Buy, Sell, Hold: Nursing Home Owners Weigh Options Amid Murky Future of Government Support

Financial government support accompanying ongoing public health emergencies (PHEs) is considered a major factor in transaction activity, since so many facilities currently depend on such funding. What remains unclear is where that government support ship is headed as the industry continues into 2022. For operators, uncertain government funding could mean a continued rush of transactions […]

ProMedica Reports $101M Loss, Staffing ‘Dramatically Increasing’ Costs

As federal stimulus payments slow at this point in the pandemic, ProMedica reported a $101.4 million operating loss for the first nine months of the year — with a $23.5 million loss for the third financial quarter alone. During the first nine months of 2020, the Toledo, Ohio-based operator said it had $168 million in […]

Welltower CEO: Use of Agency Staff ‘To Dissipate’ Moving Forward as Staffing Beginning to ‘Normalize’

Despite “mediocre” bottom line results, Welltower (NYSE: WELL) CEO Shankh Mitra said he “could not be happier” with the real estate investment trust’s (REIT) third quarter overall. Mitra was also thankful the impact of the COVID-19 delta variant had a minimal impact on the REIT’s operators. “In our experience, COVID surges drive revenue down and […]

Genesis’s PDPM Math: 12% Expense Savings, Shift to Fixed-Cost Therapy Contracts

Once the new Medicare payment model for nursing homes takes effect this fall, skilled nursing giant Genesis HealthCare (NYSE: GEN) expects to see significant expense savings — while also changing the way it negotiates therapy contracts with its third-party clients. The Kennett Square, Pa.-based operator projects that the expanded opportunity for group and concurrent therapy, […]

Amid Medicaid Shortfalls, Nursing Home Demand Could Soon Exceed Supply

Skilled nursing utilization and occupancy have been on the decline in recent years, as both payers and consumers migrate to home health and other community care options for cost and preference reasons. But as low Medicaid reimbursements force operators to scale back their long-term services or shut their doors entirely, available beds for residents who […]

Bucking Industry Trends, Genesis Sees $25 Million Opportunity in Long-Term Residents

Genesis HealthCare (NYSE: GEN) has seen stabilizing occupancy and length of stay in recent quarters, positive trends that its leaders on Wednesday attributed to an unlikely source: long-term care residents covered under Medicaid. “We’re very happy to bring on patients that need our services that have long-term care needs, and we think that that’s the […]

Genesis Plots More Real Estate Buys in Wake of 15-SNF Welltower Deal

Major landlords have taken steps in recent years to reduce their exposure to Genesis HealthCare (NYSE: GEN) and skilled nursing properties more broadly — and now a leading national provider is looking to return the favor. The Kennett Square, Pa.-based Genesis is actively searching out more real estate acquisition opportunities after pulling off a 15-building, […]

KeyBank: Genesis, Next Healthcare Capital Paid $204M for 15 Welltower SNFs

One day after Genesis Healthcare (NYSE: GEN) announced a joint venture to acquire 15 skilled nursing facilities from its landlord, the main lender in the deal put a price tag on the transaction: $204 million. KeyBank underwrote and closed a $142.1 million loan to help Genesis and its deal partner, the New York City-based Next […]

Sabra Cuts Number of Senior Care Centers Properties for Sale from 38 to 28 [UPDATED]

Sabra Health Care REIT (Nasdaq: SBRA) late Sunday night announced that it would retain 10 Senior Care Centers-operated properties it had previously agreed to sell amid the skilled nursing provider’s bankruptcy proceedings. Just two days after the Dallas-based Senior Care Centers entered Chapter 11 bankruptcy protection in early December, landlord Sabra announced that it had […]

Genesis Gets Boost from Optimistic Analyst Outlook for Company, SNF Industry

Despite losing $58.1 million in the third quarter of 2018, leadership at Genesis Healthcare, Inc. (NYSE: GEN) appeared upbeat during this past earnings season — and last week, they got an early Christmas present that seems to justify their optimism. Financial services company Stifel upgraded its outlook on the Kennett Square, Pa.-based skilled nursing provider […]

Starbucks Opens New Front in Staffing Wars: Senior Care Benefits

Skilled nursing and senior housing operators often point to wage gains at retail chains as a major reason behind the industry’s persistent staffing woes. This week, one of the country’s largest foodservice employers unveiled another attractive perk that could lure workers away from long-term care: heavily subsidized senior care services for employees who juggle work […]

Editor’s Take: Multiple CEOs (Probably) Can’t Be Wrong on PDPM

When covering any industry that operates under heavy government scrutiny, hearing one CEO praise a new set of regulations is a surprise. Hearing near-unanimous support is frankly shocking. But that’s where the skilled nursing industry finds itself with the Patient-Driven Payment Model, the latest overhaul of the way SNFs receive reimbursements from Medicare. On its […]

China Beckons to US Skilled Nursing, Long-Term Care Operators

Amid difficult trends at home, a handful of U.S. long-term care operators have looked to Asia as their next potential frontier – and while their strategies differ, they all believe in the region’s potential. “We really like the demographic trends for senior living in Asia,” Nate McLemore, managing director for international health care at developer […]

‘Big Enough to Matter’: Finding the Sweet Spot of Skilled Nursing Scale

If there’s been one overarching philosophy in skilled nursing over the past year, it’s been the rise of regional: the idea that major chains aren’t nimble and and flexible enough to weather the regulatory changes and financial pressures that have gripped SNFs. It’s a theory that has been borne out by reality: Kindred Healthcare (NYSE: […]

Amid Issues at Home, Genesis Sees Significant Potential in China

Facing headwinds at home, Genesis Healthcare (NYSE: GEN) has embarked on a plan to tap into the nascent post-acute care market in China — with an eye on capturing just a small fraction of the country’s favorable demographic profile. The Kennett Square, Pa.-based skilled nursing provider has been active in China since 2015, when it […]

In a Regional Era, ProMedica and Welltower Go National with QCP, ManorCare

The refrain from the top leaders in the skilled nursing space has been that the industry is a regional game: Control a limited number of high-quality facilities in a confined area, the thinking goes, and an operator can win by successfully embedding itself in the local reimbursement and regulatory landscape. Late Wednesday night, two of […]

Genesis to Exit Texas, Divest 24 Skilled Nursing Facilities

Post-acute giant Genesis Healthcare, Inc. (NYSE: GEN) will completely exit the skilled nursing space in Texas, selling 23 facilities and transferring operations of a 24th by the middle of this year. The Kennett Square, Pa.-based operator announced the deal late Wednesday night, with the buyer identified as Regency REIT, LLC. That New York City-based real […]

Signature Explores Home Health Expansion Amid Skilled Nursing Troubles

After a pointed entrance into the home health care market in 2014, Signature HealthCARE has largely shied away from expansion in favor of focusing on its core skilled nursing business. But while its home health footprint has not yet grown, the Louisville, Ky.-based company still has an eye toward expansion in the space — once it works […]

Bank of America Upgrades Sabra Outlook Amid Senior Housing Push

By at least one analyst’s assessment, Sabra Health Care REIT’s (Nasdaq: SBRA) decision to diversify away from skilled nursing facilities has boosted its fortunes. Bank of America Merrill Lynch upgraded the real estate investment trust’s (REIT) stock from “underperform” to “neutral,” with research analyst Juan C. Sanabria pointing to Sabra’s ongoing divestment from properties operated […]

Genesis Regains NYSE Compliance After Delisting Warning

Three months after Genesis Healthcare, Inc. (NYSE: GEN) received a delisting warning from the New York Stock Exchange, the skilled nursing provider is back in the exchange’s good graces. The Kennett Square, Pa.-based company on Thursday announced that it has once again met the NYSE’s continuing listing standard and will shed the “.BC” — for […]