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 […]

Ensign Going ‘Up the Acuity Chain,’ Expects Medicaid Support for Soft Landing as PHE Ends 

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 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 […]

Ensign Adds 17 Skilled Nursing Communities as Sabra Deal Closes 

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 […]

REIT Ownership of Nursing Homes Linked to Changes in Clinical Staffing Patterns 

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 […]

Sabra, LTC Properties Execs: Skilled Nursing Faces ‘Slog’ in 2023, High-Acuity Care an Opportunity

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 […]

Top Skilled Nursing Trends for 2023

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 […]

REIT Moves Drive a Reordering of the Skilled Nursing Operator Landscape

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 […]

Ensign Leaders on Acquisition Strategy, Tripledemic Demands, PHE Relief

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 […]

Sabra CEO: North American Portfolio Transition to Ensign, Avamere is ‘Best Possible Outcome’

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 […]

REITs Gain Dealmaking Edge, Will Pursue Prized Skilled Nursing Operator Relationships

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 […]

Ensign Capitalizes on Favorable Medicaid Landscape to Continue Sustainable Growth

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 […]

CMS: Medicaid Funding a ‘Key Lever’ to Improving Nursing Home Quality, Staffing

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 […]

Medicare Payment Boost a ‘Positive Surprise’ for Invesque, But Portfolio Restructuring Continues

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, […]

Sabra CEO Looks to State Medicaid Funding Relief For SNFs as Federal Support Trails Off

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 […]

REITs Owned 12% of US Skilled Nursing Assets in 2021, Ownership Trends Changing

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 […]