AHCA: Staffing Proposal to Cost $6.8B Per Year, Create Access Issues for Nearly One Quarter of Nursing Home Residents

More than 280,000 residents, or nearly a quarter of all residents, could be impacted by the staffing mandate – if nursing home operators have no choice but to reduce their census in order to meet hourly requirements. The proposed federal mandate would require an estimated 102,154 additional full-time employees. That’s 80,077 certified nursing assistants (CNAs) […]

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 […]

Nearly 450K Residents at Risk of Displacement if Mandate is Enacted, As Access Issues Compound

As nursing homes limit admissions due to ongoing labor challenges, residents can expect a mounting access crisis, with some U.S. counties being turned into “nursing home deserts.” This is according to a report released Wednesday by the American Health Care Association (AHCA), which notes that nearly 450,000 residents will be displaced if a potential minimum […]

Nursing Home Investors on the Sidelines Amid Higher Interest Rates, Less Stable SNF Assets 

Amid a banking and credit crisis, financial backers of the nursing home industry are seeing less stable assets, a product of volatility in the market. And even as some states are now responding with Medicaid reform and rebasing to mitigate the sector’s losses, many operators were struggling financially prior to the pandemic, and the sector’s […]

SNFs Seen Facing Higher Labor Costs, Uncertain Interest Rates Among Other Macroeconomic Pressures

Labor costs and interest rates, among other macroeconomic factors, continue to affect the nursing home industry as use of temporary staff and AI also appear to be exerting an influence. That’s according to CliftonLarsonAllen’s (CLA) economic outlook for 2023, which outlined industry priorities for the next couple of years. Containing labor costs in part by […]

A Payor Mindset, Population Health Focus Are Key to Success as the SNF Industry Evolves

Leaders at nursing homes could create long-term value for their organizations if they adopted a population health focus, empowered local leaders and pursued actively value-based purchasing models. That’s according to a report published by CliftonLarsonAllen (CLA) earlier this month. In an industry facing seismic changes, SNF operators should seize strategic opportunities, empower local leadership, and […]

SNFs Are a Costly Liability for Life Plan Communities As Wage Inflation Persists

Life plan communities (LPC) are seeing significant credit risk linked to skilled nursing facility components. And some of this risk is heightened by labor issues at SNFs. That’s according to data published by Fitch Ratings in its latest Labor Dashboard for the sector, which found persistently high wage inflation among SNF workers – wages remain […]

13 U.S. Senators Warn CMS: Staffing Mandate May Worsen SNF Access

As the federal staffing minimum mandate proposal and study is due to be revealed in a matter of months, some state leaders are calling on the Centers for Medicare & Medicaid Services (CMS) to rethink the mandate’s “one-size-fits-all” approach. Thirteen senators across nine rural states last week issued a letter addressed to CMS Administrator Chiquita […]

Why the Future of Standalone Skilled Nursing Facilities Could Be Dim

The nursing home industry remains largely fragmented, evidenced by the fact that just under one-third of the sector is currently made up of single site providers. But that number is beginning to slowly decline — having fallen two percentage points over the course of the Covid-19 pandemic, according to NIC MAP Data, powered by NIC […]

The Perfect Storm: Nursing Home Industry Outlook is ‘Not Pretty’ Amid Rising Inflation, Labor Costs

Consulting firms in the skilled nursing space are getting a better snapshot of the labor market as data continues to pour in, and the outlook remains bleak – dwindling workforce numbers are running up against increased average cost of labor and overall inflation. While the SNF workforce lost approximately 238,500 staff during the pandemic, an […]

Operational and Financial Pressures Spur Skilled Nursing Deals, Cool Sellers’ Market

While the skilled nursing sector has seen a seller’s market the past couple years, brokers believe the pendulum is swinging the other way, toward more of an equilibrium and normalization of prices. Increased expenses tied to inflation, the ongoing staffing crisis and lackluster occupancy are all contributing to a less favorable market for sellers, while […]

47% of Nursing Home Residents Now at Risk of Displacement

Finance leaders have updated their outlook on the nursing home sector – with data points worsening as funding cuts and inflation continue to do lasting damage to the industry. About 47% of nursing home residents are now at risk of displacement due to financially imperiled facilities; roughly 417,000 residents may be relocated, according to a […]

Almost Half of CCRCs Plan to Downsize Skilled Nursing Footprint

Citing operational challenges, 44.5% of life plan communities (LPCs) or Continuing Care Retirement Communities (CCRCs) are looking to downsize their skilled nursing services on campus. Minimizing, but not eliminating, the use of skilled nursing will fall to “independent living internal use,” CliftonLarsonAllen (CLA) said in a report published at the end of December.  In other […]

Operators Should Consider Alternative Financial Performance Indicators, CLA Report Says

Financial performance indicators for nursing homes are changing at this point in the pandemic — instead of interest, depreciation, and amortization (EBIDA)—operators should instead be looking at alternative drivers of performance: occupancy, skilled mix and staffing, as well as external market fundamentals. CliftonLarsonAllen (CLA) prefers these drivers over more traditional means, because they cut through […]

As Pandemic Drags On, Home Health Diversion Rates from Nursing Homes May Become Permanent

Occupancy at the nation’s nursing homes cratered during the COVID-19 pandemic, as hospitals suspended non-emergency surgeries and families looked to avoid institutional care settings for their loved ones at all costs. During the initial coronavirus wave last spring, leaders in the sector hoped that the second half of 2020 would bring a return to normalcy […]