) CEO Barry Port, who weighed in […]

‘No New Money’: As Minn. Bill Passes, Nursing Home Advocates Disappointed, Lawmakers Argue Over Funding

The Minnesota House passed the Human Services budget proposal on Tuesday, which the House said is one of the largest investments in nursing homes in the state’s history. The bill, authored by Rep. Mohamud Noor (DFL-Minneapolis) Noor, would invest more than $10 million into critical access nursing facilities, he said, adding that value-based reimbursement in […]

‘Access Crisis Unfolding’: Nursing Home Operators, Advocates Warn of Dire Effects from Biden’s Order on Staffing

President Joe Biden’s executive order that aims to implement minimum staffing standards and tie Medicare payments to staff retention drew frustration from nursing home industry operators and advocates, who said that the well meaning directives would likely compound the staffing crisis and lead to closures unless policies are aimed at resolving its root causes, and […]

Texas Bill Aims to Enforce Staff Training for Alzheimer’s in Long-Term Care

A house bill that joins similar efforts underway in other states to require Alzheimer’s training in long-term care is making its way through the Texas legislature.  House Bill SB 1673 would force assisted living facilities to provide their workers with four hours of Alzheimer’s and dementia training before handling patients with those conditions. Sponsored by […]

Congress to CMS: Build Staffing Mandate into 2024 Medicare Payment Rule

Democratic lawmakers this week penned a letter urging the Centers for Medicare & Medicaid Services (CMS) to ensure workers aren’t overburdened with high caseloads and inadequate support. The legislators, led by U.S. Representatives Jan Schakowsky (D-Ill.) and Lloyd Doggett (D-Tex.), also called on CMS to establish robust nursing home staffing standards to ensure residents receive […]

CMS Finds Deepening Backlog in Nursing Home Inspections – 4,500-Plus Facilities Are Overdue

As the nursing home industry continues to recover from the last several years of the pandemic, annual inspections have fallen by the wayside. According to federal data from mid-February, about 4,500 of the nation’s 15,000 nursing homes were overdue for an inspection. More than 1,500 of those facilities were last inspected before the public health […]

Montana Joins Other States in Pushing Nursing Home Medicaid Rates as Federal Funding Dries Up

States are in the midst of considering changes to their Medicaid policies as federal funding gets phased out with the end of the public health emergency, and some states are hoping to rebase Medicaid reimbursement rates for nursing homes to mitigate challenges facing the sector. Montana is one of those states. After a study commissioned […]

Federal Lawmakers: Emergency Preparedness at Nursing Homes Inadequate, ‘A Warning Sign’

Nursing homes are in need of improving their emergency-preparedness plans to face extreme weather, a report developed by the Senate Committee on Finance and the Senate Special Committee on Aging shared Thursday. In identifying extreme weather events that occurred in 17 states since 2018 that forced evacuations at long-term care facilities, or led to resident […]

States Dock Heavy Fines for Missing Staff Vaccinations at Nursing Homes

Some states are coming under fire for failing to cite nursing homes for violations of the vaccine mandate for staff. Skilled nursing facilities and nursing homes are among the myriad of healthcare providers where staff are required to be vaccinated under the Biden administration’s public health mandates aimed to increase vaccinations nationwide. About 750 nursing […]