Welltower’s DeRosa: ProMedica, ManorCare Deal Financially ‘On Track’

More than a year after Welltower’s (NYSE: WELL) mega-deal to snap up skilled nursing giant HCR ManorCare, the real estate investment trust’s CEO says the partnership is on the right financial footing. “They’re on track,” Tom DeRosa said of the early financial results in a recent interview with the National Investment Center for Seniors Housing […]

Reliant CEO Talks Strategy, Behavioral Health Potential After $88M Sale

Reliant Care Management Group, based in Maryland Heights, Mo., had a busy summer. The company, which has 20 skilled nursing facilities and five assisted living facilities in Missouri and Illinois, recently executed a deal to sell the real estate of eight SNFs to Griffin-American Healthcare REIT IV, Inc. for $88.2 million. Reliant is staying on as […]

Leaders Hint at Occupancy, Bed Price Mismatch in Skilled Nursing Amid Speculation

Over the last half-decade, there have been two consistent and opposing trends in the skilled nursing world: Occupancy keeps declining as seniors find other options for long-term care, but bed prices have kept steadily chugging upwards. And while there are solid reasons for those seemingly counterintuitive threads, there are questions in the operational and investment […]

High Five-Star Ratings Don’t Correlate with Lower Rehospitalization Rates

While individual star ratings are important for skilled nursing providers, a high number doesn’t always mean they are providing the best care and seeing lower rehospitalization rates. As the skilled nursing industry continues to adapt to new value-based care models, the importance of the Five-Star Quality Rating System from the Centers for Medicare & Medicaid […]

Data, Not Donuts: Building Today’s Skilled Nursing Partnerships

In the past, nailing down a partnership with a local hospital or home health agency might have simply been a matter of providing the right free breakfast to the right group of hungry administrators. But in a world with shifting payment models and increasing emphasis on outcomes, skilled nursing providers must step up their game with […]

Skilled Nursing Operators Fighting for Share of Shrinking Medicare Pool

The number of skilled nursing stays among Medicare recipients dropped 15% over the last several years — but not necessarily for the reason many in the industry might believe. Instead of lower-cost options like home health cutting into demand for nursing home services, the post-acute sector in general is seeing declines amid an overall drop in […]

How In-House Insurance Plans Can Boost Skilled Nursing’s Fortunes

In an era of record-low skilled nursing occupancy and rapidly shifting payment models, some operators have found a single solution to both problems: an in-house insurance plan. Skilled nursing providers can create their own institutional special needs plans (I-SNPs), a type of Medicare Advantage program specifically designed to cover beneficiaries who are confined to an institution […]

What the Rise of Medicare Advantage Means for Skilled Nursing

About 33% of seniors enrolled in the Medicare program have elected to use managed Medicare Advantage plans, and that number is expected to grow — potentially faster than the government thinks. The Congressional Budget Office has predicted growth in MA plans by about 4% per year, but Dan Mendelson, president of Avalere Health, says his […]

Two Visions of the 21st Century Skilled Nursing Facility

The skilled nursing world is in upheaval, but too many providers are complacently running the skilled nursing facility of yesterday rather than creating a successful model for the future. That’s according to Anne Tumlinson, founder of consultancy Anne Tumlinson Innovations and a nationally recognized authority on post-acute and senior care. She previously led Medicaid oversight […]

When is the Skilled Nursing Wave Coming? Depends Who You Ask

Depending on whose earnings call you happened to catch this season, the predicted surge in demand for skilled nursing services is just around the corner — or it isn’t coming at all. At Omega Healthcare Investors (NYSE: OHI), management enlisted the services of two consulting firms to crunch the numbers on demographic trends over the […]

Per-Bed Skilled Nursing Prices Trickling Downward

After a year that saw reports of eye-popping prices for skilled nursing beds, the trend appears to be headed in the opposite direction. The per-bed price for skilled nursing facilities dropped 1% between the third and fourth quarters of 2017, falling to $83,800 according to the most recent data from the National Investment Center for […]

Volatile Market, Rising Interest Rates Add to Skilled Nursing Pressures

Just when it seemed like the skilled nursing industry had enough potential issues on its plate for 2018 — potential cuts to Medicaid and Medicare, ongoing reimbursement pressures, and staffing woes — the historically healthy stock market took a major tumble. Sabra Health Care REIT (NASDAQ: SBRA), Ventas Inc. (NYSE: VTR), and other health care […]

Skilled Nursing Pressures Forcing Non-Profits to Sell or Close

Headwinds in the skilled nursing industry have forced many non-profits to operate at a significant financial loss, to the point that SNF assets are becoming a drag on their overall health. That’s according to Lisa McCracken and Dan Revie, writing in Ziegler Investment Banking’s Senior Living Z-News, which covered the dispositions and closures of not-for-profit […]

SNF Deals Strong in Third Quarter Amid Big Public-Buyer Appetite

Skilled nursing mergers and acquisitions (M&A) activity contributed to an overall strong third quarter, as as nursing care accounted for $3.5 billion of the total $5.0 billion in transactions volume for the quarter, according to a report by the National Investment Center for Seniors Housing and Care (NIC). Seniors housing accounted for the remainder ($1.5 […]

Skilled Nursing M&A Volume Rises in Q3

The third quarter of 2017 saw greater transaction volume in skilled nursing than in senior housing, as well as a 227% increase in skilled nursing transactions from the prior quarter, according to a blog post by Bill Kauffman, senior principal at the National Investment Center for Seniors Housing & Care (NIC). In the third quarter of […]

Skilled Nursing Must-Reads: The $1 SNF, Occupancy Drops

Welcome to Skilled Nursing News’s weekly roundup of the top headlines you need to see to kick-start your morning — from a SNF with a curiously low asking price to more negative trends in occupancy to the long-term effects of a lawsuit over snacks in Pennsylvania. SNN readers flocked to the story of a former […]