CLA Experts Discuss Ways To Ease Into CMS Staffing Mandate, Estimate Cost of $5.8 Billion Over a Decade

The staffing mandate will cost the industry $5.8 billion over ten years, creating the need for an additional 101,500 FTEs nationwide, with significant costs attributed to hiring nurse aides and registered nurses (RNs), according to analysis by CliftonLarsonAllen. In a recent webinar hosted by CliftonLarsonAllen, Deb Emerson, Principal at CLA, and Jennifer Boese, Director of […]

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 […]

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 […]

Eskaton Exits Standalone Skilled Nursing Business with $35.6M Transaction

California nonprofit Eskaton, in line with other nonprofits and continuing care retirement communities (CCRCs) in the space, is divesting its skilled nursing facility assets for $35.6 million after inflationary pressures, staffing shortages and wage increases caused overbearing losses. The three facilities – Eskaton Care Center Manzanita, Eskaton Care Center Greenhaven and Eskaton Care Center Fair […]

Texas, Nebraska Led Nation in Nursing Home Closures in 2022

Texas and Nebraska led the nation for most nursing home closures in 2022, with industry advocates citing inadequate Medicaid rates that have not kept pace with a tough economic and operating environment. And advocates also caution that the latest numbers are likely understated, with even more facility closures occurring. The Centers for Medicare & Medicaid […]

How Skilled Nursing Providers are Dealing with ‘Very Heavy Burden’ of Rising Patient Acuity

Operators in the nursing home space are dealing with a crippling workforce shortage and rising costs of care – all while seeing continued higher acuity among residents. Providers and vendors in the space agree they’re seeing a larger proportion of patients with higher acuity, but the definition of acuity varies along with methods to measure […]

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 […]

3 Nursing Home Legal Issues to Watch in 2022 and Beyond

As a flurry of regulations and mandates descend upon the nursing home sector, such changes could create legal obstacles, and suggest yet another difficult and onerous year for providers. Staffing mandates, the aftermath of the end of the public health emergency (PHE), Covid liability and the PREP Act, all create “existential threats” for skilled nursing […]

Digging into the Details: Data Points Provide Nursing Homes Clarity to Plan For Future

As the financing, staffing and occupancy landscape continues to consistently change for the nursing home industry, delving into the data can better inform where operators should focus their resources moving ahead. CliftonLarsonAllen (CLA) in a Wednesday webinar outlined different ways to “socialize” data points to identify opportunities for nursing home providers, decide which opportunities are […]

AHCA’s Parkinson: Unfunded Federal Staffing Mandate Would Be ‘Lights Out’ For Nursing Homes Across The Country

The federal government provided relief to the nursing home industry in the form of a phased-in parity adjustment and a 2.7% pay bump, but a potentially enormous obstacle still stands in the way of the sector’s recovery. While many industry leaders believe a federal staffing ratio is all but guaranteed, the Centers for Medicare & […]

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 […]