Author: Ahuva S

Ahuva S covers the financial and operational side of skilled nursing facilities, with a focus on reimbursement, workforce economics, and the pressures facing small and mid-size operators. She brings a data-driven eye to the stories shaping the industry.

Nashville, Tennessee — A proposed state law meant to rein in pharmacy benefit managers could have an unintended consequence that alarms long-term care operators across Tennessee: the closure of two Omnicare pharmacies that serve nearly 18,000 nursing home and assisted living residents. CVS Health, which owns Omnicare, is pushing back hard against Senate Bill 2040, known as the FAIR Rx Act. The legislation targets the relationship between pharmacy benefit managers and the pharmacies they own, arguing that the arrangement creates conflicts of interest that drive up costs and limit patient choice. CVS says the bill would do the opposite. If…

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Dallas, Texas — A federal bankruptcy judge has approved an $80 million loan to keep Genesis HealthCare afloat while the once-dominant skilled nursing chain works toward a roughly $1 billion sale of its assets. U.S. Bankruptcy Court Judge Stacey Jernigan signed off on the new debtor-in-possession financing last week, allowing Genesis to retire an earlier $30 million bankruptcy loan and cover payroll obligations — including weekly paychecks that average about $30 million across its facilities. “Each weekly payroll averages approximately $30 million,” Genesis stated in court filings. “The Debtors need additional access to financing to ensure that they have adequate…

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Bronx, New York – A 490-bed nursing home in the Bronx is taking the federal government to court over a $31 million Medicare clawback demand, accusing the Office of Inspector General of applying rules that didn’t exist when the care was delivered and threatening to put the facility out of business before it gets a fair hearing. Pinnacle Multicare filed suit on February 26 in the US District Court for the Southern District of New York, asking a judge to toss the OIG audit report, block the Centers for Medicare and Medicaid Services from collecting the repayment, and declare the…

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A new study out of China suggests that two quick, low-tech measurements — a calf circumference and a handgrip strength test — could flag which nursing home residents face the greatest risk of early death. The findings, published in February in BMC Geriatrics, could reshape how long-term care facilities approach routine physical assessments for older adults. Researchers tracked 491 male nursing home residents aged 60 and older across 15 facilities in Zigong, China, starting in September 2021. Follow-up data was collected through April 2024. By the end of the study period, 72 residents — just over 14% — had died.…

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Salt Lake City, Utah — PACS Group wrapped up 2025 with the kind of numbers most operators only dream about — and its leaders say 2026 is on track to top them. The skilled nursing giant reported total revenues of $5.29 billion for the year, a 29% jump over 2024. Net income hit $191.5 million, translating to diluted earnings per share of $1.22. CEO Jason Murray called it a milestone moment — not just for the balance sheet, but for what it signals about the company’s long-term model. “These are not abstract statistics,” Murray said during the company’s fourth-quarter earnings…

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A new study tracking more than a decade of Medicare data shows a striking rise in the number of older adults who leave the intensive care unit and go directly to hospice — and researchers say the shift likely reflects a broader change in how Americans approach the end of life. Between 2011 and 2023, more than 10.6 million Medicare beneficiaries were admitted to ICUs across the country. During that period, hospice discharges following an ICU stay climbed from 388 to 572 per 100,000 Medicare beneficiaries — a meaningful jump that researchers say can’t be explained away by rising mortality…

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