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 […]
The recently proposed federal nursing home staffing mandate includes the requirement that all facilities have a registered nurse on staff around the clock, every day of the week. Operators are taking some early steps to prepare for this requirement even as they rally against this aspect of the mandate, arguing that 24/7 RN staffing will […]
As nursing home organizations adjust to a changing environment of reimbursement, Medicare Advantage Institutional Special Needs Plans (I-SNPs) are undergoing rapid growth, with operators pursuing distinct strategies meant to realize financial and operational gains. The benefits of an I-SNP can range from more control over quality, happier clinical staff, reduced administrative burdens, improved compensation and […]
Oklahoma-based Elmbrook Management has doubled in size since 2018, and now is in the process of transforming from a skilled nursing provider into a population health management organization. Doing so is necessary to prepare for the future, as fee-for-service Medicare is rapidly being eclipsed by managed care models, Elmbrook CEO Tom Coble said on the […]
Tom Coble is president and CEO of Oklahoma-based Elmbrook Management Company. Elmbrook has 12 facilities, 11 SNFs and one assisted living facility. In addition to his leadership role, Coble has run his own Institutional Special Needs Plan (I-SNP) since 2005. Through the Value-Based Care series, Coble shares his belief that nursing homes can become senior […]
The omicron surge – coupled with an ongoing staffing crisis – has added pressure to facilities that would have to further tighten occupancy if not for an in-house pool of floating staff between buildings, operators say. Facilities that can pull from a wider pool of resources attached to larger operators, such as staff and personal […]
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