Minnesota Lawmakers Create Board to Set Nursing Home Wages

Minnesota lawmakers passed a bill to create a regulatory board to set compensation levels for nursing homes after declining to increase wages. The Minnesota Nursing Home Workforce Standards Board will set the initial wage limits and working hours by Aug. 1, 2024.  Moreover, the board will be responsible for setting minimum employment standards, certifying worker organizations […]

Innovation and Uncertainty: Nursing Home Providers Forge New Paths for a Post-Covid Era

As the Skilled Nursing News’ CLINICAL event in Washington D.C. came to a close last month, industry experts left with staffing concerns amid labor shortages and pending legislation on minimum staffing standards. However, operators also shared optimism over their innovations in corporate and clinical practices as they continued to confront higher acuity and tighter regulation. […]

‘System in Crisis’: US Senate Hearing Calls for More Funding, Staffing for Nursing Home Inspections

The nursing home inspections system is underfunded and understaffed and needs federal assistance for alleviating inspection backlogs, or residents will remain in peril, experts and legislators said at a U.S. Senate hearing on Thursday. Officials from the long-term care ombudsman program as well as leaders from state inspections and regulatory bodies were among those who […]

LTC Worker Shortage Can be Improved with Funding for Retention, Training, Advancement

Industry stakeholders and academic professionals are calling for better workforce development for direct care workers (DCWs) to address an unprecedented shortfall predicted in the coming decades. The solutions – ranging from professional development and recruitment methods, retention and career advancement methods – were published in the journal Health Affairs, and are drawn from an ongoing […]

‘Complete Debacle’: US House Hearing on Nursing Home Covid Deaths Blames Political Acrimony, Policies, Staffing

Bad policy decisions, political acrimony and poor staffing were to blame for the alarming number of deaths in nursing homes, experts and legislators said in a U.S. House of Representatives hearing held on Wednesday. As Democratic and Republican lawmakers pointed fingers at each other, they agreed that among the many deficiencies, the must-admit policy deeply […]

Federal Bill Aims to Increase Medicare SNF Payments in Hawaii, Alaska

Representatives in Hawaii and Alaska are pushing for legislation that would increase funding for skilled nursing facilities in both states. The Equitable Payments for Nursing Facilities Act of 2023, originally introduced in 2021, would authorize a cost-of-living adjustment to the Medicare payment formula for skilled nursing facilities (SNFs) in Hawaiʻi and Alaska to account for […]

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 […]