Author: Sarah K

Sarah K reports on care quality, compliance, and the legal landscape affecting nursing homes across the country. From staffing mandates to federal enforcement actions, she covers the developments that directly impact how facilities operate and how residents are protected.

New York, New York — A care technology company focused on nursing homes and senior living has closed a $65 million funding round, signaling growing investor confidence that artificial intelligence can do what short-staffed facilities have struggled to accomplish on their own: keep residents safer before problems turn into emergencies. Sage announced the Series C round in early March, led by Growth Equity at Goldman Sachs Alternatives, with existing investors IVP and Goldcrest Capital participating. The raise brings Sage’s total capital to $124 million. The company says its platform is already showing results. Facilities using Sage’s tools report a 50%…

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Saint Paul, Minnesota — When federal regulators froze hundreds of millions of dollars in Medicaid payments to Minnesota earlier this year, nursing home providers across the state were left wondering the same thing as everyone else: when does the money come back? The answer, it turns out, is unclear — and experts say what’s unfolding

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Saint Paul, Minnesota — Minnesota Governor Tim Walz unveiled his 2026 supplemental budget proposal Tuesday, and nursing home operators across the state are already pushing back on one of its most consequential pieces: a new round of oversight rules that would cut nursing home reimbursement rates by roughly $57 million over two years. The broader package — which cuts $370 million in total state spending — is billed as a responsible course correction heading into the next budget cycle. But for long-term care providers that have spent years absorbing Medicaid underfunding, the nursing home piece lands hard. What the budget…

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Atlanta, Georgia — Nursing home operators across the country are quietly bracing for one of the most disruptive policy changes to come out of the One Big Beautiful Bill Act: a federal decision to shrink the Medicaid retroactive approval window from 90 days down to 30 days. For operators who depend on Medicaid for a substantial share of their revenue, the shift is more than a bureaucratic inconvenience. It’s a direct threat to cash flow. “No one gets approved in 30 days — that just does not happen at all,” said Deke Cateau, CEO of A.G. Rhodes, a Georgia-based nonprofit…

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Baltimore, Maryland — The federal effort to get more nurses into America’s nursing homes just got a major financial shot in the arm. The Centers for Medicare & Medicaid Services announced Monday that its Nursing Home Staffing Campaign has grown to more than $200 million — more than doubling its original size — with states contributing funds alongside the federal government. CMS Administrator Dr. Mehmet Oz confirmed the expanded scope in remarks tied to the campaign’s latest push. “Every governor, all 50, engaged us to contribute money so all of us can train more nurses designed for nursing home staffing,…

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Salt Lake City, Utah — One of the country’s fast-growing skilled nursing operators says it heads into 2026 with momentum — but its chief operating officer isn’t sugarcoating the road ahead. Larry H. Miller Senior Health, the Utah-based post-acute care company, capped a strong 2025 with the acquisition of Kissito Healthcare’s six-facility Virginia portfolio. The deal added 532 licensed beds to the organization and placed the facilities under a $142 million triple-net lease with CareTrust REIT, effective January 1, 2026. The acquisition also expanded clinical offerings to include ventilator, tracheostomy, and memory care — positioning the company to serve higher-acuity…

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Henrico County, Virginia — A nursing home in Henrico County has landed on a federal government watch list reserved for the nation’s worst-performing facilities, after state inspectors concluded it had a “systemic failure” to protect residents from abuse — and kept failing even after being given a chance to fix it. Parham Health Care and Rehabilitation Center was designated a Special Focus Facility candidate by the Centers for Medicare and Medicaid Services as of January 2026, according to industry reports. The program targets nursing homes that, in the agency’s own words, “rarely address underlying systemic problems that give rise to…

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Washington, D.C. — Medicare is spending 14% more on Medicare Advantage enrollees than it would if those same patients were in traditional fee-for-service Medicare — a gap that translated to roughly $76 billion in excess spending projected for 2026, according to the Medicare Payment Advisory Commission’s latest report to Congress. That finding, released this week, has direct implications for nursing homes. Medicare Advantage now covers more than half of all Medicare beneficiaries, and the program’s growing financial footprint is reshaping how post-acute providers get paid — and how much administrative work it takes to get paid at all. Why Costs…

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Brooklyn, New York — A Washington lobbyist and attorney who helped a nursing home operator secure a presidential pardon from Donald Trump has been arrested and charged with trying to extort that same client out of $500,000 — allegedly recruiting an “enforcer” to physically threaten the man’s son. Joshua Nass, 34, of Charleston, South Carolina, was arrested Friday outside a Manhattan hotel by FBI agents and charged with attempted Hobbs Act extortion in federal court in Brooklyn. He appeared before a magistrate judge Saturday, where he was released on a $5 million bond secured by five properties and $50,000 in…

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Washington, D.C. — The advisory body that shapes Medicare payment policy just sent Congress a blunt message: nursing homes are being paid too much, and it’s time to bring rates down. The Medicare Payment Advisory Commission released its annual report to Congress this week, unanimously recommending that lawmakers cut Medicare base payment rates for skilled nursing facilities by 4 percent for fiscal year 2027. All 17 commissioners voted yes. Not one dissented. The recommendation isn’t a surprise — MedPAC telegraphed the move at its January meeting. But the formal report landing in Congress gives the proposal real weight, and the…

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