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 […]

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 […]

Nursing Home Staffing Rule’s Facility Assessments Strengthen Data Collection, Potentially Challenging Midsize Chains

As the long-term care industry comes to terms with the nursing home staffing mandate, there are many factors for operators to consider as they plan for the coming years. The final rule on staffing, which has been received with harsh criticism from the industry, establishes updates to facility assessment standards on top of the minimum […]