‘Playing a Game of Chicken’: Saber, Creative Solutions and Majestic Care Execs on Negotiating With Medicare Advantage Plans 

Walking away from a Medicare Advantage plan may be disruptive, but some of the largest nursing home providers haven’t hesitated to cut ties with plans that fail to reimburse adequately. They say the risks can outweigh the rewards, particularly when promised increases in referral volume often don’t materialize.   At the opening session for Skilled Nursing […]

Top Trends That Will Shape the Skilled Nursing Sector in 2026

The skilled nursing sector is entering 2026 on firmer footing than a year ago. At that time, a new presidential administration and the unknown fate of the federal staffing mandate were sources of uncertainty for providers. Fast-forward to today, and the rollback of the staffing mandate has removed a major looming threat, allowing providers to […]

Inside Creative Solutions’ Acquisition of 18 Nursing Facilities, And What Comes Next

Having acquired the real estate of 18 facilities over a period of 18 months, Creative Solutions in Healthcare is moving forward with an accelerated growth strategy underpinned by HUD financing. “Since we’ve operated across most markets in Texas, we’ve built a deep understanding of where we perform the best, both urban and rural,” Chris Eamiguel, […]

CMS Proposal Raises Stakes Around 3-Day Stay Rule, Redefining Skilled Nursing Facilities’ Role

A proposal from the Centers for Medicare & Medicaid Services (CMS) to phase out a list of inpatient-only hospital procedures threatens skilled nursing facility (SNF) access if the so-called three-day stay rule is not eliminated, and also should prompt bigger thinking about the role SNFs can and should play in the U.S. health care system. […]

Nursing Homes Drive Quality Outcomes With Sharper Focus On ‘Best Medicine We Have’

In their quest to reduce hospitalizations and improve patient outcomes, nursing home providers should not underestimate the difference that strong hydration and nutrition programs can make. This was one theme of the recent Skilled Nursing News RETHINK Conference in Chicago, where leaders with various providers spoke of their companies’ efforts and achievements in these areas. […]

Longer Pre-SNF Hospital Stays More Likely For Medicare Advantage Beneficiaries

Hospital length of stay has been increasing more dramatically for Medicare Advantage beneficiaries than traditional Medicare beneficiaries, and this trend is especially pronounced for people who are discharged to a skilled nursing facility. This is according to an article recently published in JAMA Internal Medicine. In the third quarter of 2023, hospital patients on Medicare […]

How OBBBA Will Reshape Nursing Home, Hospital Ties And Tensions

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 […]

How One SNF Provider Turned a Blind Spot Into A Path Forward

Creative Solutions in Healthcare (CSH) saw the tough road ahead. Their path forward would rest in a new partnership, one that epitomized the very reason they chose their name. Back in 2000, Gary and Malisa Blake co-founded the skilled care provider, naming their new company Creative Solutions in Healthcare as a nod to their commitment […]

Skilled Nursing News Dealbook: Creative Solutions Adds 5 Nursing Homes in Texas; Ensign Acquires in Texas, Idaho

Ensign expanded its footprint to add facilities in Texas and Idaho. Meanwhile, Creative Solutions acquired five skilled nursing facilities (SNFs) from Diversicare. Creative Solutions Closes 5-SNF Acquisition Creative Solutions in Healthcare, the largest skilled nursing operator in Texas, has acquired five skilled nursing facilities from Diversicare, effective July 1. “This expansion allows us to bring […]

Creative Solutions in Healthcare Creates New Leadership Role To Bridge People, Tech

Creative Solutions in Healthcare, one of the nation’s largest nursing home operators, has created a new position to explore operational innovation and technology-driven care while reducing administrative burdens among frontline staff. Chelsea Jordan has been named vice president of data integration and payroll, a position that will include traditional payroll oversight while also supporting efforts […]

Creative Solutions Receives $47 Million for 2 Nursing Homes in Texas

Creative Solutions in Healthcare received $47 million to finance the acquisition of two skilled nursing facilities in Texas, totaling 228 beds, bringing the count of newly acquired facilities by the company since the beginning of this year to 15. The two facilities in the latest acquisition are located in Kirbyville and El Paso, and were […]

Innovation and Uncertainty: Nursing Home Providers Forge New Paths for a Post-Covid Era

As the Skilled Nursing News’ CLINICAL event in Washington D.C. came to a close last month, industry experts left with staffing concerns amid labor shortages and pending legislation on minimum staffing standards. However, operators also shared optimism over their innovations in corporate and clinical practices as they continued to confront higher acuity and tighter regulation. […]

5 Skilled Nursing Providers to Watch in 2023

With reporting from Tim Mullaney and Zahida Siddiqi With the number of nursing home beds in decline across the United States — and providers large and small divesting of facilities, exiting the industry or shutting down completely — some organizations are finding ways to grow. Expansion is one theme uniting this year’s skilled nursing providers […]

Reimbursement Tech Curbs Admin Costs, Claim Denials

During the course of its 19-facility expansion — in the middle of a pandemic — Texas operator Creative Solutions in Healthcare avoided hiring additional accounts receivable personnel by utilizing a health care payment automation platform. Fort Worth, Texas-based vendor CoreCare supplies reimbursement automation technology to make this feat possible, while the SNF industry faces a […]

Creative Solutions Turns to Data Ahead of PDPM with 70-SNF Rollout

In a nod to the importance of data under the Medicare reimbursement overhaul coming October 1, a Texas skilled nursing provider is adding data analytics to all of its facilities — more than 70 throughout the Lone Star State. Creative Solutions in Healthcare, based in Fort Worth, Texas, and Real Time Medical Solutions earlier this […]

MedEquities Shareholders Approve $600M Omega Merger

Shareholders of MedEquities Realty Trust (NYSE: MRT) on Wednesday overwhelmingly approved a plan to merge with fellow real estate investment trust (REIT) Omega Healthcare Investors (NYSE: OHI). Around 99.9% of the votes cast — representing 79.5% of all outstanding shares as of March 4 — were in favor of the $600 million deal, first announced […]