To meet some of the most daunting challenges facing nursing home providers today – including in the realms of workforce and regulations – leaders must shift their mindsets. This was one major takeaway from a recent webinar that Skilled Nursing News hosted, featuring a panel of nursing home executives. With regard to public policy and […]
Nursing homes are still facing a staffing shortage despite gains made by individual operators, with certified nursing assistants (CNAs) in particular leaving the labor force because of lack of support services and career advancement, requiring “immediate and sustained action,” according to a study first published in The Gerontologist. The CNA shortage threatens quality of care […]
With the Centers for Medicare and Medicaid Services (CMS) updating surveyor guidance and Care Compare metrics, compliance teams at nursing homes are adapting their internal audit response processes. However, operators say the task has caused hurdles for their clinical teams, with some even creating a dedicated role specifically to manage such audits. A major source […]
A regulatory hat will be the latest of many worn by medical directors at nursing homes. They are expected to play an integral role in surveys moving forward, and will be on the hook if documentation is missing or a situation wasn’t handled with new survey requirements in mind. Medical directors already have significant administrative […]
Turnover rates in U.S. nursing homes declined overall in 2025, while salaries for clinical roles and leaders saw a slight increase. This is according to the 2025–2026 Nursing Home Salary & Benefits Report released Tuesday by the Hospital & Healthcare Compensation Service (HCS). The report notes that average annual salaries rose across roles in 2025. […]
Nursing and residential care facilities saw an increase of 3,435 jobs in July, a slow increase compared to 3,429 added jobs in June and 3,417 jobs in May. The sector saw more jobs added compared to the same month last year, with 3,321 jobs added in July 2024, according to the employment situation news release […]
Although most nursing homes increased direct care spending, staffing levels still declined at many facilities between 2018 and 2021, according to the latest analysis of Medicaid reimbursement for direct care compensation released Monday by the Office of Inspector General (OIG). The study also focused on the percentage of Medicaid funds allocated to direct care workers, […]
There’s a large turnover of leaders and nurses in long-term care, a trend that operators know well threatens not only the care of residents but also destabilizes a fragile workforce. Directors of nursing (DONs) carry the burden of leading, educating, and advocating for residents and staff, yet many struggle with leadership transitions, regulations, and nursing […]
Florida, long known as a retirement haven, is facing a labor crisis in long-term care, where many immigrant workers have historically filled key roles aided in recent years by humanitarian relief laws. Recent immigration policies under the Trump administration, which revoked temporary protections and work permits for hundreds of thousands of immigrants, have left the […]
Terminally ill patients in nursing homes are facing needless emergency room visits and hospital stays – about 80% of ER visits by this population is potentially avoidable. Furthermore, nearly one-third of hospitalizations among terminally ill nursing home residents was needless, according to a study published by the Journal of the American Medical Directors Association (JAMDA) […]
Implementation of the Patient-Driven Payment Model (PDPM) significantly increased coding intensity among skilled nursing facilities, while Medicare expenditures grew by $665 per beneficiary on average, despite the model’s intended budget neutrality. Increased spending was observed especiallyamong patients with medically complex health care needs, according to a study published on Monday in JAMA Internal Medicine. Meanwhile, […]
The One Big Beautiful Bill Act (OBBBA) has unintended consequences, with more tailwinds than headwinds, for nursing homes and other long-term care, placing greater burdens on states. According to ATI Advisory CEO Anne Tumlinson, who spoke at a webinar on Tuesday alongside other experts about the impact of OBBBA on long-term care, nursing homes are […]
The Retentionist role may be the newest effort to bolster the workforce at nursing homes, which have long struggled with labor instability and shortages. With state funding backing the effort, Monarch Health Management – an operator of 45 skilled nursing facilities (SNFs) as well as over 20 long-term care communities across Minnesota – has seen […]
The One Big Beautiful Bill Act (OBBBA) could have major implications for employers of low-wage and part-time workers, especially in sectors like long-term care, including nursing homes. By imposing new Medicaid work requirements and more frequent eligibility checks, the law risks disrupting employee stability and increasing workforce turnover. The bill’s Medicaid reforms and greater scrutiny […]
Directors of Nursing (DONs) in Continuing Care Retirement Communities (CCRCs) and Life Plan Communities saw a 4.07% salary increase in 2025, up from 3.53% in 2024, while clinical roles also experienced wage increases, though smaller than those seen the previous year. This is according to the 2025–2026 CCRC Salary & Benefits Report from Hospital & […]
Litigation risks remain top of mind for nursing home operators, often tied to falls, resident behaviors as well as wounds and pressure injuries. The combination of higher acuity residents, lower reimbursements and staff shortages create a recipe for more lawsuits in these clinical areas. Misclassification of 1099 workers, or independent contractors, and the special focus […]
Staffing shortages have led providers to limit admissions – most commonly in Skilled Nursing units – with 25% of single-site communities and 18% of multi-sites affected, according to the latest July 2025 Ziegler CFO Hotline survey. The survey offers a glimpse into staffing trends, vacancy and turnover rates, reliance on agency staff, as well strategies […]
Legislation aimed at improving oversight at long-term care facilities and memory care units on Monday passed the state Senate and has moved on to the Ways and Means Committee in Oregon. The bill was introduced after reports of serious neglect, including residents wandering unsupervised, unsanitary conditions and fatalities. If signed into law, immediate investigations within […]
In the latest litigation over the federal staffing mandate, Judge Leonard T. Strand for the Northern District of Iowa vacated crucial aspects of the rule earlier this week, namely that a registered nurse (RN) needs to be on-site 24 hours a day, seven days a week. The ruling also vacates implementing minimums of total nurse […]
Nursing homes have yet to recover from workforce losses experienced during the pandemic still, along with other care settings like intensive behavioral health centers. Skilled nursing facility employment levels between 2016 and 2024 dropped 7.6% from its predicted level, especially between 2020 and 2023, according to a study published in JAMA this month. Midway through […]
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