Nursing homes claim to lose money every year, but they stay in business and don’t close or file for bankruptcy. How is that possible? It’s possible because industry claims aren’t true. Nursing homes hide 62.9% of profits by paying inflated prices to … [Read more...] about Nursing Homes Hide Profits
Skilled Nursing Facility
New From the House Ways & Means Committee: No Nursing Home Staffing Standards Ever
On March 6, 2024, the House Ways and Means Committee passed a bill, H.R. 7513, “Protecting America’s Seniors’ Access to Care Act,” that prohibits the Secretary of Health and Human Services from promulgating any nursing home staffing standards, now or … [Read more...] about New From the House Ways & Means Committee: No Nursing Home Staffing Standards Ever
Two Courts Reject Nursing Home Industry Challenges to New York Law Requiring Minimum Spending on Care and Caps on Profit
In 2021, New York enacted a state law requiring facilities to spend 70% of their revenue on resident care, including 40% of resident-facing care, and limiting profits to 5%. The law has not been implemented.The nursing home industry filed two … [Read more...] about Two Courts Reject Nursing Home Industry Challenges to New York Law Requiring Minimum Spending on Care and Caps on Profit
Know Jimmo | Skilled Nursing Facility Policy
Medicare Benefit Policy Manual, Chapter 8 – Skilled Nursing Facility ServicesSection 30Coverage of nursing care and/or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement … [Read more...] about Know Jimmo | Skilled Nursing Facility Policy
CMS Must Strengthen Federal Criteria for Certifying Nursing Homes for Medicare and Medicaid Reimbursement
One of the best predictors of quality is past performance. If an operator provides poor care in its facilities, it is likely to provide poor care in any additional facilities that it may purchase or operate. As a result, one of the most effective … [Read more...] about CMS Must Strengthen Federal Criteria for Certifying Nursing Homes for Medicare and Medicaid Reimbursement
When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
Skilled Nursing Facility (SNF) care can be covered by Medicare if it meets the following criteria:Note: Medicare Advantage plans often do not require a prior hospital stay to qualify for SNF coverage.Note: “Daily” is defined as seven … [Read more...] about When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
Studies Show Nursing Home Closures Have Declined
Although the nursing home trade associations argue that inadequate reimbursement and a lack of people to hire have led to closures of nursing homes and that closures will become an even greater problem if the Centers for Medicare & Medicaid … [Read more...] about Studies Show Nursing Home Closures Have Declined
Nursing Facilities Spend More on Administration, Capital, and Profits Than Nursing: 2019 Medicare Cost Reports
An examination of 2019 Medicare cost reports finds that nursing facilities spent more of their revenue on administration, capital, other, and profits (34%) than on nursing (27%). “United States’ Nursing Home Finances: Spending, Profitability, and … [Read more...] about Nursing Facilities Spend More on Administration, Capital, and Profits Than Nursing: 2019 Medicare Cost Reports
KFF: Increased Numbers of Deficiencies Cited at Nursing Facilities May Reflect Insufficient Staffing
In “A Look at Nursing Facility Characteristics Between 2015 and 2023,” KFF reports that between 2015 and 2023, the hours of nursing care provided to residents in nursing facilities declined by 9% (from 4.13 hours per resident day (HPRD) in 2015 to … [Read more...] about KFF: Increased Numbers of Deficiencies Cited at Nursing Facilities May Reflect Insufficient Staffing
A Poster Child for Meaningful, Corporate-Wide Enforcement of Nursing Facilities
Late on the afternoon of December 15, 2023, Northview Village Nursing Home, the largest nursing facility in St. Louis, Missouri, abruptly closed, moving all 170 remaining residents overnight to 14 other nursing facilities in Missouri and Illinois … [Read more...] about A Poster Child for Meaningful, Corporate-Wide Enforcement of Nursing Facilities