CMS Finds Deepening Backlog in Nursing Home Inspections – 4,500-Plus Facilities Are Overdue

As the nursing home industry continues to recover from the last several years of the pandemic, annual inspections have fallen by the wayside. According to federal data from mid-February, about 4,500 of the nation’s 15,000 nursing homes were overdue for an inspection. More than 1,500 of those facilities were last inspected before the public health […]

‘We Need to Start Today’: Nursing Home Providers Strive to Implement Workforce Tech Amid Challenges

As staffing remains one of the leading areas of trouble for nursing homes, operators have turned to technology tools that have improved both retention and recruitment of workers in the last year. But while operators, advocates and even insurance providers associated with the skilled nursing sector applaud the implementation of staffing-related technology, doing so is […]

Nursing Home Advocates Ramp Up Calls to End 3-Day Stay Amid Senate Hearings 

As Senators began hearings on the challenges facing the health care sector Thursday, nursing home advocacy groups redoubled their calls to lawmakers to end the three-day hospital stay requirement for the skilled nursing industry, noting difficulties facing the sector, especially amid staffing shortages. LeadingAge, which represents more than 5,000 nonprofit aging services providers, sent letters […]

CMS Proposes Rule Requiring More Nursing Home Ownership Transparency, Including REIT and Private Equity Disclosures

The Centers for Medicare & Medicaid Services (CMS) announced Monday a proposed rule to require nursing homes to disclose more information regarding their ownership and management, including information related to assets held by real estate investment trusts (REITs) and private equity firms. Nursing homes will be expected to disclose this information as part of the […]

Skilled Nursing Sector Faces Defining Moment to Shape New Medicaid Models

The skilled nursing industry is facing a defining moment that could determine the future of Medicaid reimbursement, with a new model emerging that ties increased dollars to facility performance. “I doubt that we’re going to get another chance,” Zimmet Healthcare Services CEO Marc Zimmet said Tuesday at the annual eCap conference in Miami. This as […]

13 U.S. Senators Warn CMS: Staffing Mandate May Worsen SNF Access

As the federal staffing minimum mandate proposal and study is due to be revealed in a matter of months, some state leaders are calling on the Centers for Medicare & Medicaid Services (CMS) to rethink the mandate’s “one-size-fits-all” approach. Thirteen senators across nine rural states last week issued a letter addressed to CMS Administrator Chiquita […]

How Nursing Homes Can Adapt to Intensified CMS Psychotropic Drug Oversight

The nursing home industry will be feeling the pain of “another stick” with the Centers for Medicare & Medicaid Services’ (CMS) plan to tighten antipsychotic oversight and penalties. At least, that’s what GAPS Health CEO Dr. Jerome Wilborn thinks. GAPS Health is a medical directorship group that aims to optimize SNF efficiency and eliminate unnecessary […]

HHS Secretary on Nursing Home Boosters: ‘Stakes Still High,’ More LeadingAge Collaboration Possible

More partnerships seem likely between the U.S. Department of Health and Human Services (HHS) and aging services organization LeadingAge – both entities looking to their All Hands on Deck Campaign as a future model. Collaborations to improve staffing issues, burnout and nursing home quality were mentioned by HHS Secretary Xavier Becerra, who joined LeadingAge members […]

Politico: White House Patience Wearing Thin with Nursing Home Booster Rates

As the Biden administration becomes increasingly frustrated with lagging nursing home booster numbers, the White House seeks to take renewed action. That’s according to an article published by Politico on Thursday; redoubled efforts have been taken to send lists of senior facilities with zero people vaccinated – potential penalties and fines could be attached, according […]

Nursing Home Giant Good Samaritan Society to Exit 15 States, Focus on Core Markets

The Evangelical Lutheran Good Samaritan Society, one of the largest skilled nursing providers in the United States, plans to consolidate its operations from 22 states to seven. Once the process is complete, the Sioux Falls, South Dakota-based Good Samaritan Society will have operations in South Dakota, North Dakota, Iowa, Minnesota, Nebraska, Kansas and Colorado. About […]

Executive Outlook 2023: Reimagine How We Deliver Skilled Nursing Care

“The sector has a tremendous opportunity to reimagine how we deliver care.” These are the words of Nate Schema, president and CEO of The Evangelical Lutheran Good Samaritan Society, one of the largest providers of skilled nursing services in the United States. Good Sam is reimagining care in part through a $350 million virtual care […]

Inside the Trends Driving Skilled Nursing Bed Reductions in 2022 and Beyond

While many owners in the skilled nursing space saw a reduction in beds this year, the biggest losers were overwhelmingly government entities and not-for-profit organizations, while for-profit entities have lost far fewer beds. In terms of bed reduction by location, rural markets largely took the hit, according to Lisa McCracken, director of senior living research […]

Why a Nursing Home Case Heard by SCOTUS Could Have Sweeping Implications 

Larger implications surrounding a nursing home case to be heard by the U.S. Supreme Court on Nov. 8 has both operators and civil rights activists anxiously awaiting a decision. For SNF operators, the case could determine whether state-owned nursing homes are shielded from federal lawsuits. Far-reaching questions regarding Medicaid beneficiaries and their rights in federal […]

The Future of Labor Activism in Nursing Homes

Despite the nursing home industry being in the grips of a staffing crisis – with more leverage in the hands of direct care workers – unionization in the space hasn’t taken off across the country like many were expecting. Instead, national unionization in the sector slowly increased from just under 10% in 2010 to 16.8% […]

[UPDATED] CMS to ‘Crack Down’ on Troubled Nursing Homes Through Special Focus Facility Program Changes

In its latest move to increase scrutiny of the skilled nursing industry, the Biden administration is toughening requirements for nursing homes that fall into its Special Focus Facilities (SFF) program. Specifically, the Centers for Medicare & Medicaid Services (CMS) is making completion requirements more challenging and increasing enforcement actions if SNFs fail to show improvement, […]

LeadingAge CEO: Congress Put Spotlight on Broken Nursing Home System, Now Time for Action

Testimony and questions at the recent congressional hearing on nursing homes’ performance in Covid-19 showed that the system is in desperate need of reform, and that the time for reports and study is over, according to LeadingAge President and CEO Katie Smith Sloan.  “We need to start looking ahead,” Sloan told Skilled Nursing News. “My […]

Nursing Home Industry Takes National Stage Again as House Hearing Skewers For-Profit Ownership

The nursing home industry was thrust back into the national spotlight this week as federal lawmakers called out for-profit ownership for their lack of resources during the early months of the pandemic and confounding corporate structures. The Congressional Select Subcommittee on the Coronavirus Crisis, chaired by Rep. James Clyburn, held a hearing on Wednesday to […]

A ‘Painful Couple of Years’ Ahead For Operators as Nurses Say Workforce Crisis Hasn’t Improved

Nurses in the skilled nursing sector say their situation has not improved after two-and-a-half years into the pandemic – more than half have seen an increase in medical mistakes as a result of lower staffing. This is the “new normal” for the sector, according to a study released by IntelyCare on Wednesday. The Massachusetts-based health […]

Operators Urge CMS to Reconsider Winding Down Essential Waivers as SNF Recovery Varies

Nursing home operators were able to tell the Centers for Medicare & Medicaid Services (CMS) directly how much certain waivers helped their organizations during the pandemic, with the temporary nurse aide (TNA) and three-day stay waivers being the most beneficial. SNF industry leaders also made their case for extending waivers or making some permanent during […]

Rethinking Long-Term Care Starts With 5-Star Redesign, Adequate Funding, Community Tie-In

Beyond the obvious call for more direct care workers and adequate funding of care, today’s aging population needs a broader range of living arrangements than what is offered now within the care continuum. In other words, more options that keep residents connected to their community and family while still receiving the right level of clinical […]