Nursing Home Leaders Using ‘All the Tools Available’ in Aggressive Push to Halt CMS Staffing Mandate

LeadingAge joins a slew of other nursing home industry voices in urging a multi-faceted strategy following the finalization of the federal minimum staffing rule a month ago. The advocacy group is pursuing legislative, legal and regulatory avenues to stop the mandate and build the workforce. Katie Smith Sloan, president and CEO of LeadingAge, said, “We […]

AHCA/NCAL: Nursing Home Staffing Rule Will Cost $6.5B Annually, Require 102,000 Extra Clinicians, Displace a Quarter of Residents

The nursing home minimum staffing rule is estimated to cost the industry a staggering $6.5 billion per year, and would require an additional 102,000 clinicians, according to a new analysis released Thursday by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). To fulfill the rule’s requirements, more than 77,000 certified nurse […]

Biden Criticized for ‘Inaccurate Framing’ of Sector By Nursing Home Groups as Staffing Rule Discussion Heats up in Mainstream Media

Nursing home advocacy groups criticized the Biden Administration for “misleading” the public with its negative rhetoric on nursing homes as reactions to the federal government’s minimum staffing rule continued to trickle in. Discussions of the finalized staffing rule were seen in recent policymaker committees, including the U.S. House Energy and Commerce Subcommittee on Health, and […]

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 […]

‘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 […]

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 […]

House Advances Legislation To Block Nursing Home Federal Staffing Proposal 

Legislation to block the federal minimum staffing proposal for nursing homes reached a milestone today, passing in the U.S. House Ways and Means Committee. The Protecting America’s Seniors’ Access to Care Act (H.R. 7513) was first introduced by Rep. Michelle Fischbach (R-MN) and would prevent the Centers for Medicare & Medicaid Services (CMS) from finalizing […]

Thousands of Nursing Home Leaders Pen Letter to Congress, Again Urging Rejection of Federal Staffing Proposal

More than 1,000 nursing home leaders, along with associations like LeadingAge and the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), sent a joint letter to House Ways and Means Committee leaders to reject the federal minimum staffing proposal. The letter, spearheaded by AHCA/NCAL, was sent late Thursday and signed by state […]

AHCA CEO Parkinson to Retire in 2025, Search on for Successor

Mark Parkinson, CEO and president of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), on Tuesday announced plans for retirement after 13 years with the association, and leading its members through the pandemic. Parkinson plans to stay on until Jan. 15 of next year, as the association launches its search for […]

‘A Brick Wall’: Overcoming Barriers to Census Growth at Nursing Homes From Managed Care Plans

As managed care plans continue to reshape the skilled nursing landscape, operators must navigate the complexities of managing patients under managed healthcare programs, including maintaining patient census levels, adapting to industry-specific policies, and addressing issues related to case managers’ involvement. As Medicare Advantage continues to penetrate the nursing home market, leaders have said that MA […]

Industry Critics Blast ‘Tremendously Unfunded’ CMS Nursing Home Staffing Mandate, Warn of Severe Access Issues

As the nursing home industry finally gets a first look at the long-awaited proposed minimum staffing mandate released early Friday, leaders across the sector say that its most critical aspects deal with implementation timing, a “good faith” provision, and requirements for registered nurses (RNs). As it stands, the proposed rule has major implications for access […]

With CMS Nixing Mandatory Patient Satisfaction Measure, Nursing Homes Remain ‘Behind the Times’

The issue of formally requiring patient surveys for nursing homes, similar to surveys mandated in other segments of health care, has long been a source of debate – one getting stirred up again after federal policy makers decided to nix patient satisfaction measures from the recently issued final prospective payment rule for 2024. The Centers […]

[UPDATED]: Supreme Court Upholds Resident Right to Sue Publicly Owned SNFs

In a 7-2 ruling, the Supreme Court on Thursday morning ruled that nursing home residents and their families can sue publicly-owned nursing home facilities under the Federal Nursing Home Reform Act. The case presented the question of whether Medicaid beneficiaries can seek relief in federal court when they believe their rights are being violated by […]

AHCA’s CEO: Nursing Homes Must Prepare for ‘Massive’ Staffing Mandate Battle, Adapt to Managed Care ‘Mega-Trend’

Nursing homes are past the “nightmare” caused by Covid-19, but now are facing “a real business problem” that could be considerably worsened by the coming federal staffing mandate. That’s according to Mark Parkinson, CEO and president of the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). He spoke Tuesday of the urgent need to […]

‘Access Crisis Unfolding’: Nursing Home Operators, Advocates Warn of Dire Effects from Biden’s Order on Staffing

President Joe Biden’s executive order that aims to implement minimum staffing standards and tie Medicare payments to staff retention drew frustration from nursing home industry operators and advocates, who said that the well meaning directives would likely compound the staffing crisis and lead to closures unless policies are aimed at resolving its root causes, and […]

Congress, States, CMS Urged to Ensure Nursing Facility Medicaid Rates Cover Care Costs

A Congressional advisory body on Wednesday put forth recommendations for closer assessment of nursing facility Medicaid payments, including whether they are sufficient to cover costs of care. The proposals could allow for a finer tuning of Medicaid rates and therefore could benefit the sector, as long as they do not put greater administrative costs and […]

CMS Proposes Rule Requiring More Nursing Home Ownership Transparency, Including REIT and Private Equity Disclosures

The Centers for Medicare & Medicaid Services (CMS) announced Monday a proposed rule to require nursing homes to disclose more information regarding their ownership and management, including information related to assets held by real estate investment trusts (REITs) and private equity firms. Nursing homes will be expected to disclose this information as part of the […]

2023 Outlook for Skilled Nursing Shaped by Unfriendly Federal Policies, Confounding Deals, Labor Crisis

The gap between current skilled nursing occupancy and pre-pandemic occupancy is “99%” due to lack of staff, and addressing the sector’s workforce crisis is clearly the top priority for 2023. That’s according to Phil Fogg Jr., president and CEO of Marquis Companies and chairman of the American Health Care Association. Milwaukie, Oregon-based Marquis owns and […]