Last Gasp or Reckoning: Making Sense of 2025 Nursing Home Survey Changes

Surveyors will be evaluating for compliance in new ways, as a result of nursing home survey changes for 2025. While significant, these changes reflect federal initiatives that associations and operators have been seeing for some time now. Nursing home providers are parsing through recent, significant changes to the survey process and trying to grasp the […]

As CMS Issues Draft Minimum Data Set for Nursing Homes Early, Experts Note Some ‘Helpful’ Sections

The Centers for Medicare & Medicaid Services (CMS) released a draft Minimum Data Set (MDS) on Tuesday, and while the changes are minimal, clinical and reimbursement experts noted that they could lead to reduced control over certain quality reporting measures. However, the earlier-than-anticipated release also suggests that the federal agency aims to give operators a […]

Drop in CMS Five-Star Ratings and RN Numbers Linked to Nursing Home Ownership Change

As federal agencies push for ownership transparency, nursing home ownership changes have been linked to a decrease in staffing hours and in turn a drop in Five-Star rating scores, at least for a short period of time following acquisition. Most acquired facilities showed indications of financial struggles, including lower star ratings and occupancy, plus a […]

State of the Nursing Home Workforce (Part 2): Inside Efforts to Build the Administrator Pipeline

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 […]

CMS Medicare Rate Increase for Nursing Homes Lags Far Behind Actual Costs as Leaders Call for ‘Easy Fix’

When looking at the 4.2% Medicare increase in the Skilled Nursing Facility Prospective Payment System (SNF PPS) for 2025, some leaders in the space wonder if the rate calculated has been inadequate considering inflation, labor woes, and funds needed to meet the federal staffing mandate. Some even argue that rate increases are so far behind […]

SCOTUS Ruling Could Shake Up CMS Approach to Civil Monetary Penalties, Invite Litigation at Nursing Homes

The Centers for Medicare & Medicaid Services’ (CMS) issuance of civil monetary penalties is in the crosshairs of litigators, as increasingly gained enforcement power comes up against a Supreme Court decision. In the Securities and Exchange Commission (SEC) v. Jarkesy case, SCOTUS ruled that defendants have a constitutional right to make their case to a […]

CMS Entrenching ‘Old Covid Scars’ With Expansion of Civil Monetary Penalties, Starving Nursing Homes of Much-Needed Resources

Nursing home operators say the civil monetary penalty (CMP) expansion is proving to be one of the most problematic features of the 2025 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule. Initially, there was excitement for the Medicare payment increase, but this has turned to dread for operators who are already dealing with […]

‘See Where the Gaps Are’: Nursing Homes Forging Ahead with Facility Assessments Amid Staffing Constraints

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 […]

‘Death by 1000 Cuts’: Nursing Homes Facing Financial Turbulence Amid Staffing Woes, Low Pay, Managed Care Pressures

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 […]

Eduro, Care Initiatives, HDG Execs: Punitive Regulatory Climate Hurts Nursing Home Providers as Staffing Mandate Looms

In light of the upcoming nursing home staffing mandate, industry leaders are concerned about how the measure will be enforced. And, they’re still trying to cope with what they describe as a punitive approach to surveys. On the plus side, labor pressures have started to ease, and workforce initiatives are bearing fruit. “It’s just hard […]

Why Additional VBP Funding for Nursing Homes May Be More Trouble Than Gain

Nursing home operators participating in a value-based purchasing program (VBP) might be able to derive greater benefits in coming years from higher scores based on new measures, as the federal government seeks to reward organizations who prioritize health equity, among other factors. Joel Van Eaton, EVP of post-acute care regulatory affairs and education at Broad […]

Why Nursing Homes Should Expect Far-Reaching Effects from CMS’ Expanded VBP Measures

Value-based care program (VBP) measures proposed by the Centers for Medicare & Medicaid Services (CMS) have long loomed over skilled nursing operators, and now it seems more are finally on their way for 2026. Staffing-related measures, rehospitalization, discharge and infection prevention are all areas of focus for CMS’ proposed and finalized measures alike. Moreover, proposals […]

4 Skilled Nursing CEOs Share Early Look at Plans, Priorities For 2023

As nursing home operators continue to tackle the host of issues that have challenged them throughout 2022, many have set their sights on what’s in store for the year ahead. Industry-wide staffing shortages, an ever changing regulatory environment and record inflation will likely remain pain points for the sector heading into the new year, but […]