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
Skilled Nursing Facility
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
Improving Nursing Home Quality through Current Law
Citing the crisis in nursing home care, “with residents facing systemic neglect and unnecessary suffering,” the correlation of poor quality and for-profit ownership, the nursing home industry’s objections to meaningful reform, and “the challenging … [Read more...] about Improving Nursing Home Quality through Current Law
Enforcement Provisions of President Biden’s Nursing Home Reform Agenda Being Ignored
In February 2022, President Biden and the White House announced a comprehensive, multi-faceted nursing home reform agenda. While the Centers for Medicare & Medicaid Services (CMS) has taken steps to implement many parts of the agenda, it has … [Read more...] about Enforcement Provisions of President Biden’s Nursing Home Reform Agenda Being Ignored
Immigrant Nurses – Be Wary of Staffing Agencies that Violate Federal Law
The U.S. Department of Labor (DOL) has sued Advanced Care Staffing (ACS), a New York staffing agency that, among other activities, recruits registered nurses from the Philippines to work in U.S. nursing homes, charging the company and its CEO with … [Read more...] about Immigrant Nurses – Be Wary of Staffing Agencies that Violate Federal Law