60 Seconds With Steve Monroe: The Biden Administration Does It Again
The new requirement issued by the Biden Administration to force all nursing home workers to be vaccinated by late September, or else the facility will lose all Medicaid and Medicare funding, has unintended consequences that even a moron could see. The rationale was to “level the playing field,” by which I assume they mean preventing workers from leaving one facility with a vaccine mandate policy for another that does not have one. So gee, make all employees get vaccinated or the facility loses 90% of its revenue sources. If they don’t have staff, they can’t take care of people anyway. The problem is that by picking on nursing homes, the employees who don’t want to get jabbed can go work... Read More »
A CMS Study Not “Common Sense” Checked
Last week the Centers for Medicare and Medicaid Services released a study comparing Medicare beneficiaries in nursing homes (about 1.4 million of them) to those Medicare beneficiaries in the general community at large (60.6 million) between March and December of 2020. They were trying to see if there was a difference between the two groups in terms of becoming infected with COVID-19, hospitalized as a result, and then death from it. One article about the story was titled “Medicare nursing home residents more likely to be diagnosed, hospitalized and die from COVID-19 than beneficiaries not in facilities.” Thank you, Captain Obvious. And surprisingly, this did not come from The New York... Read More »Cap Senior Shareholder Battle Continues
At this point, all we can say is that there have been a lot of pissed off shareholders of Capital Senior Living, and not just this year. It goes back several years when the stock price was just over $27 ($416 in today’s post-split equivalent price) and the market was riding high in general. Shareholders thought management and the board should take advantage of the environment and sell. The rest, of course, is history. Companies were being sold at premium values, such as the sale of Emeritus to Brookdale Senior Living (which never should have happened). And later on, the 49% interest in Enlivant sold to Sabra Health Care REIT nearly $200,000 per unit. Cap Senior’s assets were much better.... Read More »
High-End Medicaid Assisted Living
More than 25 years ago, when private-pay assisted living burst on the scene, there was a large percentage of nursing home residents that had no other choice in their local communities, but had the financial resources to pay out-of-pocket. Many of them turned to assisted living. For those on Medicaid, the choices were slim. We have long advocated that states could save money with their Medicaid-funded residents if Medicaid covered more assisted living for those who truly can’t afford any private pay living arrangement, especially those needing any kind of nursing care. The fear, of course, was that the Medicaid pie would expand as opposed to merely shifting where the money... Read More »
Capital Senior Living Corrects Earnings Statement
Early today, Capital Senior Living announced revisions to its second quarter earnings report, most likely as a result of our reporting last Friday of the very misleading error, as well as management’s denial of any reporting issue during the earnings call. No one else caught the mistake, and it was not an insignificant one. In today’s release, they called it an “inconsistency” in the preparation of the supplemental information with regard to operating expenses and operating margin. As a result, the operating margin for the second quarter was 21.5% and not 28.7% as was originally reported. The originally reported 860-basis point sequential increase in operating margin should... Read More »Schedule a demo
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