Strong leadership translates into a stable workforce, which is one reason why executives across the nursing home sector are recognizing the urgent need for support for Administrator-in-Training (AIT) programs. High turnover among leadership is causing massive ripple effects in just about every area of the sector. But bolstering the administrator workforce has tremendous challenges. For […]
As the federal government’s new staffing mandate looms large for nursing homes, operators are grappling with challenges in meeting the upcoming facility assessment requirements but urge compliance despite the burdens on staff. Stuart Almer, an industry veteran who is also president and CEO of Gurwin Healthcare System in New York, highlighted the daunting nature of […]
Financial and operational challenges in a climate of ever-tightening regulation have intensified to the point where industry leaders have been continuously adapting, yet bleeding profits. In a panel discussion led by Skilled Nursing News titled, “Mandate and Margin: Skilled Nursing CEOs on Rethinking Staffing, Payments, & Strategic Business Imperatives,” executives discussed how SNF operators are […]
Skilled nursing assets at continuing care retirement communities (CCRCs) have long been subject to downsizing for a variety of reasons, including operational challenges, the cost to care for skilled patients and regulatory hurdles. Add to this list: the severity of the nursing home survey process. Stu Almer, CEO of Gurwin Healthcare System in New York, […]
States like New York have modified their staffing mandate to reward nursing homes for avoiding costly staffing agencies, although operators don’t find this legislation particularly rewarding, especially now that the national minimum staffing mandate has been finalized. Stu Almer, CEO of Gurwin Healthcare in New York, said such legislation isn’t helpful given the ongoing workforce […]
Managing personal technology devices is a common concern among staff at businesses across the nation, and nursing homes are no exception. While policies for personal technology use at nursing home organizations run the gamut – from completely restricting cell phone use to limited use to even encouraging use among employees – nursing homes have had […]
Nursing home leaders from across the nation, including the largest advocacy groups for the sector, plan to oversee efforts in 2024 to increase funding – both from the federal government and through improved revenue streams as operating pressures ease slightly. At the center of these efforts is an attempt at influencing the political will and […]
While financial pressures have created challenges and precipitated closures for smaller mom-and-pop nursing homes, the trend has also meant opportunities for those looking to acquire and add scale. Operators who have recently acquired mom-and-pop or small facilities say the most important consideration when expanding a portfolio with mom-and-pops is getting to know the culture of […]
Some operators of nursing homes are paying higher reinsurance costs – a more litigious environment post Covid being among major factors – while grappling with uncertainty on how claims could impact their businesses. And this is especially true for one area of insurance for nursing homes – professional liability insurance. While not required by most […]
As specialty services and higher acuity cases continue to challenge nursing home clinicians, industry leaders say it takes a special kind of employee to really understand, deal with and plan for the variety of patients seen nowadays. Nicole Croteau, director of clinical services with SALMON Health and Retirement, said there aren’t many nurses who can […]
“There are things that I know my colleagues here do that we would not have considered a year ago, two years ago, three years ago. We have to be flexible if we’re going to retain staff and bring them into our organizations.” These are the words of Stuart Almer, president and CEO of Gurwin Healthcare […]
As the skilled nursing sector awaits the proposed federal staffing mandate, leading industry operators renewed calls for funding the initiative, and said the Centers for Medicare & Medicaid Services (CMS) should carry it out in phases while also adjusting staffing ratios based on the acuity of the resident populations being served. Speaking at Skilled Nursing […]
As a federal minimum staffing standard looms over the nursing home industry, operators and their advocacy organizations look to learn from existing state mandates to better understand how things will play out on a national stage. New York is providing a cautionary tale at the moment, with a mandate exacerbating access to care, industry professionals […]
Some skilled nursing providers have looked to improve transitions to the home as one way to build back hospital referrals, but without much direct financial incentive to do so, things like patient education and discharge planning may remain in the periphery for most operators. Value-based payment methodologies, especially for Medicare patients, provide some financial incentives […]
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