Twofer Tuesday: Jimmo and Staffing Mandates

Happy Hump Day eve! There is so much going on right now with the economy, government shutdown (whew, avoided that one for a bit) dynamics, election news, and health policy that it is becoming difficult to parse topics into stuff of value. Hopefully, a couple of quick updates will make room for more insightful analysis … Read more

AZ Pandemic Related Case – Watchlist Important

My firm (shared with my co-founder) H2 Healthcare, LLC does a lot of legal work, primarily forensic and litigation support. My wife (and partner), Diane Hislop, RN, is likely the foremost (or certainly, top few) clinical compliance experts in the country in terms of senior living and post-acute care. This means, as a group, we … Read more

Friday (and Weekend) Feature: A Bit Tardy

Busy week and so, I got a tad behind. Lots of news to run through this weekend from health policy stuff (new MDS next week), to updated numbers on SNF staffing mandates, some new info. on the Jimmo case (ten years ago) and Medicare denials, and some economic data from yesterday and today (mixed bag … Read more

Wednesday Feature: Autumn

Well, this Saturday past, September 23, ushered in fall with the arrival of the Autumnal Equinox. On this day, the rotation of the Sun shifted to its midpoint in the journey, on the way to the southern hemisphere. In other words, the sun’s highest point now is at the equator, and the result for us … Read more

Quality and Quantity of Life for Seniors, in Senior Housing

Since my first years in senior housing and health care, and my work way back when with Alwyn Powell (AV Powell, AV Powell and Associates), I have been fascinated by the aging journey in care settings – lengths of stay, health care utilization, quality of life and quantity of life. I’ve supported numerous research studies … Read more

Leadership and 1776

Not too long ago, I had a conversation with a young, upcoming executive. I’ve known her for a number of years beginning when she attended a conference (and presentation) that I spoke at. She’s a future “rock star” if she chooses to be (bright, well-spoken, organized, etc.). She asked me, “What’s the number one thing … Read more

Friday Feature: Where Inflation Came from and Why

The Federal Reserve hasn’t always conducted FOMC meetings (Federal Open Market Committee). It started meeting in late 1973 or early 1974. The purpose of the meeting was to address inflation primarily, in the economy; ways to control it, ways to stabilize monetary policy, ways to create price stability. In the mid 1970s, the Fed began … Read more

Fitch, Life Plan (CCRCs) and the Economy: Could Get Uglier

On Monday, Fitch (investment rating agency) dropped a non-rating commentary as an alert that should the economy hit a recession (I would argue not “should” but “when”), that Life Plan communities will encounter additional financial pressure. Recall that in December 2022, Fitch issued its outlook on the Life Plan/CCRC market, qualifying it as “deteriorating.” Per … Read more

Wednesday Feature: A Great Leadership Lesson

Happy Hump Day! The number one reason for staff turnover is NOT money, its bad bosses or moreover, the things that bad bosses do. I have had staff follow me from engagement to engagement (job to job) and still, have staff that would meet and work with me, anywhere (well, almost) anytime. Why? It isn’t … Read more

Senior Housing Occupancy Update

During the pandemic, senior housing (all forms) saw a drop, some precipitous like SNFs, in occupancy. As the pandemic has now waned, the recovery continues. This is good news for the sector, but occupancy is not the only factor impacting recovery. According to the National Investment Center (NIC), occupancy in the sector varies between market … Read more