Nursing Home Operators Optimistic About CMS Survey Testing, But Devil Lies in the Details

Potential changes to the nursing home survey process being mulled over by federal authorities – and aimed at standardization across states – have many operators feeling optimistic for the years ahead, especially given that regional differences in implementation can lead to extra administrative burdens and survey backlogs. Toward the end of 2023, the Centers for […]

DOL’s Final Rule on Worker Classification To Increase Legal Woes, Administrative Burdens for Nursing Homes

Many skilled nursing operators will need to reclassify their existing relationships with independent contractors and rethink future ones in the wake of a final rule issued by the Department of Labor (DOL) on Tuesday. The DOL’s new rule revises guidance on how to determine who is an employee and who is an independent contractor under […]

Inside the Balancing Act of Personal Technology Use Among Nursing Home Staff

Managing personal technology devices is a common concern among staff at businesses across the nation, and nursing homes are no exception. While policies for personal technology use at nursing home organizations run the gamut – from completely restricting cell phone use to limited use to even encouraging use among employees – nursing homes have had […]

Minimizing Risk for Nursing Home Operators Means Fostering Culture, Enabling Robust Compliance

As operators mull problems on staying up to date with new or upcoming rules, legal and compliance executives believe that the federal government’s staffing proposal and focus on healthcare fraud prosecution are among the top challenges facing the sector. Speaking at Skilled Nursing News’ Risk Summit, leaders from Cascadia Healthcare and American Senior Communities, discussed […]

Expect ‘Skeletons’: With Mom-and-Pops at Breaking Point, Nursing Home Chains Hone Acquisition Practices

While financial pressures have created challenges and precipitated closures for smaller mom-and-pop nursing homes, the trend has also meant opportunities for those looking to acquire and add scale. Operators who have recently acquired mom-and-pop or small facilities say the most important consideration when expanding a portfolio with mom-and-pops is getting to know the culture of […]

The Delicate Dance of Temp Agency Regulation: 1099 Worker Classification, Wage Caps at Issue in Tight Labor Market

As government entities and organizations in the nursing home space are scrambling for policy changes to regulate staffing agencies, they seem to be prioritizing legislation that addresses price gouging while worker classification also remains on the table. The Protecting the Right to Organize Act (PRO Act) introduced in Congress in 2021 and currently being examined […]

Success Stories, Medicare Advantage Trends Drive I-SNP Growth in Nursing Home Sector

With the end of the public health emergency, industry stakeholders said the development of Institutional Special Needs Plans (I-SNPs) are of more interest to skilled nursing operators than ever before. Mark Price, Chief Executive Officer of Curana Health, said the interest level in I-SNPs has significantly increased in the past few months. “With the end […]

PDPM is a Start, But Rising Acuity at Nursing Homes Demands Building New Payment Models for Adequate Reimbursement 

As acuity continues to rise among nursing home residents, providers say reimbursement needs to change too – and not just the dollar amount. Incentives should be based on quality of care, and the industry will need to build out specific reimbursement models to match expanded acuity specialities, especially as value-based care becomes more and more […]

Cascadia Execs: Skilled Nursing’s Future Demands Better Operating Models, Not ‘1989’ Mindset

Last week, Cascadia Healthcare officially took over management of three facilities formerly operated by the Evangelical Lutheran Good Samaritan Society, with the remaining six buildings in the transitioning portfolio scheduled to follow suit in April and May. The transition process is going smoothly, with each building presenting a “microcosm of opportunity,” Cascadia President and CEO […]

Nursing Home Giant Good Samaritan Society to Exit 15 States, Focus on Core Markets

The Evangelical Lutheran Good Samaritan Society, one of the largest skilled nursing providers in the United States, plans to consolidate its operations from 22 states to seven. Once the process is complete, the Sioux Falls, South Dakota-based Good Samaritan Society will have operations in South Dakota, North Dakota, Iowa, Minnesota, Nebraska, Kansas and Colorado. About […]

‘Driving Good People from Our Sector’: Nursing Home Operators Warn that Survey Process Worsens Labor Crisis

Nursing home operators and workers are warning that an onerous and punitive approach to surveys is contributing to administrator burnout and deepening the ongoing labor crisis. “I was working at least 12 hour days every single day, and working the floor as a CNA as well, in addition to doing the administrator job because of […]

Couldn’t Have Happened at a Worse Time: Nursing Homes Struggle to Increase Booster Rates as Covid Surges

As nursing home operators find themselves in the middle of a tripledemic – with Covid-19 cases, respiratory syncytial virus (RSV) and the flu on the rise during winter months – concerted efforts to get staff and residents boosted against Covid have fallen by the wayside. And nursing home operators dealing with staffing shortages and burnout, […]

The Quotes That Defined Skilled Nursing in 2022 — and Hint at What’s Ahead

The top quotes of 2022 memorably captured some of the biggest skilled nursing issues of the year, from “shocking” payment policies to “colossal” regulatory issues to “transformative” changes. The quotes below not only serve as reminders about what transpired over the last 12 months, but touch on many issues that are still pressing as 2023 […]

[UPDATED] CMS to ‘Crack Down’ on Troubled Nursing Homes Through Special Focus Facility Program Changes

In its latest move to increase scrutiny of the skilled nursing industry, the Biden administration is toughening requirements for nursing homes that fall into its Special Focus Facilities (SFF) program. Specifically, the Centers for Medicare & Medicaid Services (CMS) is making completion requirements more challenging and increasing enforcement actions if SNFs fail to show improvement, […]

SNF Operators Cautious Over CDC Mask Changes Amid Regulatory Whiplash, Fatigued Staff

The majority of nursing homes will not be able to take advantage of the Centers for Disease Control and Prevention’s (CDC) updated mask policy as many are still in high transmission zones for Covid-19. The CDC last month issued updated guidance that removed its blanket masking policy to better reflect vaccine efforts, infection-induced immunity and […]

Inside the Forces Driving Skilled Nursing Valuations in 2022

Many investors have not shied away from the skilled nursing industry in spite of the ongoing labor shortages, rising costs and looming federal regulations consuming operators — and they don’t appear to be doing so anytime soon. Private buyers have continued to buy up the overwhelming majority of available assets, closing roughly $1 billion in […]

Blueprint Facilitates Deal With Cascadia For Washington SNF; Walker & Dunlop Structures $57.2M Financing

Blueprint Healthcare Real Estate Advisors helped facilitate the sale of a 92-bed skilled nursing facility located in Colville, Wash. Pinewood Terrace was a “unique opportunity” for a regional owner/operator to purchase the facility for an “appealing price per bed with assumable attractive HUD financing,” according to a news release. Skilled nursing operator Cascadia Healthcare ultimately […]

The Workforce Linchpin: Nursing Home LPN Role Weaves Together Resident Knowledge, Clinical Expertise

The licensed practical nurse (LPN) is a crucial, but often overlooked piece of the nursing home workforce puzzle, according to industry leaders, with minimum staffing ratios focusing more on the certified nursing assistant (CNA) and the registered nurse (RN). LPNs are in the building every day and know the residents, but also have the clinical […]