‘Befuddling’: CMS MDS Overhaul Could Spike Antipsychotic Use Percentage, Complicate Quality Tracking

The Centers for Medicare and Medicaid Services (CMS) this week released the Minimum Data Set 3.0 quality measures user’s manual, with notable changes being far more sweeping than many in the sector expected. Two major updates involve the respecification of the long stay antipsychotic measure and a risk adjustor modification to the discharge function score […]

HHS Repeals Federal Nursing Home Staffing Mandate Provisions

The U.S. Department of Health and Human Services (HHS) has officially repealed most of the provisions of the federal nursing home staffing mandate. Facility assessment and Medicaid transparency provisions remain, however. Leaders in the sector maintain that these assessments, while meant to ensure appropriate staff support, are not meaningful in terms of improving resident care. […]

Nursing Homes Lean on a Supply Chain Mindset and the Scheduler Role for Chaos Control

Skilled nursing organizations are finally realizing the scheduler’s role – crucial in balancing care and budgetary needs – in the ideal form they envisioned amid the crippling staffing shortages that plagued the sector following the COVID-19 pandemic. Schedulers have proven to be the most effective means of chaos control in facilities, provided they have the […]

‘The Good, Bad and Ugly’: Inside Understanding Work Culture to Keep Staffing Chaos in Check at Nursing Homes

It’s no surprise that the principle of understanding employee needs and wants is key to controlling the staffing chaos – an ever-present threat at nursing homes – and yet it is also the step most often applied incorrectly. According to panelists at a recent Skilled Nursing News webinar titled, Beyond the Chaos: A Proactive Playbook […]

US News Ratings Show Best Nursing Homes Provide 20% More Staffing Per Resident Day

U.S. News and World Report’s nursing home ratings for 2026 expand metrics used for evaluation while also adding data from a greater variety of sources than in the past. Quality indicators nearly doubled, with emphasis placed on staffing across different roles – and the results show a correlation between staffing levels and top-rated facilities. The […]

Quality Still the ‘Stake in the Ground’ as Nursing Home Operators Tackle Dining, Staffing and Reimbursement Pressures

After years of pandemic-driven focus away from dietary departments, dining is back in the spotlight – and impacting operations. Residents’ preference for in-room meals has created social and staffing challenges, while expectations for quality dining remain high, and this has resulted in some solutions that improve both clinical care and quality while reducing burdens for […]

‘Déjà Vu’: CareTrust Continues Mega Deal Announcements in 2025, With $437M Acquisitions

CareTrust (NYSE: CTRE) provided more details Thursday on its second mega deal of the year – a $437 million acquisition following the close of the third financial quarter. Significant activity in the U.K. care homes market has seen the involvement of large U.S. REITs, including CareTrust and Welltower. San Clemente, California-based CareTrust completed approximately $59 […]

Nursing Homes Follow Regulatory ‘Breadcrumbs’ and Share Staff Across Diversified Portfolio

Having the right staff is key for skilled nursing providers to remain financially viable in a volatile market, and with recent regulatory changes, planning for higher acuity patients takes priority. These are some of the takeaways leaders from Journey Skilled Nursing and Ocean Healthcare shared during a panel discussion at the recent Skilled Nursing News’ […]

CMS Expands Nursing Homes’ Ability to Tap Civil Monetary Penalty Funds for Projects

The Centers for Medicare & Medicaid Services (CMS) is making several updates to the Civil Monetary Penalty Reinvestment Program (CMPRP), including changes to how nursing homes apply for funds and the types of projects that these funds are available to support. Among the changes, CMS is accepting applications for workforce enhancement projects that will “complement” […]

HHS Withdraws Nursing Home Staffing Mandate Legal Appeals

The U.S. Department of Health and Human Services (HHS) has withdrawn legal appeals in the Fifth Circuit and the Eighth Circuit defending federal minimum staffing requirements in nursing homes.  The U.S. Court of Appeals for the Fifth Circuit granted the HHS motion to dismiss on Friday, Sept. 19. HHS on Sept. 18 filed a motion […]

‘Golden Age of Census’: To Seize the Moment, Nursing Homes Must Mirror Hospitals’ AI Use, Unburden Staff

While census remains strong at nursing homes, certain factors – such as insufficient hiring of skilled clinical workers and limited use of technology and AI tools to align with referral partners and hospitals – could negatively impact census. Andy Frasure, COO of Larry H. Miller Senior Health, and Steve Hart, COO of Heritage Operations Group, […]

What’s Driving Skilled Nursing M&A With ‘COVID Hangover Over’

Despite macroeconomic and regulatory uncertainties, the investment outlook for skilled nursing and assisted living is robust. That’s according to panelists at Skilled Nursing News’ recent RETHINK conference, who highlighted that conditions are finally normalizing in the skilled nursing space, five years after the COVID-19 pandemic struck. “The COVID hangover is over,” said Sam Bechthold, chief […]

Brickyard CEO: Company Playbook Is Driving Survey, Staffing, Value-Based Care Wins

By Sloane Airey As pressure mounts for the skilled nursing industry, Brickyard Healthcare is making progress on key goals, such as driving down annualized turnover. The company also is achieving lower rehospitalization rates while also moving forward — along with partner organizations — on the nation’s largest provider-owned Medicare Advantage Institutional Special Needs Plan (I-SNP). […]

PACS CFO Resigns Following Board Investigation Into Violation Of Company Policies

PACS Group (NYSE: PACS) is seeking a new chief financial officer following the resignation of Derick Apt. This marks a C-suite change for one of the nation’s largest nursing home companies, as independent subsidiaries of PACS operate more than 300 post-acute and senior living facilities across the country. Apt tendered his resignation at the request […]

CMS Moves To Rescind Federal Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) is taking steps to rescind the controversial federal staffing mandate for nursing homes. The White House Office of Management and Budget (OMB) is reviewing an Interim Final Rule from CMS with the title “Repeal of Minimum Staffing Standards for Long-Term Care Facilities,” according to an online posting […]

How 3 Skilled Nursing Providers Strengthen Workforce With Data, Culture, Career Pipelines

By Kristin Carroll Building a strong and stable workforce continues to rank among the most daunting challenges across the skilled nursing sector, but providers are notching wins in recruitment and retention. Monarch Healthcare Management, Journey and Senior Management Inc. Care & Rehab have succeeded in drastically reducing use of agency staff; have created new roles, […]

Good Samaritan CEO Schema: Staffing Efforts Drive Wins, OBBBA Implementation Demands ‘Urgency and Focus’ 

by Jennifer Murtoff The CEO of Good Samaritan, the nation’s largest nonprofit skilled nursing provider, is bullish on wins related to staffing – perennially one of the most daunting challenges in the sector.  More specifically, Good Samaritan’s own workforce initiatives have driven positive results, including improvement in the organization’s 90-day retention rate for new hires. […]

Support, Career Advancement, Training Stipends Crucial to Stop Exodus of CNAs in Nursing Homes

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 […]