Cascadia Healthcare is on track to become Oregon’s largest post-acute care provider with plans to acquire 11 facilities from Sapphire Health Services, a Salem-based senior care provider. Cascadia Chief Financial Officer and Principal Steve LaForte shared the latest deal news exclusively with Skilled Nursing News on Wednesday during the RETHINK 2026 conference in Philadelphia. The […]
Rick Matros, CEO of Sabra Healthcare REIT (Nasdaq: SBRA), called the transition of operating partner Avamere’s assets to new lease partners a “great transition” as he provided additional details about the deal during the company’s second quarter earning’s call on Tuesday. All 26 Avamere properties were leased to new operators, with 22 taken over by […]
Avamere is making good on its plan to exit the skilled nursing business, with landlord Sabra Health Care REIT (Nasdaq: SBRA) announcing plans Tuesday to transition all 26 of its leased Avamere properties to new operators, including 22 that would be taken over by Cascadia Healthcare. The remaining four would be transferred to another existing Sabra tenant. It is unclear […]
It’s no secret that successful institutional special needs plan (I-SNP) partnerships depend on aligned incentives between the nursing home operator and insurer, trust between parties and organizational buy-in. However, achieving that cohesion is another matter. On the insurer’s side, co-designing benefits with providers and maintaining data transparency may be outliers when it comes to larger […]
As Cascadia Healthcare continues to expand its footprint and diversify its service lines, the company is doubling down on a decentralized, field-driven operating model that empowers individual facility leaders to make business decisions locally rather than from a corporate office. That philosophy has shaped everything from vendor relationships to growth strategy – and remains central […]
Nursing home operators are embracing workforce development initiatives to attract, retain and improve the skills of workers from inside and outside the industry. Leadership turnover is one of long-term care’s most damaging problems, and a big focus for operators such as Cascadia Healthcare. Other companies, such as Journey Skilled Nursing and Genesis HealthCare,use competitions with […]
The skilled nursing administrator position is ever evolving as a bridge between corporate leaders and frontline staff. These leaders often are assuming the role of data translator and CEOs of their buildings as more operators embrace decentralized business models. Having a sense of ownership over a building and what goes on inside of it makes […]
Low Medicaid reimbursement rates are making it increasingly difficult for hospitals to transfer patients to nursing homes because of beds that are offline. As state Medicaid payments fail to keep pace with rising costs, many skilled nursing facilities are becoming more selective – limiting the number of Medicaid patients they accept and instead prioritizing higher-paying […]
Nursing home operators are considering operational adjustments and, in some cases, calling for redoubled advocacy efforts as states enter state budget discussions. In several states, Medicaid reimbursement changes are already underway amid ongoing financial pressures and the provisions of the 2025 reconciliation law, fueling concerns. For most states, budgets will be adopted by June 2026 […]
Nursing home leaders are rethinking not only how they operate but how they define opportunity heading into 2026. This is apparent from executives at nursing home organizations spanning various sizes and regions, who are serving as the Skilled Nursing News RETHINK Advisory Board. These industry leaders are providing valuable insights to guide our coverage of […]
The phenomenon of patients trapped in a “rehabbed to death” cycle is all too prevalent, and it could be disrupted by better access to palliative care and earlier admission into hospice, skilled nursing leaders believe. Their observations come following a study published in the Journal of the American Geriatrics Society. The study’s authors proposed that […]
Recently released research affirmed what skilled nursing operators know all too well: Medicare Advantage requirements are creating impediments to patients’ timely care transitions. That’s according to SNF provider leaders who spoke with Skilled Nursing News (SNN) in the wake of a JAMA study outlining how Medicare Advantage patients averaged longer pre-SNF hospital stays than traditional […]
Leadership at Cascadia Healthcare, which operates 25 facilities in Idaho, is raising the alarm over recent back-to-back Medicaid rate cuts in the state, warning that they threaten not only facility closures but could also impact the entire health care ecosystem. Idaho lowered its Medicaid reimbursement rate by 4% on Sept. 1, after lowering rates 3% […]
In the aftermath of the One Big Beautiful Bill Act (OBBBA), hospital funding cuts could disrupt care coordination, delay discharges, and heighten competition with nursing homes for Medicaid resources. But nursing home providers also could have new opportunities to strengthen their relationships with hospitals and achieve some long-sought policy wins. One major shift that nursing […]
The Trump administration’s approach to regulation is creating long-sought opportunities for nursing home providers to have more say in shaping policies, but providers must do a better job of promoting the areas in which they excel. Steve LaForte, CFO and principal at Cascadia Healthcare, describes the new administration’s approach as “rational regulation” – a way […]
First Citizens Bank arranged the $270 million sale of a 30-facility portfolio across five states. MonticelloAM, meanwhile, financed a $33.6 million bridge loan for a New Jersey nursing home. First Citizens Bank Arranged $270M in Nursing Home Portfolio Financing First Citizens Bank, through its health care finance business, arranged $270 million in financing support for […]
With termination notices ramping up for nursing homes on the Special Focus Facilities (SFF) list, operators and legal counsel close to the matter say the time is ripe for an overhaul of the program. For starters, the independent dispute resolution (IDR) process needs to be revised, and a more timely appeals process should be essential. […]
Staffing and certain compliance issues related to updated survey guidance coming in late March, particularly those that relate to patient discharges as well as use of psychotropic medications, are top of mind for nursing home clinical leaders in 2025. Panelists at Skilled Nursing News’ annual CLINICAL conference, which took place early this week in Fort […]
Existing and new roadblocks to construction and innovation in the nursing home sector are being felt across the country, with the repeal of certificate of need (CON) top of mind for providers in certain states, as higher tariffs are also expected to impose challenges down the road. The CON law generally requires providers to receive […]
The newly installed Trump administration late Tuesday prompted federal health agencies, including the Centers for Medicare & Medicaid Services (CMS), to pause external communications through Feb. 1. That includes regular scientific reports, updates to websites and health advisories – communication that those in the nursing home industry regularly rely upon. Nursing home associations including the […]
