California Nursing Home’s Closure Underlines Steps To Ease ‘Transfer Trauma’ as Shutdowns Rise

The recent closure of a California facility is bringing even more attention to the broader issue of bed shortages and “transfer trauma” at nursing homes across the U.S., given that shutdowns of facilities have continued to mount in recent weeks. Efforts are being made to prevent “transfer trauma” among the older residents at skilled facilities, […]

Missouri Rep. Calls Abrupt Northview Nursing Home Closure ‘Appalling,’ Demands Formal HHS Investigation

Following the sudden closure of Northview Village, St. Louis’ largest nursing home, Rep. Cori Bush (D-Mo.) is calling for a formal investigation into the finances, provision of care and use of Medicaid and Medicare funds of the facility. Bush sent a letter to the U.S. Department of Health & Human Services (HHS) Secretary Xavier Becerra […]

KFF: Nursing Home Deficiencies Jumped Almost 10% Since 2015 and Staffing Levels Are To Blame

Deficiencies in nursing homes, both on average and those deemed more serious, have increased over time – partly as a result of decreasing staffing levels. Between 2015 and 2023, facilities with serious deficiencies, or violations of federal regulations, increased from 17% to 26%, according to a data note published on Friday by KFF. The average […]

Nursing Home Associations: HHS Needs To Do Its Part to Boost Vaccine Uptake as Latest CDC Data Shows Lags

The Department of Health and Human Services (HHS) and its Secretary, Xavier Becerra, need to “do its part” to increase Covid vaccination rates among nursing home residents, starting with easing logistical issues that continue to be barriers to uptake. That’s according to LeadingAge President and CEO Katie Smith Sloan, who also cited the benefits of […]

When Disparities and Differences in Resources Abound, Medicaid Acts as Stopgap

The need for Medicaid as stopgap coverage for long-term care is more apparent when looking at differences in race, gender and ethnicity, and rural versus urban status of the residents. This is according to an analysis conducted by ATI Advisory, which identified the impact of disparities and differences in resources – finances, insurance and social […]

‘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 […]

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 […]

Building off Its Annual Nursing Home List, Newsweek Unveils CCRC Rankings

As patient preference continues to shift away from nursing homes, public attention is increasingly on alternate modes of skilled nursing care as well, including continuing care retirement communities (CCRCs). Newsweek, for one, came out with a ranking of such communities in partnership with global market and consumer data firm Statista. The companies expect rankings to […]

How Medicaid Waivers Have Affected Nursing Home Utilization – And Why the Staffing Proposal May Further This Trend

One of the unintended consequences of the minimum staffing proposal may mean less utilization of nursing homes as residents are shifted to other means of care – a trend spurred by an expanded use of Medicaid waivers. Policymakers may opt for these as a safety net for access issues among seniors, especially in rural settings, […]

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 […]

Nursing Home Construction Dwindles As Operators Downsize – But a Lack of Medicaid Beds is Most Concerning

As nursing home operators continue to decry staffing shortages as a contributor to access issues for residents, new construction of facilities to meet demand appear to be lagging as well. New construction has become especially difficult for operators trying to add Medicaid beds for low income residents, given notoriously low reimbursement rates – which are […]

Moving Forward Coalition Members Discuss Nursing Home Staffing Issues, Action Plans

As the comment period for the federal government’s staffing proposal winds down, advocates for both nursing homes and residents alike are looking at ways to reach a middle ground. Among these advocates for measured change are members of the Moving Forward Coalition – an organization formed in April 2022 following the National Academies of Sciences, […]

Family, Dementia Specialists Have Significant Sway on SNF Medication Management – But Are Rarely Involved

While families of nursing home residents and dementia specialists have significant influence on antidementia medication decisions, many residents lack their involvement. Such influence is similar to family sway on care planning for antipsychotic medications among nursing home residents. One in six nursing home cases almost always have no immediate family or caregivers involvement, according to […]

LTC Leaders: Bank Caution on SNFs Drives Opportunity, Operators Poised for Margin Improvement

Leaders with LTC Properties (NYSE: LTC) see opportunity in a fluctuating bank lending environment, with maturities coming due for operators at a brisk pace and interest rate increases causing a fair amount of anxiety among operators and some lenders. This environment favors real estate investment trusts (REITs) like LTC, which maintain a conservative investment strategy […]

Ensign CEO: Efforts to Strike Down CMS Staffing Rule Appear ‘Futile’ – But It Can Be Shaped

Nursing home industry stakeholders should try to shape the proposed federal minimum staffing policy to best fit with what providers can handle rather than railing against the rule completely. At least that’s what leaders of the Ensign Group (Nasdaq: ENSG) plan to do, CEO Barry Port said during the company’s third quarter earnings call on […]

NEJM Survey: Post-Acute Care a ‘Black Hole’ for Patients Due to Staffing, Other Problems

Sending a patient from a hospital to a post-acute care setting is like sending them into a “black hole.” That’s the stark assessment of one respondent to a July survey of New England Journal of Medicine (NEJM) Catalyst Insights Council members. The survey focused on current struggles in the post-acute care continuum, particularly related to […]

Union Presence – Especially at a County Level – Associated with Lower Turnover at Nursing Homes

Unionization in the nursing home space may decrease staff turnover, and help employers meet proposed staffing minimums – especially in counties where most nursing homes are unionized. The presence of a union is associated with a 1.7 percentage point decrease in staff turnover, according to a study published on Friday in JAMA Network Open. This […]