‘Tell Our Stories’: AHCA CEO Bullish on Prospects for Medicare Advantage Reform, Workforce Policies

Nearly 700 nursing home provider representatives will be urging federal lawmakers to take action on Medicare Advantage reform and other top policy priorities for the sector. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) kicks off its Congressional Briefing event on Monday. The most important endeavor for members is to share […]

American Nurses Association, 9 Other Groups Sue Dept. of Education Over Loan Limit Rule

The American Nurses Association and a group of other organizations have jointly filed suit against the Department of Education over its final rule excluding nursing from the “professional degree” designation. The American Nurses Association (ANA) and nine other nursing organizations filed the suit in response to a policy, starting July 1, excludes post-baccalaureate nursing degree […]

Cascadia, Journey, Genesis Highlight New Approaches to Recruiting and Retaining Nursing Home Staff

Nursing home operators are embracing workforce development initiatives to attract, retain and improve the skills of workers from inside and outside the industry. Leadership turnover is one of long-term care’s most damaging problems, and a big focus for operators such as Cascadia Healthcare. Other companies, such as Journey Skilled Nursing and Genesis HealthCare,use competitions with […]

Nursing Home Admins Have New Role as Data-Translator, Relationship-Builder

The skilled nursing administrator position is ever evolving as a bridge between corporate leaders and frontline staff. These leaders often are assuming the role of data translator and CEOs of their buildings as more operators embrace decentralized business models. Having a sense of ownership over a building and what goes on inside of it makes […]

American Senior Communities CEO: Care Companion Model, Clinical Integration Underpin Quality, Growth

American Senior Communities (ASC) is coming off a strong 2025 focused on quality care and is building on that success to weather industry challenges while executing on key initiatives, including the growth of a provider-led institutional special needs plan (I-SNP). ASC has 114 properties in Indiana, 94 of which are focused on skilled nursing. The […]

Inside the Medical Director’s Role: Historian, Linchpin and Last Line of Defense for Nursing Homes

The medical director can make or break a nursing home’s path to quality care, and it’s a role that has drastically evolved over the last decade to bridge the gap between state survey agencies, staff and residents, while serving as the go-to resource for understanding enforcement cycles. In worst-case scenarios, medical directors serve as key […]

Majestic Care Sees Nursing Home Recruitment, Quality Gains Through Certification Push

Certification for various nursing home roles has shown to have a positive effect across the sector, with benefits ranging from higher star ratings to an improvement in recruitment and retention. However, it is also an initiative that is often underutilized, leaders say. Majestic Care, for one, partnered with the American Association of Post-Acute Care Nursing […]

CMS Veteran Blum Warns a Version of the Nursing Home Staffing Rule Could Return After November

The fight over the federal nursing home staffing mandate isn’t over yet – it might be entering its next phase, according to Jonathan Blum, former COO and principal deputy administrator at the Centers for Medicare and Medicaid Services (CMS), who said the idea of having such requirements is certainly still circulating among federal officials. While […]

‘Low-Hanging Fruit’: Nationwide Survey of Nursing Home Staff Shows Easy Fixes for Retention Amid Managed Care, PDPM Burdens

A new survey points to a growing gap between job satisfaction and workplace challenges among nurses working in skilled nursing facilities, with certain types of documentation topping the list of burdens and workplace culture and relationships – especially with supervisors – as possible solutions. Based on responses from nearly 500 nurses in skilled nursing facilities […]

‘We’re Not Prepared to Replace Them’: Immigration Changes Hit Nursing Homes Hard, Undermining Workforce Stability

Immigrant workers are the backbone of daily care at nursing homes, and recent policy changes, including exorbitant visa fees, have created new barriers that are unrealistic for providers already working on razor thin margins and have disrupted workflows. Moreover, the primary pathway used for registered nurses (RNs), licensed practical nurses (LPNs), and other direct care […]

Same Services, Sicker Individuals, Less Time: Daily Frustrations with Medicare Advantage as Acuity Rises in Nursing Homes

Maintaining quality of care with slim resources, while seeing patient acuity continue to rise, keeps nursing home clinicians up at night – and these challenges are compounded by insurance pressures, particularly from Medicare Advantage (MA) plans. Varion Walton, VP of clinical services at Texas-based Methodist Retirement Communities (MRC), discussed the daily frustrations borne from managed […]

‘Nothing Like Grassroots Effort’: Journey and Gurwin Execs Share Nursing Home Recruitment and Retention Strategies

As staffing conditions stabilize, skilled nursing leaders are shifting focus toward retention, and placing culture, communication and career development at the center of workforce strategies for 2026. Executives from Journey and Gurwin Healthcare System say keeping workers engaged now depends less on short-term incentives and more on long-term investment in people. For Laurel Lingle, vice […]

‘Uphill Battles on Many Fronts’: HDG CEO on Supercharged Nursing Home Payment Pressures, Staffing Challenges

Rising patient complexity – including psychiatric conditions – and ‘supercharged’ financial pressures are pushing skilled nursing operators to focus on leadership development and easing clinical burdens with clever fixes. “SNFs have always been vulnerable to payment pressures but they are supercharged right now. From Medicaid challenges to the decline of private-pay residents and ongoing managed […]

CMS Leader Talks Risk-Based Surveys, Staffing Campaign, Survey Hot Spots

The Centers for Medicare and Medicaid Services (CMS) is set to roll out risk-based surveys on a more broad basis, with final criteria expected to be released in a matter of months. Inspectors still could flag targeted operators for a full survey, depending on what they find. That’s according to Evan Shulman, director of the […]

More LPNs, Fewer RNs: Nursing Home Unionization Reshapes Staffing but Not Quality

While unionization in nursing homes drastically changed staffing patterns in the sector, it didn’t measurably affect overall care quality. In reality, the union effect on care quality is more nuanced – unions don’t appear to harm care quality but they’re not improving it either, mostly due to cost-cutting responses from management. Following unionization, nursing homes […]

‘Dramatic’ Drop in Retroactive Medicaid Approval Timing Raises Concerns for Nursing Homes as Operators Tackle AI, Staffing

Nursing home operators, as always, are juggling many moving parts to stay ahead, but some initiatives are taking precedence this year – particularly stabilizing the workforce via career ladders, policy changes tied to Medicaid and managing technology. Executives are discussing policy and reimbursement hurdles, with the One Big Beautiful Bill Act (OBBBA) spurring talks with […]

Larry H. Miller COO Frasure Says Dealing With MA Burdens and Higher Acuity Has No ‘Short-Term Fix’

Larry H. Miller Senior Health is entering 2026 from a position of operational momentum having acquired a six-facility portfolio recently. However, COO Andy Frasure remains clear eyed about the growing challenges facing nursing home providers. The Kissito Healthcare portfolio’s acquisition and successful integration was his company’s biggest milestone in 2025, Frasure told Skilled Nursing News. […]

State Lawmakers Weigh Bill to Crack Down on Nursing Home Abuse With Tougher Penalties, More Transparency

Missouri lawmakers are considering legislation aimed at increasing accountability and transparency around resident abuse and neglect in nursing homes. The bill would increase penalties for such offenses and require facilities to carry at least $1 million in liability insurance. Republican State Senator Adam Schnelting, who sponsored the bill, said the measure would help families obtain […]