Literature Review

Staffing issues continue to drive reduced admissions in SNFsMcKnight’s Senior LivingDecember 18, 2023Nursing home providers continue to struggle with staffing challenges as they aim to reboot admissions in the post-pandemic era, according to the newly released results of a recent Ziegler CFO Hotline survey. “The demand for our SNF services is rising at a rate significantly higher than our labor force allows,” said one respondent. ... Forty-six percent of the respondents to the November survey indicated that staffing issues have forced a reduction in SNF admissions. 

Senior homes left dangerously understaffed amid assisted-living boomWashington PostDecember 17, 2023Louisville, CO—Lavender Farms, an upscale assisted-living facility in the Boulder suburbs, promised “24/7 on-site care” in its marketing materials. But managers at its operating company, Balfour Senior Living, worried deeply about their ability to care for the elderly residents who roamed the farmhouse-chic corridors at odd hours and sometimes wandered outside unnoticed, documents and interviews show. ... Failures at Balfour facilities are symptoms of deeper problems in the $34 billion market for assisted living and memory care, a growing industry that now provides care and housing for more than a million Americans, according to industry estimates.

The (Surprisingly) Good News on Life Expectancy—It’s Still Going UpWall Street JournalDecember 15, 2023Over the past decade a number of alarming stories have chronicled the decline of U.S. life expectancy in the midst of rising overdose deaths, Covid-19, alcohol-related deaths and suicides. It turns out there are two ways to measure mortality and life expectancy, and the one you hear about the most paints a misleadingly pessimistic picture of the future. Last month the Centers for Disease Control and Prevention said life expectancy, which hit a 25-year low in 2021, climbed to 74.8 years for men and 80.2 for women in 2022, but those were still well below prepandemic levels.

Lawmakers bring PACE expansion bill back into playMcKnight’s Home Care DailyDecember 15, 2023Two members of Congress reintroduced a bill that would strengthen and expand the Program of All-Inclusive Care for the Elderly. Reps. Debbie Dingell (D-MI) and John Moolenaar (R-MI) introduced the PACE Expanded Act on Dec. 5. The sweeping legislation, if passed, would promote the expansion of existing PACE programs, make it easier to establish new programs, make PACE more affordable for Medicare beneficiaries and create a pilot program for testing the PACE model within new populations. 

Greener nurses enter field as workforce demand continues to spikeMcKnight’s Home Care DailyDecember 15, 2023Job openings in healthcare and social services have risen sharply in the last several years, and healthcare providers are taking on less-experienced registered nurses to handle the pressure. At the beginning of 2018, the average nurse’s tenure was more than six years of experience, according to a recent workforce report by the ADP Research Institute. In the five years since, however, high turnover rates and a corresponding abundance of job opportunities deflated a nurse’s average tenure to about five years of experience. 

22 states to increase minimum wage on Jan. 1McKnight’s Senior LivingDecember 13, 2023Almost half of the states, along with 40 local jurisdictions, are set to ring in 2024 with increases to minimum wage, according to Polsinelli law firm. The 22 states with minimum wage increases coming in the new year: Alaska, Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New York, Ohio, Rhode Island, South Dakota, Vermont and Washington. 

Occupancy on way to 10th consecutive quarter of growthMcKnight’s Senior LivingDecember 14, 2023Senior living occupancy is on its way to 10 consecutive quarters of positive growth, according to NIC MAP Vision’s November intra-quarterly snapshot report. The positive growth trend in senior living—independent living and assisted living combined—marks the longest period of uninterrupted gains since the National Investment Center for Seniors Housing & Care and NIC MAP Vision began reporting data in 2005, Omar Zahraoui, principal at NIC, wrote in a blog. 

Nursing Home and CCRC Spending Grew 5.6% to $191.3B in 2022—After Dropping 7.8% in 2021Skilled Nursing NewsDecember 13, 2023Nursing homes and continuing care retirement communities made up $191.3 billion of national health expenditures in 2022, an increase from $181.1 billion in 2021, reaching levels close to the onset of the Covid-19 pandemic. Pre-pandemic, such expenditures sat between $162 billion and $174.1 billion between 2016 and 2019, according to a survey published by Health Affairs. 

Assaults on healthcare workers now carry enhanced criminal finesMcKnight’s Senior LivingDecember 12, 2023Michigan is the latest state to codify protections for healthcare workers assaulted on the job, which one senior living association said will positively impact the state’s workforce shortage problem. Gov. Gretchen Whitmer (D-MI) recently signed into law two bills that create enhanced criminal fines for assaults, aggravated assaults and assaults with a deadly weapon against health professionals or volunteers while on the job. ... In signing the bills, Whitmer said healthcare workers face “rising rates of bullying, viciousness and violence.” 

VyncaCare CEO Schulte—Redesign Serious Illness Care for Patients’ Changing NeedsHospice NewsDecember 12, 2023The needs of today’s seriously ill patients necessitates the development of new, longitudinal care models that integrate the patient-centered principles of hospice and palliative care, Dr. Darren Schulte, CEO of VyncaCare, told Hospice News. Vynca launched as an advance care planning technology platform and expanded into the palliative care provider space through its 2021 acquisition of California-based Resolution Care. 

Kroger Health boosts investment in senior primary careModern HealthcareDecember 11, 2023Kroger is testing a strategic shift for its in-store clinics and moving into primary care for seniors. This month, its Kroger Health unit transitioned eight of The Little Clinic sites in Atlanta to focus on seniors, in addition to their regular services. If the change proves successful, Kroger wants to expand it to other existing locations and potentially new markets, said Jim Kirby, Kroger Health’s chief commercial officer. “We want to make sure that we’ve got the model right, and that we’re seeing the outcomes from the patients that we expect,” he said. “We want them to have that relationship with us, [so] that we can go deep with them, and we can do the best job we can to quarterback their care.”

Are nursing homes headed for an 80% direct-spend rule?McKnight’s Long Term Care NewsDecember 12, 2023A national union on Friday skewed comments made by Health and Human Services Secretary Xavier Becerra to imply federal regulators had proposed an 80% direct care spending requirement for the nursing home sector.

Aging population requires ‘bold leadership’ to protect human dignity—LeadingAge to House SpeakerMcKnight’s Senior LivingDecember 11, 2023The growing population of older adults requires “bold leadership” to ensure aging with dignity, as well as access to care and support, according to an open letter from LeadingAge to Speaker of the House Mike Johnson (R-LA). The changing demographics and need to support older adults where they live and receive services presents a unique opportunity for Johnson to demonstrate leadership and commitment to “protecting human dignity,” according to the letter from LeadingAge President and CEO Katie Smith Sloan. ... “The US healthcare system is navigating a new and unfamiliar landscape in the wake of the COVID-19 public health emergency,” Sloan wrote. “Three years of sustained stress and increasing workloads have caused a dramatic shift in staffing patterns and an alarming rise in burnout across health professions.”