Nursing homes may incur an additional $25 million in fees annually and $164,900 in annual administrative costs to federal and state agencies as a result of expanded enforcement policies for civil monetary penalties included in the finalized Skilled Nursing Facility Prospective Payment System (SNF PPS). Meanwhile, value-based purchasing updates are expected to result in an […]
CliftonLarsonAllen
Skilled nursing assets at continuing care retirement communities (CCRCs) have long been subject to downsizing for a variety of reasons, including operational challenges, the cost to care for skilled patients and regulatory hurdles. Add to this list: the severity of the nursing home survey process. Stu Almer, CEO of Gurwin Healthcare System in New York, […]
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 […]
Since Diversicare named Steve Nee as CEO in February 2023, the provider has eliminated agency staff across its portfolio of 44 nursing homes and now is reentering growth mode, with a focus on adding new service lines, particularly in behavioral health. Nee took the helm at the Brentwood, Tennessee-based company at a time of difficult […]
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 […]
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 […]
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 […]
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 […]
As the staffing minimum mandate inches closer to an official release, associations with ties to the nursing home industry continue to meet this week with the Office of Management and Budget (OMB) – the government agency currently reviewing the proposal. The Centers for Medicare & Medicaid Services (CMS) transferred the proposal to OMB for review […]
As Medicare Advantage continues to penetrate the nursing home market, leaders say that MA plans are depressing margins amid higher costs to run operations. This might lead some operators to contemplate closing, while others will be wiser to hire staff in designated roles to help them negotiate better rates – and exclusions – for managed […]
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 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 […]
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 […]
Leaders in the skilled nursing space have increasingly seen value in creating a primary care strategy, with some intending to become part of a risk-based model as part of that strategy — especially as acuity continues to be high among residents. Operators looking to shift to such a strategy need a clear vision of how […]
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 […]
Nursing home leaders have largely steered clear of making predictions given the events of the last two-plus years, but the head of the sector’s largest trade group confidently made one Monday. “One thing that I am sure about, and that I see very clearly is my prediction, and that is that you and your team […]
Ahead of a federal minimum staffing ratio to be proposed for the nation’s nursing homes, data continues to show a shortfall of available staff to meet such requirements. Many operators are in favor of higher staffing levels, but not without state or federal funding to hire and retain the appropriate level of staff. Others hope […]
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 […]
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 […]
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 & […]
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