Author: Chaya S

Chaya S writes about the human side of long-term care — the staff, residents, and communities at the center of the skilled nursing industry. She covers workforce challenges, clinical innovations, and the policy decisions that ripple through everyday care.

Dallas, Texas — Creative Solutions in Healthcare, one of the country’s most active nursing home operators, has made a significant leadership move — and the shift says a lot about where the company is headed. The Texas-based organization has promoted Chris Eamiguel from chief financial officer to chief strategy officer. In his new role, Eamiguel will focus on capital markets, public policy, enterprise strategy, and expanding the company’s real estate platform. To fill the CFO seat, Creative Solutions brought in Steve Post, a former Trinity Healthcare CFO with extensive long-term care finance experience. Growth That Demands a New Structure The…

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Washington, D.C. — Federal health officials under CMS Administrator Dr. Mehmet Oz are taking a sharply more aggressive approach to enforcement — now pursuing 99% of all investigative referrals from the Department of Health and Human Services Office of Inspector General, according to industry reports. The figure represents a striking departure from previous enforcement norms, when a significant share of OIG referrals went unpursued or quietly closed without action. The shift signals that the current administration intends to hold providers — including nursing homes and long-term care facilities — to a far higher standard of accountability. What the 99% figure…

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Long-term care executives are still getting raises — just not the kind they saw a few years ago. A new industry compensation report shows that executives managing multi-site long-term care organizations received average salary increases of 3.36% in 2025, marking the second consecutive year of cooling pay growth. The figures come from the 2025-2026 Multi-Facility Corporate Compensation Report released by Hospital & Healthcare Compensation Service (HCS), which analyzed pay trends across 47 large long-term care organizations. A Deliberate Slowdown The 3.36% average is down from 3.52% in 2024 and 3.69% in 2023. That may sound like a minor shift, but…

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Chicago, Illinois — A new study is pushing back on one of the long-running arguments against union organizing in nursing homes: that it hurts residents. The research, published in Health Affairs, found that unionization in skilled nursing facilities did not reduce quality of care. For an industry that’s been fighting over labor policy for years, that’s a finding operators, advocates, and policymakers are unlikely to ignore. What the study found The Health Affairs study examined care quality metrics across nursing homes with varying levels of union presence. Researchers controlled for facility size, ownership type, and patient acuity — and still…

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Washington, D.C. — Skilled nursing facilities got a reprieve earlier this year when the Centers for Medicare & Medicaid Services indefinitely suspended the January 1, 2026, deadline for submitting new ownership disclosure forms. But CMS made one thing clear in updated guidance released February 24: the suspension isn’t a free pass. The requirement itself hasn’t gone away. SNFs are still on the hook to file — they just don’t have a hard deadline yet. When CMS announces a new due date, facilities will be expected to comply. What’s Actually Required The new SNF Attachment to Form CMS-855A — effective since…

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It doesn’t take a lab draw or a high-tech scan. According to new research, two low-cost bedside measurements — calf circumference and handgrip strength — may be among the most reliable tools a nursing home clinician has for identifying residents at the greatest risk of death. The findings come from a study published in BMC Geriatrics examining 491 male nursing home residents age 60 and older across 15 facilities. Researchers tracked participants from 2021 through early 2024, monitoring which physical markers predicted who would die during that follow-up window. Of the 491 participants, 72 — or about 14.7% — died…

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Philadelphia, Pennsylvania — The debate over nursing home staffing mandates has a new data point — and it’s a big one. A study published in the journal Health Affairs found that state-level minimum staffing requirements increased staff levels at nursing homes without causing measurable financial damage or driving facilities to close. The research team, led by Dr. Rachel Werner of the University of Pennsylvania, examined records from 6,800 nursing homes across 22 states over a 13-year period. The findings cut against one of the most persistent arguments from operators who fought the now-repealed federal staffing rule: that hiring more nurses…

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Washington, D.C. — Skilled nursing facilities serve some of Medicare’s most complex patients, yet less than 10% of them participate in accountable care organizations. A new industry push is trying to fix that — and the price tag on doing nothing keeps growing. The American Health Care Association released a detailed whitepaper last week calling on federal regulators to build an ACO model designed specifically for nursing homes and assisted living facilities. If adopted, researchers estimate the change could save Medicare more than $2 billion a year. That’s not a rounding error. It’s a number that’s hard to ignore, especially…

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Loveland, Colo. — When the Winter Olympics kicked off this year, one skilled nursing community decided its residents deserved their own shot at glory. Good Samaritan Society – Loveland Village held its second Olympic-inspired competition for residents, drawing on the momentum of a Summer Games event it hosted two years ago. The result was a celebration of movement, laughter, and connection — and it came together for under $100. “We wanted to make sure we were doing things that were fun and unique,” said Julie Hoponick, supervisor of therapy and rehabilitation at the campus. “We wanted to make sure it…

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