Abuse Reporting and Owner Background Checks Loom Large in Elder Justice Hearing

Background checks for staff and better reporting for nursing home abuse loomed large in a U.S. Senate Committee on Finance hearing held Tuesday, with consumer advocates and industry representatives confirming the findings of a new report that revealed oversight gaps by the Centers for Medicare & Medicaid Services (CMS) around nursing home abuse. The report, […]

CMS’s Regulatory Delay: What’s In, What’s Out, and Why Nursing Homes Could ‘Substantially’ Reduce Costs

Skilled nursing facilities could see relief from regulatory burdens if a proposed rule from the Centers for Medicare & Medicaid Services (CMS) takes effect, and according to the agency, it could lead to millions in savings. Specifically, the rule would overhaul multiple requirements and delay the implementation of regulations related to the Quality Assurance and […]

CMS Finalizes Reversal of Arbitration Ban in Nursing Homes, Proposes Partial Phase 3 RoP Delay

The federal government on Tuesday finalized a rule that allows skilled nursing operators to use arbitration agreements with their residents, while also proposing a new rule to reduce paperwork burdens that would delay certain aspects of the Requirements of Participation. The Centers for Medicare & Medicaid Services (CMS) struck something of a compromise with the […]

New York’s Top-Rated Nursing Homes Less Likely to Admit Poor Patients

Five-star nursing homes in the state of New York are less likely to admit low-income residents than one-star facilities in the state, according to an investigation by The Buffalo News published on Sunday. Using data from the state Department of Health (DOH) from 2017, the publication found that those who enter New York nursing homes […]

$1M Nursing Home Funding Delay Sparks Political Spat in Maine

Maine’s Democratic Gov. Janet Mills delayed action on a bill that would have given skilled nursing facilities in the state roughly $1 million in additional Medicaid funding over the next two-year state budget, which drew criticism from Republican legislators in the state. The news was first reported by the Sun Journal last week Republicans in the […]

Boehler, Proponent of Post-Acute Care Bundles, to Leave Role as CMMI Chief

Adam Boehler will leave his position as the chief of the federal government’s top incubator for new payment models after an appointment to another office. President Trump late Wednesday nominated Boehler — who has served as director of the Center for Medicare & Medicaid Innovation (CMMI) since April 2018 — to become the CEO of […]

Home Health Produces Worse Outcomes for Sicker Seniors Than Skilled Nursing

While governments and payers increasingly incentivize the provision of long-term care at home instead of in skilled nursing facilities, data about outcomes remains few and far between — with one group of researchers finding that some high-acuity patients fare worse in the community setting. Based on 2012 claims data, a team from the University of […]

NY’s Medicaid Cut ‘Will Without Question Damage’ Nursing Home Finances

A workgroup authorized by the state of New York predicted dire outcomes for the Empire State’s skilled nursing facilities in a statement and recommendations delivered to various state departments on Friday. In the statement, the Nursing Home Acuity Workgroup described the planned change in methodology as “using unrepresentative resident assessment data.” Specifically, the state Department […]

Union Joins Forces with Genesis to Stave off Medicaid Cuts, Nursing Home Closures

In an unusual alliance, the Service Employees International Union (SEIU) District 1199 joined with Genesis HealthCare (NYSE: GEN) administrators in Connecticut on Thursday to stave off the closure of several skilled nursing facilities in the state due to low occupancy. Under a provision in Connecticut’s biennial budget, nursing homes that have an occupancy rate below […]

New York Medicaid Change Could Cut Nursing Home Payments by Millions

The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings. If it is finalized, that could mean a significant cut in Medicaid reimbursements for nursing home providers in the […]

Lawmaker: Declining Nursing Home Bed Count ‘What We Wanted’

Medicaid-rate shortfalls and other struggles have claimed more than 30 nursing homes in Washington state since 2010, and at least one lawmaker thinks that the pruning is necessary. State Rep. Eileen Cody, who chairs the state’s House Health Care and Wellness Committee, said a drop in available nursing homes beds is “what we wanted as […]

Adult Day Centers Provide Middle Path in Shift to Home — and More Competition for Skilled Nursing

Amid the macro-level shift of care from institutions to the home, adult day providers are positioning themselves as an in-between option for caregivers and their families — as well as direct competitors to skilled nursing facilities. In the last six years alone, the number of adult day providers in the United States has doubled, according […]

New York Offers $27M for Program That Shifts Skilled Nursing Residents to the Home

Officials in New York State have offered a $27 million grant to a non-profit that can help transition nursing home residents into home- and community-based settings. The state’s Department of Health invited qualifying non-profits to submit their ideas for administering a Transition Center program, according to the official request for proposals (RFP). Crain’s New York […]

Even as Demand Rises, Nursing Homes Face Major Behavioral Health Hurdles

Adding behavioral health services has frequently been floated as a way that nursing homes can diversify their offerings and attract new residents — particularly as demand for the treatment of depression and other mental health issues continues to grow among older Americans. But a significant swath of operators report persistent challenges in caring for residents […]

Illinois Nursing Homes Receive $240M Funding Increase

Nursing home operators in one of the toughest states for Medicaid reimbursements will receive a $240 million reprieve in the next fiscal year. Illinois lawmakers approved the funding boost as part of the state’s most recent budget, which Democratic Gov. J.B. Pritzker signed into law Wednesday; Capitol News Illinois initially reported the nursing home windfall […]

Receiver to Close Another Former Skyline Skilled Nursing Facility

The receiver in charge of the Covington Care and Rehabilitation skilled nursing facility — formerly operated by the troubled Skyline Healthcare chain — in Sioux Falls, S.D., will pursue plans to close the property. “After careful assessment and evaluation, the receiver has made the very difficult decision to propose a plan to close Covington,” Black […]

Bill to Boost Medicaid Rates for Texas Nursing Homes Dies Before a Vote

The Texas Legislature failed to pass two bills that would have provided Medicaid reimbursement relief for skilled nursing providers before the end of its most recent session. That could spell trouble for providers in the Lone Star State, which already has a notably low Medicaid reimbursement rate, according to Kevin Warren, president and CEO of […]