Can Skilled Nursing Be Reformed?
The American Health Care Association and Leading Age have proposed a reform agenda for skilled nursing. As usual, the problem is Medicaid. The American Health Care Association and Leading Age have proposed a policy “agenda” to address some of the problems that exist in skilled nursing facilities today, which were obviously highlighted by the impact of the pandemic. As part of the reforms, they want enhanced infection control practices, 24-hour RNs, 30-day minimum supply of PPE, better recruiting and retention of staff, improved oversight systems, and a shift to all private rooms. There is little here to disagree with, except that they expect Medicaid to pick up most of the $15... Read More »
Financial Relief For Seniors Housing
Federal financial relief may be coming to assisted living and memory care providers, but will it be enough? The folks at ASHA, Argentum and NCAL have been working overtime to obtain some federal financial relief for their private pay members to deal with the burdens associated with COVID-19. It’s supposed to be coming soon, but will it be enough? For now, the formula will be based on how it worked for Medicaid providers, which is 2% of 2019 revenues. For an 80-unit assisted living/memory care community with an average $5,000 monthly rate, that might come in at close to $80,000. If you have 50 communities, that is $4 million. Now we’re talking. For a more modest community with 50 units in... Read More »
ASHA and Stifel Nicolaus Meetings
What we heard about industry trends 3,000 miles from home. After spending three days at the American Seniors Housing Association meeting and the Stifel Nicolaus “2020 Seniors Housing & Healthcare Real Estate Conference, other than jet lag, there were a few takeaways. First off, on a few panels stand-alone memory care communities came up, and not in a good way. Because they tend to be small, a few resident deaths can have an outsized impact, the former over-development has still left a bad taste, and stand-alone anything is viewed by many as too risky. Speakers believed cap rates were at least 100 basis points higher than for assisted living. One thing we did hear is that... Read More »Being Large In Seniors Housing
Size isn’t all its cracked up to be, and it does matter whether you own or operate the real estate. We always hear that size matters, but it can also work against you. While no one has claimed to be able to define the optimal size of a seniors housing company, I have yet to hear anyway say that they would be comfortable running a company with more than 500 properties. Most would say that 250 would be tops, with many of them even much smaller. I am talking about owning and operating, with the emphasis on operating. For REITs, I don’t know if there is a real number where their efficiencies get maxed out. They are not hiring the staff and serving the food. And they are not trying to... Read More »Schedule a demo
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