State of the Nursing Home Workforce (Part 3): To Bolster Frontline Staff, Operators Open Up Their Own CNA Schools, Graduating Thousands

Building the frontline workforce continues to be crucial for the nursing home sector as the industry faces a federal minimum staffing mandate. However, barriers exist in the form of civil monetary penalties (CMPs), which can pause in-house training programs if a facility is cited, and existing staff is stretched so thin that educational demands just […]

Nursing Home Staffing Mandate Lawsuit Could Be Resolved By January as All Parties Seek ‘Efficient’ Resolution

A resolution to the lawsuit challenging the nursing home federal minimum staffing mandate could be reached as early as January, if the court finalizes a proposed schedule put forth by the American Health Care Association (AHCA), LeadingAge and other industry leaders. If this turns out to be the case, the lawsuit would be resolved more […]

‘We Do Not Live for the Quarter’: CareTrust Queues up Avalanche of Skilled Nursing Investments

CareTrust REIT (NYSE: CTRE) has been busy with its investment pipeline this week, announcing $378 million in new investments after June 30, and on top of $268 million in investments during the second quarter. Chief Investment Officer James Callister said competition for skilled nursing acquisitions is high as oncoming improvement and post-COVID performance has resulted […]

Chevron Fallout Could Create ‘Regulatory Flux’ for Nursing Home Sector

While hopeful that the Supreme Court’s recent Chevron decision will undermine the federal staffing mandate and lead to a more rational regulatory environment, leaders in the nursing home sector also are warning that the ruling could create a period of uncertainty and tumult. Steve LaForte, director of corporate affairs and general counsel for Idaho-based Cascadia […]

‘A 1970s Solution to a 2025 Problem’: New AHCA CEO’s Goals as Policymakers Cling to the Past Amid Pandemic-Induced Shifts in Nursing Home Lobbying

The nursing home industry is caught between a growing demand for services and evolution of the delivery model, all while policymakers and the wider community cling to an outdated version of the sector. This has made lobbying for the industry a tricky endeavor, and yet, it also offers a unique – even urgent – opportunity […]

Ensign Execs: Odds Improve for Staffing Mandate Victory, Occupancy and Skilled Mix Outperform Seasonal Norms 

Deal opportunities continue to be abundant for the Ensign Group (Nasdaq: ENSG), and leaders for the nursing home giant also are more confident that the federal nursing home staffing mandate is doomed. While announcing strong quarterly results and increased guidance, Ensign executives stated that the typical seasonal trends of depressed summertime occupancy and skilled mix […]

Shift from Biden to Harris Unlikely to Rattle Staffing Mandate, as Unions Remain Strong Supporters

Following President Joe Biden’s decision to drop out of the 2024 presidential race, leaders in the nursing home space say there likely won’t be any change to the federal minimum staffing mandate or lawsuit given an ongoing strong connection with unions. Biden endorsed Vice President Kamala Harris to run in his place. On Monday, Harris […]

AHCA/NCAL Taps Porter to Succeed Parkinson as CEO

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) on Tuesday announced the appointment of Clifton J. Porter II as the new president and CEO of the association, effective this fall.  Porter will be the first African American to fill the role in AHCA/NCAL’s 75-year history. He currently serves as the senior […]

Supreme Court Ruling Is a ‘Game Changer’ for Challenging Nursing Home Staffing Mandate, CMS Authority

A Supreme Court decision on Friday could significantly weaken federal agencies’ authority to regulate industries, including powers of the Centers for Medicare & Medicaid Services (CMS), with wide implications for the recently finalized federal minimum staffing rule for nursing homes. The Supreme Court’s decision to discard the long-standing so-called Chevron doctrine is a “game changer,” […]

Sen. Casey’s Workforce Bill Aims To Provide $320B, Seen as Funding Mechanism for Nursing Home Staffing Rule

As part of already proposed legislation, U.S. Democratic Sen. Bob Casey of Pennsylvania is pushing for an injection of billions of dollars to increase the direct care workforce and improve pay. Casey’s Long-Term Care Workforce Support Act could be viewed as a funding mechanism for the Biden administration’s federal nursing home staffing mandate, which would […]

CMS Staffing Mandate Modified to Include LPNs in Limited Way, Still Marginalizes ‘Backbone’ of Nursing Home Workforce

The newly finalized minimum staffing standards by the Centers for Medicare & Medicaid Services (CMS) have ignited a significant debate among nursing home leaders regarding the inclusion and role of licensed practical nurses (LPNs). The mandate, announced on April 22, 2024, establishes new comprehensive minimum nurse staffing requirements, aiming to enhance the quality of care […]

‘Fast-Tracked’: AHCA Lawsuit Opposing Nursing Home Staffing Mandate Has Strong Legs, With Injunction Expected Soon

Lawyers and other leaders in the nursing home sector believe the American Health Care Association’s (AHCA) lawsuit is strong, framed well and likely to succeed, with a decision possible by early 2025. An injunction from the plaintiffs – all 5-Star facilities located in Texas along with AHCA – regarding staffing rule’s implementation should follow in […]

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 […]