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 […]
Sabra Health Care REIT
Following the Biden administration’s plans to end the public health emergency (PHE) on May 11, leaders at Ensign Group (Nasdaq: ENSG) are bullish that state assistance will create a soft landing. Ensign CEO Barry Port has seen operators in the sector bolstered by enhanced Federal Medical Assistance Percentage (FMAP) funding during the pandemic; this federally […]
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 […]
The Ensign Group (Nasdaq: ENSG) on Wednesday announced that the company is assuming operations of 17 skilled nursing communities in California, as part of a previously announced deal with Sabra Health Care REIT (Nasdaq: SBRA). That deal involves 20 communities total, which previously were operated by North American Health Care. The properties located in Ensign’s […]
In a move long-awaited by skilled nursing providers, President Joe Biden on Monday announced the public health emergency (PHE) will end on May 11 – a month after the current extension expires. The PHE first was declared in 2020 as Covid-19 was first sweeping across the country and was most recently renewed on Jan. 11, […]
Real estate investment trust (REIT) investment in nursing homes has been linked to an increase in some clinical staff hours per resident day – specifically a 2.15% and 1.55% percent bump in licensed practical nurse (LPNs) and certified nursing assistant (CNAs) hours, respectively. Registered nurse (RN) hours, on the other hand, decreased 6.25% in the […]
The coming year will be “a bit of a slog” for skilled nursing, but operating and financial headwinds should ease over the course of 2023. That’s the viewpoint of Rick Matros, CEO of Sabra Health Care REIT (Nasdaq: SBRA), which owns 270 skilled nursing and transitional care properties, along with senior living, behavioral health and […]
Economic uncertainty, staffing shortages, looming federal regulations, a new COVID variant and major changes to the Minimum Data Set (MDS) are just a few of the challenges facing the skilled nursing sector at the dawn of 2023. But a new year is also a time for optimism. Favorable Medicaid policies, the growth of strong regional […]
Skilled nursing operators should anticipate further distress in the coming months and into 2023, which will likely result in even greater divides among providers. The winners and losers already are being sorted, as the latest round of real estate investment trust (REIT) earnings made clear. And unsurprisingly, strong regional operators are leading the pack. Welltower […]
As one of, if not the largest nursing home operator in the country, The Ensign Group (Nasdaq: ENSG) has quickly filled turnaround properties with a robust talent pipeline – including having 30 to 40 administrators-in-training at all times – despite a historic staffing shortage. Leadership also delved into why the Texas Medicaid rate is such […]
Nursing home operators continue to reevaluate their position at this stage of the pandemic, as the industry continues to tackle a historic workforce shortage – some, like North American Health Care Inc., have decided to downsize in order to better manage existing properties. This shift to a more conservative strategy serves as the backdrop to […]
A lot of temporary measures will dry up or disappear when the public health emergency (PHE) comes to an end, but one thing that may become permanent is the Medicaid rate bumps states put in place to alleviate pressures nursing home operators face. At least that’s the hope for industry leaders and advocacy groups. Right […]
Real estate investment trust (REIT) dealmaking for the rest of this year and into 2023 will largely be driven by the desire to deepen existing or secure new partnerships with skilled nursing operators that have “weathered the storm exceptionally well.” That’s according to Michael Segal, executive managing director and partner at Blueprint Healthcare Real Estate […]
The Ensign Group (Nasdaq: ENSG) is in conversation with small and mid-sized operators at the local and regional level, as the nursing home giant uses its strong capital position and service center resources to scale operations. Ensign executives mentioned such plans at this week’s National Investment Center for Seniors Housing & Care (NIC) Fall Conference […]
The skilled nursing sector has endured whiplash since the early days of the pandemic, with federal agencies at first supporting the sector only to call for vast reform several years later. Such a cycle is one owners and investors have seen before, and one not likely to break any time soon – but that doesn’t […]
In line with the Biden administration’s nursing home reform initiatives outlined in February, the Centers for Medicare & Medicaid Services (CMS) is encouraging states to allocate Medicaid dollars toward improving staffing, and help the federal agency fully realize its goal of strengthening quality of care, accountability and transparency in the sector. The agency listed several […]
The skilled nursing bump in Medicare rates was a “positive surprise” for leadership at Invesque (TSE: IVQ.U), as most in the industry expected payment rates to decrease heading into next year. Bryan Hickman, senior vice president of investments at Invesque, said the change – in the form of a 2.7% increase to Medicare payment rates, […]
With Covid-era federal financial support trailing off for skilled nursing operators, leaders in the space, including Sabra Health Care REIT (Nasdaq: SBRA) CEO Rick Matros, are increasingly turning a hopeful eye to Medicaid funding relief at the state level. Specifically, Matros believes more permanent relief is a function of how state budgets are shaping up […]
Real estate investment trusts (REITs) owned about 12% of all skilled nursing assets as of 2021, equating to about 1,870 facilities. That’s according to a research letter published in JAMA Health. Researchers also examined REIT ownership trends of hospitals and other health care properties. The data comes at a time when the Biden administration and […]
By Tim Regan Sabra Health Care REIT’s (Nasdaq: SBRA) strategy for growth in 2022 is “simple,” according to CEO Rick Matros. The company plans to diversify its portfolio by paring down its skilled nursing exposure while growing in other product types, such as assisted living. “We’re focused on diversifying the portfolio with smaller deals in […]

