![]() “At the moment, we don’t have the ability to accurately tell you if nursing homes are unprofitable, slightly profitable or highly profitable,” said Gandhi, who researches the impact of ownership on nursing home quality and staffing levels. The data currently collected by regulators sometimes misses business entities profiting from nursing homes and does not always make clear the role of each partner. “Decisions that directly affect nursing home quality – such as those related to staffing or quality improvement – can be made at the corporate level and potentially affect some or all nursing homes within the chain,” read the recent report from GAO, which has called for more ownership disclosures since 2014.Īs noted in a September 2022 congressional hearing, some of the nation’s largest chains have complex ownership structures that obscure who makes which decisions and where payments from tax dollars go. With detailed ownership information, CMS Deputy Administrator Jonathan Blum said the agency will be able to test industry claims that nursing homes cannot afford the president’s reform proposals, including new staffing mandates expected this spring. Or, a nursing home might appear unprofitable while making large rent payments to a profitable corporate landlord. ![]() ![]() For instance, a nursing home might appear unprofitable to regulators even though a related business running the in-house pharmacy is profitable. Updated regulatory paperwork will require nursing homes to disclose whether they are linked to private equity firms or real estate investment trusts in addition to naming all businesses operating within the building or providing consulting services. Nursing homes could be required to submit new information about direct and indirect owners as soon as this summer. The federal agency tasked with regulating nursing homes, the Centers for Medicaid and Medicare Services (CMS), has not tracked detailed ownership even though it has had the authority to do so for more than a decade under the Affordable Care Act. “We agree with the administration that ownership and financing of nursing homes should be transparent to help ensure that owners or associated businesses do not profit at the cost of quality care,” said LeadingAge President Katie Smith Sloan in a statement. “The proposed disclosure and reporting requirements set out in today’s proposed rule are a step in the right direction.”
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