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 […]
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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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Some nursing homes have been impacted as electronic medical record systems (EHRs) are down due to a global tech outage, industry insiders told Skilled Nursing News. However, the extent of the disruption is unclear as yet. “The impact of today’s Crowdstrike crisis is unfolding, so we do not have specifics at this time,” a LeadingAge […]
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 […]
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 […]
Nursing homes could receive a hardship exemption for the minimum staffing proposal – but the devil is in the details here – and looks like qualifying for it is going to be tough. Facilities will need to meet four criteria for an exemption, but it’s unclear how operators will prove some aspects of the criteria […]
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 […]
Nursing home operators are facing burdens and pressures related to the survey process, in yet another consequence of the severe labor shortages facing the sector. Just as nursing homes have struggled to fill open positions, so too have survey agencies been dealing with worker shortages. Survey agencies are trying to shore up their ranks by […]
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 […]
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 […]