‘An Extinction Event’: Industry Leaders Blast Finalized Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) on Monday unveiled the finalized minimum staffing standards for nursing homes, drawing sharp – and deeply apprehensive – responses from leaders in the sector. CEOs of nursing home owners and operators and leaders of industry associations were all but unanimous in their reactions; among those who spoke […]

Increased Skilled Nursing Facility Spending Tied to Health Systems’ Higher Telemedicine Use 

Hospital systems that had high telemedicine usage during the Covid-19 pandemic also had higher skilled nursing facility spending, compared to health systems with lower telemedicine usage in that time period. That’s according to research findings published April 17 in Health Affairs. Specifically, compared with health systems defined as having low telemedicine use, high-telemedicine health systems […]

Why Good Samaritan Society Is Investing $200M in New CCRC After Nursing Home Pullback

Sanford Health announced plans Tuesday to break ground on a $200 million project for a continuing care retirement community (CCRC) in South Dakota through its subsidiary, the Evangelical Lutheran Good Samaritan Society. The Good Samaritan Society executives told Skilled Nursing News that the funding for the project is an outcome of a strategy to expand […]

The Quotes That Defined 2023 in Skilled Nursing — and Hint at What’s Ahead

As the Covid-19 public health emergency officially ended in 2023, the nursing home sector continued to face lingering troubles across many facets of the business even if spread of disease – and death resulting from it – diminished as a concern. Chief among troubles that continued to plague nursing homes included workforce shortages and expansion […]

Nearly 100 House Members Ratchet Up Pressure on CMS to Scrap Nursing Home Staffing Mandate 

Nearly 100 members of the U.S. House of Representatives are urging the Centers for Medicare & Medicaid Services (CMS) to reconsider the proposed federal nursing home staffing mandate. The lawmakers on Friday sent a letter to CMS describing their concerns with the mandate. “Finalizing this proposal would result in limited access to care for seniors, […]

‘Sirens Going Off’: Providers Warn of Mass Closures, Vast Nursing Home Deserts Due to Staffing Mandate

As nursing homes closures continue across the country, “nursing home deserts” are expanding, and the proposed federal staffing mandate is expected to exacerbate the problem. This is despite attempts to make the potential policy change easier for providers in rural markets, which are especially vulnerable to access issues. Operators in these areas point to the […]

LPN Exclusion in CMS Staffing Mandate a ‘Convoluted Mess’ for Nursing Homes

The skilled nursing industry is at a crossroads as it grapples with the Centers for Medicare & Medicaid Services’ (CMS) proposed federal staffing mandate. A significant point of contention in the proposal is the exclusion of licensed practical nurses (LPNs), which has ignited concerns and garnered strong reactions from industry leaders. “What’s keeping me up […]

Stemming the Rise of Psychotropics in Nursing Homes: Educational Outreach, Collaboration, Medication Management Are Key

The efforts of the federal government and nursing homes to reduce the use of psychotropics have been significant, and seem to have paid off until recently when the numbers painted a more grim picture. Some operators believe that the alarming rise in the prescriptions of psychotropics is partly due to a lack of communication between […]

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. […]

‘Access Crisis Unfolding’: Nursing Home Operators, Advocates Warn of Dire Effects from Biden’s Order on Staffing

President Joe Biden’s executive order that aims to implement minimum staffing standards and tie Medicare payments to staff retention drew frustration from nursing home industry operators and advocates, who said that the well meaning directives would likely compound the staffing crisis and lead to closures unless policies are aimed at resolving its root causes, 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 […]

Cascadia Execs: Skilled Nursing’s Future Demands Better Operating Models, Not ‘1989’ Mindset

Last week, Cascadia Healthcare officially took over management of three facilities formerly operated by the Evangelical Lutheran Good Samaritan Society, with the remaining six buildings in the transitioning portfolio scheduled to follow suit in April and May. The transition process is going smoothly, with each building presenting a “microcosm of opportunity,” Cascadia President and CEO […]

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 […]

Inside Good Samaritan’s Strategy to ‘Reimagine’ Care Through Its Restructuring

Exiting 15 states will enable the Evangelical Lutheran Good Samaritan Society to invest more resources into creating an integrated model with parent company Sanford Health, with a goal to deliver “cutting-edge care” to older adults regardless of where they reside. That’s according to Good Samaritan CEO Nate Schema, who believes that for Good Sam and […]

Nursing Home Giant Good Samaritan Society to Exit 15 States, Focus on Core Markets

The Evangelical Lutheran Good Samaritan Society, one of the largest skilled nursing providers in the United States, plans to consolidate its operations from 22 states to seven. Once the process is complete, the Sioux Falls, South Dakota-based Good Samaritan Society will have operations in South Dakota, North Dakota, Iowa, Minnesota, Nebraska, Kansas and Colorado. About […]

Executive Outlook 2023: Reimagine How We Deliver Skilled Nursing Care

“The sector has a tremendous opportunity to reimagine how we deliver care.” These are the words of Nate Schema, president and CEO of The Evangelical Lutheran Good Samaritan Society, one of the largest providers of skilled nursing services in the United States. Good Sam is reimagining care in part through a $350 million virtual care […]