CMS Views Hardship Exemptions, Staggered Timeline as Easing Growing Pains From the Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) provided more details Wednesday on the implementation of facility assessments and exemptions extended to nursing homes over the final staffing rule. In a national stakeholder call, CMS officials addressed these issues as well as the possibility of modifying the minimum staffing thresholds in the future along with […]

CMS: Burdens, Closures Likely in Wake of Nursing Home Staffing Mandate But ‘Status Quo’ Is Not Acceptable

The Centers for Medicare & Medicaid Services’ (CMS) officials said Tuesday that they are confident that facilities will be able to meet the newly finalized staffing mandate’s requirements given the plan to implement it in three phases. “As the rule’s provisions are carefully calibrated and carefully phased in, we believe that with time, with the […]

Skilled Nursing Company Shares Hold Steady, Analysts Circumspect on Minimum Staffing Rule

While many industry leaders vociferously condemned the finalized federal staffing requirements for nursing homes that were released on Monday, analysts covering publicly traded companies in the sector were relatively circumspect. They see the requirements as posing a risk, but analysts who communicated with Skilled Nursing News also generally remained upbeat about the longer-term prospects for […]

‘An Extinction Event’: Industry Leaders Blast Finalized Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) on Monday unveiled the finalized minimum staffing standards for nursing homes, drawing sharp – and deeply apprehensive – responses from leaders in the sector. CEOs of nursing home owners and operators and leaders of industry associations were all but unanimous in their reactions; among those who spoke […]

Senate Hearing Focuses on Long-Term Care Worker Woes, But Provider Groups Say Related Bill ‘Misses the Mark’

Federal lawmakers have introduced the Long-Term Care Workforce Support Act, in conjunction with a hearing that took place Tuesday, hosted by the U.S. Senate Special Committee on Aging. The bill, if passed, would increase the number of direct care professionals, including in rural communities. Some associations representing the nursing home industry said the legislation managed […]

Nursing Home Minimum Staffing Mandate Leaves OMB, Pending Finalization

The proposed minimum staffing mandate for nursing homes has left the Office of Management and Budget (OMB) and is now pending final approval. According to the OMB calendar, several industry organizations have met with the office as the staffing mandates nears finalization, including The American Health Care Association (AHCA), officials from the Department of Health […]

Even in States with Medicaid Increases, Nursing Home Closures Pile Up

Despite a 17.5% Medicaid increase last year, at least 25 nursing homes closed in Pennsylvania since the pandemic began – and a significant financial shortfall remains, leaders said. Closures equate to a loss of 2,588 certified nursing home beds in the state since 2020. The continued workforce shortage and underfunding of Medicaid made closures and […]

‘SNF-Heavy’ CCRCs Continue to Suffer as Staffing, Revenue Pressures Mount

Skilled nursing beds continue to be associated with more operational stress among continuing care retirement communities (CCRCs) this year, despite improved occupancy from 72.4% in 2022 to 82.2% in 2023, and preliminary 2024 data showing further improvement. Fitch Ratings recorded eased labor challenges as well among skilled nursing providers as part of its “exposure draft” […]

Biden Shares Plans To Issue Proposed Staffing Mandate for Nursing Homes in ‘Coming Weeks’ 

In an address to care workers and unions, President Joe Biden said Tuesday that the federal government plans to release “in the coming weeks” new rules to bolster the workforce in nursing homes. The Centers for Medicare & Medicaid Services has been working on finalizing the proposed staffing mandate, with some in the industry anticipating […]

Additional Fines, On Top of Doubled Maximum Penalties, Part of New State Law

Government leaders are cracking down on long-term care providers in Arizona, expanding health officials’ authority to monitor and fine operators in nursing homes, as well as assisted living and memory care. Legislation was signed into law on Monday, originally designed to establish minimum training standards for staff working with memory care residents, according to a […]

‘Gobbled Up’: CMS Medicare Increase for Nursing Homes Fails to Price in Dire Economic Environment, Costly Regulation

The federal government’s proposed Medicare payment increase for 2025 is not sitting well with the nursing home sector, with financial experts and operators raising concerns that the bump fails to compensate for inflation-induced operating costs – and a staffing proposal anticipated to cost in the billions each year. For some experts, the Centers for Medicare […]

Policy Moves That Are Yielding State Winners on Nursing Home Staffing Front

North Dakota has some of the highest staffing levels in the country – no small feat considering the many pockets of rural communities. The state has achieved this because of a very supportive legislative body that recognizes the value of long-term care services, including skilled nursing, operators and associations say. Garth Rydland, president and CEO […]

Aldersbridge CEO: Tone Deaf Policy, MA Giants Have Backed Nursing Homes into a Corner

As inadequate funding squeezes nursing homes dry, with Medicare Advantage reimbursing lower than traditional Medicare, and Medicaid funding decades behind on meeting cost of care, facilities are shifting operations to optimize reimbursement. But even that may not be enough. Richard Gamache, CEO of Aldersbridge Communities in Rhode Island, has had to make such operating decisions […]

Technical School Fastracks, AI, Community Relationships Top 2024 Workforce Initiatives

Nursing home operators, states and federal agencies continue to shift their strategy to meet the demands of the future work environment, as nursing shortages persist and nursing homes face possible upcoming staffing regulations. Some of these efforts have centered on easing education, training and credentialing. To that end, operators have bolstered relationships with local universities […]

California Nursing Home Chain Agrees To Pay Up to $15.5M Amid Physical, Sexual Assault Allegations

Following allegations of physical and sexual assaults, and neglect of patient medical care, California operator Mariner Health Care has agreed to pay up to $15.5 million in penalties, plus $2.25 million in costs, if unable to abide by terms related to patient safety and staffing levels. Mariner Health Care neither admitted to nor denied wrongdoing, […]

Nursing Home Operators Targeted in Increasing Number of Litigation Tied to 1099 Misclassification

Litigation tied to the use of independent contractors in the nursing home space has increased ever since the Department of Labor (DOL) in January cracked down on the criteria used to classify workers in the sector. Operators are being targeted, rather than the agencies supplying such staff, and the changes are bound to affect recruitment. […]

Low Medicaid, Higher Acuity Behind 6 Nursing Home Closures, 100-Plus Resident Relocations in RI

The threat of closure is ever present for nursing home operators, with low Medicaid reimbursements and workforce shortages amid a growing population of higher acuity patients complicating care. Since the start of the pandemic, six nursing homes in Rhode Island have closed their doors, forcing the relocation of more than 100 residents, Gov. Dan McKee […]