Rural Nursing Homes Foresee Financial Strain, Fear Failure To Qualify for Exemptions from CMS’ Staffing Mandate

Nursing homes in states with large rural communities have long struggled to grapple with workforce issues, and for most of these rural providers there seems to be no end in sight, making fulfilling the federal government’s staffing mandate an impossibility. For such communities, registered nurses (RNs) are especially hard to recruit, and statistics paint a […]

‘A Feasible Plan’: Inside Nursing Homes’ Push for Immigration Reform, Funding for Higher Wages, Workforce Programs

Although there is a chance the federal government’s staffing mandate may be overturned, operators should still be aware of how upcoming changes could impact their operations. This is according to sector experts, who said that while the mandate is well-intentioned, it lacks a comprehensive plan to address the realities of staffing shortages and regional variations […]

Top Trends That Will Shape the Skilled Nursing Sector in 2024

Margins squeezed by interest rates and inflation, staffing shortages amid a draconian staffing mandate proposal, an invasion of Medicare Advantage and mixed efforts at adapting to Minimum Data Set (MDS) changes are among a litany of the challenges facing the skilled nursing sector at the start of 2024. However, all is not doom and gloom […]

Moving Forward Coalition Members Discuss Nursing Home Staffing Issues, Action Plans

As the comment period for the federal government’s staffing proposal winds down, advocates for both nursing homes and residents alike are looking at ways to reach a middle ground. Among these advocates for measured change are members of the Moving Forward Coalition – an organization formed in April 2022 following the National Academies of Sciences, […]

Marquis CEO Fogg: Negotiating Power with Medicare Advantage, Big-Picture Staffing Strategy Key for Nursing Homes’ Future

The proposed federal staffing mandate is a potential “kill factor” for nursing home providers, while the rise of Medicare Advantage (MA) is a “major challenge” — and how well the sector responds to these threats will play a major part in shaping the future. This is the perspective of Phil Fogg Jr., CEO of Marquis […]

Inside the I-SNP Journey: Nursing Home Operators Unlock Promise of Medicare Advantage with 3 Different Models  

As nursing home organizations adjust to a changing environment of reimbursement, Medicare Advantage Institutional Special Needs Plans (I-SNPs) are undergoing rapid growth, with operators pursuing distinct strategies meant to realize financial and operational gains. The benefits of an I-SNP can range from more control over quality, happier clinical staff, reduced administrative burdens, improved compensation and […]

Sabra Sells ‘Sizable’ SNF Portfolio at $200K Per Bed, Discloses $185M in Recent Proceeds 

Sabra Health Care REIT (Nasdaq: SBRA) on Thursday announced about $185 million has been received in gross proceeds since Sept. 30, 2022, including through a “sizable portfolio” of skilled nursing assets that fetched $200,000 a bed. The previously disclosed sales were “almost entirely comprised of skilled nursing investments,” Sabra said in a statement.  The $200,000-per […]

2023 Outlook for Skilled Nursing Shaped by Unfriendly Federal Policies, Confounding Deals, Labor Crisis

The gap between current skilled nursing occupancy and pre-pandemic occupancy is “99%” due to lack of staff, and addressing the sector’s workforce crisis is clearly the top priority for 2023. That’s according to Phil Fogg Jr., president and CEO of Marquis Companies and chairman of the American Health Care Association. Milwaukie, Oregon-based Marquis owns and […]

The Trends That Will Shape Skilled Nursing in 2022

The COVID-19 pandemic continued to put pressure on an already strained skilled nursing industry in 2021. The next 12 months will be yet another test of resilience. Looking ahead to 2022, SNFs must stay nimble and inventive to not only survive but thrive. Private equity will continue to lead the nursing home transaction market pack, […]

AHCA’s Parkinson: ‘Unfunded’ Build Back Better Act Staffing Provisions Will Exacerbate Workforce Shortage

The head of the nation’s largest lobbying and trade group for nursing homes called out two ‘unfunded mandates’ included in the Biden administration’s Build Back Better Act — mandatory minimum staffing and 24-hour registered nurse (RN) oversight in nursing homes — arguing both will cause unnecessary strain on an already employee beleaguered industry. During a […]

Marquis Companies Finds Success Building New Facilities Rather Than Renovating Existing Ones

At a time when skilled nursing assets are getting record-setting price per bed valuations, Milwaukie, Ore-based Marquis Companies plans to continue to grow in the space by building from the ground up. “We’ve only been building new facilities for about 11 years now, so we haven’t acquired any facilities,” Phil Fogg Jr., president and CEO […]

Occupancy Recovery Difficult to Predict for SNFs with Delta Variant, Staffing Shortage

Some skilled nursing operators and industry advocates expected occupancy recovery from COVID-19 to occur by the end of 2021, but with the onset of the delta variant and staffing shortages worsening, the newest data shows that occupancy recovery won’t occur until early 2022 at the earliest. For Milwaukie, Ore.-based Marquis Companies, occupancy recovery delays have […]

Priorities, Plans & Perspectives: April Diaz, VP of Clinical Services at Marquis Companies

In this Priorities, Plans & Perspectives interview, Skilled Nursing News sits down with April Diaz, VP of Clinical Services at Marquis Companies, to learn how she stays nimble and flexible to help her team navigate uncertainty in a constantly changing industry.Read on to discover how Diaz’s perspective has changed over the course of her career, […]

‘SNFs Get Overwhelmed’: Amid First Cases, Nursing Home Operators Look to Prepare for Coronavirus

Concerns over the coronavirus are creeping into the nursing home sector, and industry experts are alerting operators and clinicians to take extra care, especially with the steady influx of frailer residents who are most susceptible. And while it may be too early to determine the eventual clinical and financial effects on the nursing home space, […]

I-SNP Case Studies Show Promise in Era Where Fee-for-Service Medicare Looks Unsustainable

Despite the challenges, skilled nursing facilities have succeeded at setting up their own specialty Medicare Advantage plans — and the strategy represents a key potential weapon amid the rise of alternative payment models. Institutional Special Needs Plans (I-SNPs) remain a small part of the overall Medicare Advantage landscape, according to a panel discussion at the […]

Consulate Tackles Care Transitions with New Skilled Nursing Data Partnership

Data has quickly become king in the increasingly challenging skilled nursing world, but the question of how different providers along the care continuum can use that data remains a sticking point. Upgrading a building’s electronic health record (EHR) distribution system from fax machines to cloud data solutions is the first step. The information, however, doesn’t […]