Congress Gives Nursing Homes Two-Year Extension on Advance Medicare Repayments

A bill to fund the federal government and avert another shutdown also gave nursing home operators and other health care providers a significant extension on repaying advance Medicare payments offered through a COVID-19 stimulus program. The Senate passed and President Trump last week signed a continuing resolution that included a provision to delay recoupments from […]

Fitch: 30% Rent Cuts for Skilled Nursing Facilities May Be Necessary, But Not for All Operators

Major skilled nursing landlords are likely to institute rent reductions over the course of 2021 in order to help keep them afloat, according to Fitch Ratings — but the effect won’t be equally felt across all operators. In affirming twin BBB- ratings for Omega Healthcare Investors (NYSE: OHI) and National Health Investors (NYSE: NHI), Fitch […]

Sabra Mulls $14M Write-Off for Signature, Genesis After ‘Going Concern’ Warnings

Concerns about the future of skilled nursing operators Genesis HealthCare (NYSE: GEN) and Signature HealthCARE have spread to a second public landlord, though in this case, Sabra Health Care REIT (Nasdaq: SBRA) stopped short of taking definitive action just yet. Sabra late last week disclosed that the real estate investment trust (REIT) and its auditors […]

Genesis, Signature Raise ‘Going Concern’ Doubts with Omega, Prompting $140M Write-Down

Omega Healthcare Investors (NYSE: OHI) on Thursday announced that it will begin recording revenues associated with tenants Genesis HealthCare (NYSE: GEN) and Agemo Holdings LLC — the legal name for its portfolio of buildings operated by Signature HealthCARE — on a cash basis, citing concerns about the nursing home operators’ future. As a result, the […]

Skilled Nursing M&A Remains Active: Investors Don’t ‘Have a Better Place to Put Their Money’

The ongoing pandemic has rightfully shifted attention away from dealmaking in the long-term and post-acute care space, but several leaders have expressed optimism that investors will support the sector moving forward — though the influx of federal cash keeping operators afloat could scramble valuation math for some time to come. With overall uncertainty in the […]

COVID-19 Strains Cast ‘Substantial Doubt’ on Nursing Home Giant Genesis’s Ability to Survive Next Year

Citing significant financial strain related to the ongoing COVID-19 pandemic, nursing home giant Genesis HealthCare (NYSE: GEN) on Monday expressed serious concerns about its future — while also raising the specter of a potential bankruptcy filing. “Without giving effect to the prospect, timing and adequacy of future governmental funding support and other mitigating plans, many […]

Operators Greet Nursing Home COVID Testing Initiative with Cautious Optimism, Pointed Questions

One day after the federal government announced an ambitious plan to send point-of-care testing units for COVID-19 to all of the nation’s more than 15,000 nursing homes, leaders in the space expressed cautious optimism — while often emphasizing that they have more questions than firm answers. Starting next week, the Department of Health and Human […]

Changemakers: Jason Feuerman, President, LTC ACO and SVP, Genesis HealthCare

If there’s one consistent source of change in post-acute and long-term care, it’s around government reimbursements and insurance payments. And for Jason Feuerman, finding ways for operators to embrace that change proactively is at the heart of his job. Feuerman helms LTC ACO, Genesis’s accountable care organization — an alternative payment model under which a […]

Genesis Reports Occupancy Drop of Almost 7% in One Month Amid COVID-19

Genesis Healthcare (NYSE: GEN) reported its financial results for the first quarter of 2020, and provided the first look into the depth of the COVID-19 pandemic’s impact on its operations. The Kennett Square, Pa.-based Genesis — which operates almost 400 skilled nursing, assisted/senior living, and behavioral health centers located in 26 states — saw a […]

Genesis Receives Continued Listing Standard Warning from NYSE as Stock Stays Below $1

Genesis HealthCare (NYSE: GEN), the largest publicly traded post-acute and long-term care provider in the country, on Thursday announced that it has received a continued listing standard notice from the New York Stock Exchange after its shares dropped below $1 for more than 30 consecutive trading days. The Kennett Square, Pa.-based nursing home giant can […]

Telehealth Providers Ramp Up Skilled Nursing Rollouts as COVID-19 Rages On

Third Eye Health had a two-year plan to expand the network of skilled nursing facilities that use its telehealth technology from 400 to more than 1,000. Amid a world-historic pandemic, the Chicago-based tech company reached that multi-year goal in a matter of a few weeks. “We’ve had truly exponential growth,” Third Eye vice president and […]

Rethink Podcast #25: Dr. Richard Feifer of Genesis HealthCare

The 25th episode of our podcast, Rethink, is now available! As the chief medical officer for skilled nursing giant Genesis HealthCare, Dr. Richard Feifer has a direct view into hundreds of individual nursing homes as they deal with the ongoing coronavirus pandemic. Dr. Feifer joined “Rethink” to make a direct appeal to leaders about the […]

Sabra Sells Pair of Genesis Skilled Nursing Facilities; SLIB Pulls Off Sale Despite COVID-19 Market Pressures

Sabra Health Care REIT (Nasdaq: SBRA) late last week announced the sale of two facilities operated by publicly traded skilled nursing giant Genesis HealthCare (NYSE: GEN). The Irvine, Calif.-based real estate investment trust (REIT) sold the properties, both located in Montana, to an undisclosed buyer for a total price of $14.4 million — which included […]

Nursing Homes Shouldn’t Fear Overreacting to COVID-19 — Even If It Means Getting Ahead of CDC, CMS

As the chief medical officer for publicly traded nursing home giant Genesis HealthCare (NYSE: GEN), Dr. Richard Feifer has a bird’s-eye view on the strategies that hundreds of individual nursing homes have implemented in the fight against COVID-19. Appearing on the most recent episode of SNN’s “Rethink” podcast, Feifer was blunt about the decisions that […]

Genesis Reports One COVID-19 Case, Confirms Hospital Demand for Overflow Beds at Nursing Homes

Genesis HealthCare (NYSE: GEN), one of the largest post-acute operators in the U.S., reported one confirmed case of the COVID-19 disease at one of its facilities, in an otherwise optimistic fourth-quarter and year-end earnings call for 2019. The Kennett Square, Pa.-based operator, which has hundreds of skilled nursing facilities and assisted and senior living centers […]

I-SNPs vs. ACOs: Balancing the Skilled Nursing Risks, Rewards of Two Hot Payment Models

As the skilled nursing industry struggles to adapt to a new Medicare payment landscape, in-house Medicare Advantage plans have emerged as one of the hottest topics among leaders — while the space’s publicly traded behemoth has thrown its full support behind the separate accountable care organization (ACO) model. There may not be one set answer […]

Monticello’s $117M Skilled Nursing Portfolio Deal; CIT Backs $93.7M Genesis Transaction

MONTICELLOAM, LLC on Tuesday announced that it had provided $117 million in first-lien debt financing for the acquisition of a 12-building skilled nursing portfolio in North Carolina and Kentucky — along with the refinance of a thirteenth SNF. The entire portfolio totaled 1,357 skilled nursing beds. The New York City-based financial company and its affiliates […]