Connecticut Latest State to Propose Higher Staffing Ratios, Transparency for SNFs – But Without Funding Support

Following states like Illinois and New York, Connecticut is the latest state to introduce a bill aimed at transforming staffing and requiring transparency changes among area nursing homes. Proposed changes would apply to the more than 200 nursing homes across the state. One change involves boosting minimum staffing hours from 3 to 4.1 per person […]

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 […]

Staffing, Psychotropic Scrutiny Contribute to Tough Litigation Climate for Skilled Nursing

As the skilled nursing industry is beset by crippling staffing shortages, inflation costs, and increased government oversight in an already highly regulated field, operators must be proactive in shielding themselves from litigation risk. Risk is coming from a multitude of different places, according to experts at a Zimmet Healthcare Services Group webinar on Thursday, and […]

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 […]

The Hot Seat: Marc Zimmet, CEO, Zimmet Healthcare Services Group

As CEO of Zimmet Healthcare Services Group, Marc Zimmet has spent decades analyzing the skilled nursing industry and developing solutions for post-acute care operators. An expert in reimbursement, compliance, and strategy, Zimmet takes the Hot Seat to share some of details around how he came to the industry, his favorite destination when he’s not analyzing […]

Why Non-Therapy Ancillaries, Nursing are Key to High Performance Under PDPM

As the SNF sector enters its third year under the Patient-Driven Payment Model (PDPM), data analytics and consulting firms like Zimmet Healthcare Services Group are finding stark differences in reimbursement levels between top-performing operators and those at the bottom of the barrel. For one, the top 10% of SNF providers have rates $70 over the […]

Why the Five-Star Rating System Needs an Overhaul — And How to Fix It

The five-star quality rating system has been a thorny issue for a lot of operators in the skilled nursing space, with many calling for a significant overhaul to quality metrics as facilities drown in seemingly endless federal benchmark adjustments. Even academics and consultants monitoring the sector believe the ratings system needs to be updated – […]

Why The Caregiver Definition Must Be Expanded For Nursing Homes to Overcome Labor Crunch

As the Centers for Medicare & Medicaid Services (CMS) works to establish federal minimum staffing levels, industry leaders are calling on the government agency to broaden the caregiver definition. The current federal requirement does not provide a specific daily minimum standard, rather, it states that nursing homes must provide “…sufficient nursing staff to attain or […]

The Devil’s in the Data: Why SNFs May Be Facing an Information Crisis

The nursing home sector may be facing even bigger, more longstanding obstacles than current staffing woes and increased costs due to rising inflation. According to one industry leader, the crisis facing long-term care is the data itself. “We have this one-size-fits-all regulation, we have irrational payment systems where reporting is fragmented, redundant and inconsistent and […]

Eduro Acquires 7 Texas SNFs; White Oak Structures Financing for 5 Nursing Homes

Utah-based skilled nursing company Eduro Healthcare recently acquired seven facilities in the San Antonio, Texas area, bringing the total count in the state to 15. Eduro first entered the Texas market in April 2021, and has seen success as operational and delivery of care changes are implemented, according to a news release. “Having worked in […]

The Case For And Against a Nursing Home Industry Crisis

Whether it’s uttered during an interview, highlighted during an industry conference or referenced in a news release, I’ve heard and seen the word “crisis” quite often during my time reporting on the skilled nursing industry. And it’s not surprising the word has been used so frequently. Covid-19 was a global crisis that hit the nursing […]

PBJ Data Use in Surveys Serves as ‘Breadcrumbs’ to Looming Federal Staffing Mandate

The Biden administration, and its federal agencies, appear to be in lockstep in how they have been thinking and talking about nursing homes, industry leaders say, further evidenced by the latest release on the rules of participation for Medicare and Medicaid. Specifically concerning the administration’s efforts to establish a minimum staffing ratio among facilities, the […]

‘Counterintuitive to the Goal:’ Impending Five-Star Staffing Measures Don’t Address Ongoing Labor Challenges

Operators and nursing home industry leaders wait with bated breath for the implementation of new staffing measures in its five-star rating system starting in July, a move seen by some as insensitive in light of a historic staffing shortage and soaring agency use. While facilities have been reporting staffing turnover and weekend staffing data since […]

Staffing Shortages Lead Nursing Homes to Rethink MDS Coordinator Role

Persistent staffing shortages combined with regulatory headwinds have put even more pressure on nursing home MDS coordinators, a specialty position that itself has not been immune to the job turnover felt across the sector. And their role to ensure that facilities get the reimbursement they earn and the right care is provided may be more […]

Why Nursing Homes Shouldn’t Expect Delayed or Phased-In CMS Medicare Cuts

After delaying cuts last year due to Covid, the Centers for Medicare & Medicaid Services (CMS) announced last week that it is moving forward with proposed cuts to Medicare funding for nursing homes. The CMS proposal includes a 3.9% Medicare rate increase for skilled nursing facilities, but the agency announced cutbacks to PDPM payments by […]