Since Diversicare named Steve Nee as CEO in February 2023, the provider has eliminated agency staff across its portfolio of 44 nursing homes and now is reentering growth mode, with a focus on adding new service lines, particularly in behavioral health. Nee took the helm at the Brentwood, Tennessee-based company at a time of difficult […]
Nearly 100 members of the U.S. House of Representatives are urging the Centers for Medicare & Medicaid Services (CMS) to reconsider the proposed federal nursing home staffing mandate. The lawmakers on Friday sent a letter to CMS describing their concerns with the mandate. “Finalizing this proposal would result in limited access to care for seniors, […]
Only 6% of real estate investment trust (REIT) assets are in compliance with the federal minimum staffing proposal for nursing homes, compared to the industry average of 19%. This difference is due at least in part to less nonprofit representation in REITs, BMO Capital Markets analysts said in a note on Thursday. The BMO analysts […]
The way physicians and nursing home organizations work together must improve, especially with value-based care continuing to grow in prominence among all care settings. More specifically, C-suite executives, nursing staff and other leaders – from both the physician group side and nursing home operator end – must have a close partnership and aligned business strategies […]
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 […]
More than a month after the announcement of the federal minimum staffing proposal, an official with Centers for Medicare & Medicaid Services (CMS) reinforced the agency’s commitment to the rule and urged providers and other stakeholders to continue submitting comments on the matter by Nov. 6. Dr. Dora Hughes, acting CMS Chief Medical Officer and […]
As nursing homes closures continue across the country, “nursing home deserts” are expanding, and the proposed federal staffing mandate is expected to exacerbate the problem. This is despite attempts to make the potential policy change easier for providers in rural markets, which are especially vulnerable to access issues. Operators in these areas point to the […]
States continue to take action on addressing wage disparities for nursing home staff even as the industry undergoes massive shifts marked by economic, operational and regulatory changes. Skilled nursing facility staff, as well as other health care workers in California, will slowly see their hourly wage increase to $25 over the next decade under a […]
The recently proposed federal nursing home staffing mandate includes the requirement that all facilities have a registered nurse on staff around the clock, every day of the week. Operators are taking some early steps to prepare for this requirement even as they rally against this aspect of the mandate, arguing that 24/7 RN staffing will […]
The latest proposed changes to the REACH accountable care organization (ACO) may make it even easier for skilled nursing facilities to be a part of an ACO program – and there may be implications for quality of care, industry leaders said. A broadened criteria and an attractive high needs population track is expected to be […]
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 […]
Kent Rodgers, president and CEO for CarDon & Associates, has seen some great challenges in his 17-year career at one of Indiana’s largest nursing home providers, but he’s also excited about being at the forefront of many transformations, some spurred by the Covid-19 pandemic. In fact, the pandemic was raging when he became the company’s […]
More than a week after updates to the Minimum Data Set (MDS) went into effect, each section change seems to be emphasizing focus on the resident’s voice, which along with substantial coding changes – four years in the making – will require time to incorporate, experts said. Kevin Cezat, director of clinical excellence for Therapy […]
If nursing homes want to improve quality of care, it is imperative that they reduce staff turnover, and focus their efforts more on retention than recruitment. This is according to a JAMA study released Monday, which also revealed that the average annual turnover rate in nursing homes was as high as 128%, indicating a revolving […]
The skilled nursing industry is at a crossroads as it grapples with the Centers for Medicare & Medicaid Services’ (CMS) proposed federal staffing mandate. A significant point of contention in the proposal is the exclusion of licensed practical nurses (LPNs), which has ignited concerns and garnered strong reactions from industry leaders. “What’s keeping me up […]
The U.S. Department of Labor (DOL) failed to block a $56 million deal between Pennsylvania operator Comprehensive Healthcare Management Services and Kadima Healthcare Group for seven properties, according to court documents. The parties convened before the U.S. District Judge William Stickman IV in September when Acting Secretary of Labor Julie Su had asked for a […]
Nursing home staff’s trust in their leaders and federal health care agencies eroded during the worst of the pandemic – and the rebuild will be slow going. Industry executives and advocacy leaders, who said that the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have been unable […]
A Congressional bill that aims to defeat the Biden Administration’s minimum staffing proposal began making rounds last week, and nursing home executives, including clinical team members attending the industry’s largest annual gathering in Denver, hailed it as a welcome development. If passed, the bill could keep the Centers for Medicare & Medicaid Services (CMS) from […]
A component of the minimum staffing proposal that has received little notice thus far is that labor unions may have some weight in determining the staffing levels needed for a particular building. This feature was the source of discussion among attendees at the annual conference for the American Health Care Association and National Center for […]
The “clinical nightmare” created by Covid-19 has come to an end, but the “business nightmare” related to the pandemic is ongoing, and the “policy nightmare” has only just begun. That’s according to Mark Parkinson, CEO and president of the American Health Care Association/National Center for Assisted Living (AHCA/NCAL), the largest nursing home provider association in […]
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