In an unusual move, a large California owner has asked the state to allow it to close three of his SNFs in one county.

My friend Steve Moran had an interesting blog post yesterday about the largest skilled nursing facility owner in California. Apparently, he owns five of the six nursing facilities in a somewhat remote county, and has asked the state for permission to close three of them in Eureka. Now, it could be a ploy to receive higher reimbursement at these Medicaid facilities, as there has been a public outcry to not close them. But with 75% occupancy, and staffing shortages so bad that he has to import temporary staff from out of the area, it would be difficult for anyone to cover costs. As SNF occupancy rates continue to drop, and staffing becomes an ever greater problem, will we be seeing more of these types of situations? Will we need to have the same number of skilled beds available in 20 years for the baby boomers, or fewer? Notice, I didn’t ask whether we will need more. The demand for services will increase, but I really don’t see the boomers clamoring to go to skilled nursing, as “customer choice” will be the mantra. The problem, however, is who will pay for that choice?