
A new JAMDA cross‑sectional study of 9,473 freestanding nursing homes finds that higher Medicaid payment rates are linked to a greater likelihood of earning 4‑ or 5‑star overall, health‑inspection and staffing ratings on CMS’s Care Compare. Nearly 79% of facilities receive less than $225 per resident day, with 17% covering under 70% of costs, while only about 10% are reimbursed above cost. The analysis shows 47% of homes achieved 4‑5 stars overall, and the authors argue that inadequate Medicaid funding undermines quality, urging policymakers to consider payment adequacy.

Nursing home operators are slowing mergers and acquisitions in 2026 as inflated asset prices and an aging facility stock raise concerns about long‑term sustainability. Leaders such as A.G. Rhodes, Diversicare and Focused Post‑Acute are prioritizing capital for modernization, data analytics...

Virginia lawmakers are debating a suite of bills aimed at improving nursing home oversight, staffing, and transparency. One proposal sets minimum nursing care hours at 3.08 per resident per day through 2027, rising to 3.25 by 2031 for facilities in...

The Centers for Medicare & Medicaid Services (CMS) is expanding its hybrid quality‑measure (QM) methodology, merging Minimum Data Set (MDS) information with Medicare claims to improve accuracy. Recent OIG reports on antipsychotic medication use and falls with major injury prompted...

CareTrust REIT reported a transformative 2025, marking its most active investment year by a factor of five. The REIT completed 14 skilled‑nursing facility acquisitions in Q4 and added six more through a new operating partnership with Larry H. Miller Senior...

Sabra Health Care REIT sold seven skilled‑nursing properties for $51 million in Q4, signaling a sharp pullback in nursing‑home M&A for 2026. The REIT’s pipeline will focus almost entirely on senior housing, which represents roughly 95% of its investment opportunities and...

Seven Democratic senators reintroduced the Nurses Belong in Nursing Homes Act to restore federal staffing standards that were struck down by courts. The bill would require a registered nurse on site 24/7 and a minimum of 3.5 care hours per...

CMS issued a Notice of Benefit and Payment Parameters for 2027 proposing to keep long‑term nursing‑home custodial care outside the list of essential health benefits required for ACA marketplace plans. The rule maintains that custodial stays are not mandatory coverage,...

Welltower announced it will divest roughly $1.3 billion of Integra‑related skilled‑nursing assets, having sold $800 million in the fourth quarter of 2025 and targeting an additional $500 million. The move completes the disposal of about half the Integra portfolio and aligns with the...

A JAMA Internal Medicine cohort study of more than 600,000 Medicare hospitalizations found that reinstating the three‑day inpatient rule lengthened stays but did not curb skilled nursing facility (SNF) discharges, improve 30‑day outcomes, or lower Medicare spending. The rule increased...

Medicaid reimbursement shortfalls are pushing nonprofit nursing homes toward drastic choices, including sale or closure. In New York, ArchCare, a nonprofit post‑acute system, chose to integrate Wartburg’s 34‑acre senior‑care campus instead, preserving its mission while expanding service breadth. The integration...

The skilled‑nursing sector entered 2026 with strong occupancy and higher state reimbursements, restoring profitability for many facilities. Financing remains robust, but activity has shifted toward acquiring and refurbishing existing homes rather than new construction. Regional operators are snapping up underperforming...

Evans Senior Investments brokered the sale of the nonprofit Glencroft Center for Modern Aging in Glendale, Arizona, fetching $30.15 million—about $134,000 per bed—despite a 47% occupancy rate and a 1‑star CMS rating. The deal doubled the seller’s expected proceeds by creating...

Omega Healthcare Investors reported a stronger‑than‑expected fourth‑quarter 2025, posting EPS of $0.55 versus the $0.49 consensus and adjusted FFO of $0.80 per share, beating estimates. The REIT lifted its 2026 AFFO outlook to $3.15‑$3.25 per share, slightly above analyst expectations....

Eleven of Next Step Healthcare's fourteen Massachusetts nursing homes have been placed in court‑appointed receivership after landlords reported nearly $15 million in unpaid rent and $3 million owed to lenders. Audits show chronic late payments and inspection failures that jeopardized resident safety....