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 […]
Among the myriad executive orders signed by President Donald Trump on Inauguration Day Monday was one that freezes new regulations. A welcome relief for nursing home providers, the executive order reflects the new Republican administration’s overall preference for less regulation. However, it is worth noting that this executive order will not derail the staffing mandate […]
The nursing home industry has been on a wild ride this past year, with major regulation up in the air and a flip in the White House leaving operators unsure of whether they should applaud or brace for impact. Rhetoric surrounding the federal minimum staffing mandate has changed drastically throughout the year, with leaders condemning […]
Sufficient reimbursement, less regulation and adequate staffing are all attractive features for dealmaking, impacting operator decisions on which states and regions offer the path of least resistance when it comes to expanding their footprint. It may boil down to price per bed and the ease of the change of ownership (CHOW) process when determining desirability […]
Uncertainty surrounding the information required for the new nursing home Medicare revalidation process has led to high levels of concern, particularly among for-profit operators, who view it as yet another punitive measure. Following letters from nursing home advocates about the rushed timing of the off-cycle revalidations, the Centers for Medicare & Medicaid Services (CMS) has […]
Finance and operator voices alike are cautiously optimistic about prospects for the nursing home sector as the Trump administration prepares to enter the White House in January, alongside a Republican majority in the U.S. Senate that has historically been sympathetic to nursing home issues. When it comes to the federal minimum staffing mandate, Cascadia Healthcare’s […]
The U.S. Supreme Court’s June decision regarding civil monetary penalties (CMPs), which allows defendants the right to present their case to a federal jury when a federal agency is seeking financial penalties, may seem like a win for nursing homes at first glance. However, many providers are unlikely to pursue this path. The CMP decision […]
The timing and feasibility of the federal staffing mandate continue to haunt nursing home operators and communities, particularly those in rural areas, where providers across the health care continuum are competing to find clinical staff. Take for example, the case of a nursing home owned by Diversicare Healthcare Services in Yorktown, Texas, which is one […]
An ongoing depletion of knowledgeable nursing staff at nursing homes, such as the Minimum Data Set (MDS) coordinators, is leading to errors and confusion with facility surveys and ratings. This, in turn, is impacting operations and the ability to acquire and improve distressed facilities. A high turnover among those close to the survey process is […]
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 […]
In an era when surveys – and delay in surveys – have been the cause for much stress among nursing home operators, a sometimes undervalued and overlooked strategy to minimize survey risk involves operators developing strong relationships with their state survey agencies. That’s certainly an easier task compared to getting approval from national agencies like […]
By continuing to use the site, you agree to the use of cookies. More Information
The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this. For more information, see our cookie policy.
