Tragicomically, CMS asserts “this final rule will not have a significant economic impact on a substantial number of small entities[.]”
Leadership through tears
By
Julie Thorson
Jul 18, 2018
“You take this job too personal.” As an inexperienced CEO at the time, I was offended by this comment from a resident. Over the years, however, I’ve started to embrace it.
A huge fiscal cliff looms for skilled nursing
By
Tom Coble
Aug 17, 2018
Our goal is to treat everyone like family and provide your loved ones with the highest level of quality care. But we are in an increasingly difficult situation.
Sr+ Redirection
By
Mark Pavlovich
Nov 30, 2020
Would you be surprised that individuals diagnosed with moderate to severe dementia require redirection during approximately 78% of staff interactions? Perhaps the only surprise is that the 78% is so low.
Playing the LTC lottery
By
Eleanor Feldman Barbera, Ph.D.
Oct 25, 2016
After reading a recent New York Times Opinion piece about the uses of lotteries to solve social problems, I began contemplating their potential application to long-term care. An element of fun might be...
Competing in a marketplace of desperation
By
Brendan Williams
Apr 24, 2023
Every day brings with it news that makes it clear why the nursing home sector cannot weather a new federal government staffing mandate, whether it’s a horrendous figure out of Kansas – where...
What color is your discus?
By
Gary Tetz
Aug 02, 2012
Let’s be honest with each other. I made a bad career choice, and so did you. We should have been Olympic discus throwers. What were we thinking?
Conventional wisdom
By
Gary Tetz
Oct 05, 2015
It’s long-term care convention season again. You can feel it in the air. Strange, troublesome urges start to take over.
How new interest rate environments impact SNF operators
By
Michael Waldron
James Neil
Kristin Watkins
Jan 14, 2019
Despite a volatile year in the markets with trade tensions and political news at the forefront, overall economic data for 2018 was largely favorable.
The truth behind MLTSS
By
Brendan Williams
Oct 08, 2018
In studying “managed long-term services and supports” for a law review article, I was struck by the lack of accountability and cost overruns that have accompanied placing the administration of a vital...