What it touches
Where
In force now 0
Final, in effect, and it changes what a building earns or owes.
Nothing in this lane right now.
Coming, and certain 0
Signed into law with a date still ahead. You know it is happening and you have time.
Nothing in this lane right now.
Coming, and possible 0
Moving through a legislature and past a real hurdle. Most bills die; these have not.
Nothing in this lane right now.
Worth knowing 13
The rest of what moved in skilled nursing policy this month.
What a building gets paid4
Rates, payer mix, provider taxes and wages: the lines a thin-margin operator feels first.
MatrixCare’s New CEO on More Patient Time, Less Tech Juggling for Nursing Homes
Published Sep 8, 2026
14,693 facilities · 1,568,051 licensed beds
Published Sep 8, 2026
14,693 facilities · 1,568,051 licensed beds
Newly appointed MatrixCare CEO Jonathan Lujan is keenly aware that technology intended to ease the post-acute sector’s burdens from heavy regulation to unpredictable reimbursement can sometimes add to them. And so, his immediate goal is to help staff spend more time at the bedside and less time managing technology…
Inside Nursing Homes’ Contract Management for Overcoming Medicare Advantage Burdens
Published Sep 9, 2026
Published Sep 9, 2026
The pain points stemming from the continued expansion of Medicare Advantage (MA) have lingered for so long without a course correction that some nursing home organizations have altered their contracting practices with managed care groups. The headline per-diem rate is no longer the primary factor in deciding whether…
to read what this moves for the 14,693 facilities it reaches.
Trilogy COO Todd Mehaffey on the Future of Nursing Homes: AI, MA and the Importance of Hospitality
Published Aug 25, 2026
Published Aug 25, 2026
The nursing home sector is expected to get a lot more competitive in the years to come. As hospitality gets baked into every service line, AI use and strong interdisciplinary teams will be defining features of high-performing operators. But some existing headwinds will persist, including Medicare Advantage, Trilogy…
to read what this moves for the 14,693 facilities it reaches.
Nursing Home Medicaid Rates Rise Modestly as Operators Consolidate
Published Aug 31, 2026
507 facilities · 48,888 licensed beds
Published Aug 31, 2026
507 facilities · 48,888 licensed beds
Nursing home operators are getting a clearer picture of the Medicaid-rate environment – modest increases for most, while other states are seeing no change. Eleven states have reported their Medicaid rate cycle turnover since July 1, with West Virginia seeing the highest median rate increase of 3.3%, followed by…
Staffing and care4
Hours per resident, and what a building must do for one. These bind hardest on buildings already below their state average.
Nursing Home Workforce Remains Sector’s Biggest Challenge and Opportunity, With AI and Value-Based Care Seen as Key…
Published Sep 11, 2026
14,693 facilities · 1,568,051 licensed beds
Published Sep 11, 2026
14,693 facilities · 1,568,051 licensed beds
While AI adoption is emerging as the more immediate priority for nursing home providers, workforce challenges are expected to persist over the long term, according to providers surveyed about the sector outlook. Nursing home providers said in a survey conducted by Skilled Nursing News in late August ahead of the…
Staffing Hours, Overtime and Agency Use Shape Nursing Home Quality
Published Aug 31, 2026
Published Aug 31, 2026
Nursing homes that can successfully balance their nurse hours per patient day (HPRD), overtime and agency use consistently see stronger quality outcomes and lower labor costs. Anywhere between 3.75 to 4.5 nursing HPRD is the range for consistent quality outcomes, according to a report from Covr, a workforce scheduling…
to read what this moves for the 14,693 facilities it reaches.
Mission Health, Monarch, Gurwin Execs Weigh In on Hiring Drivers in the Nursing Home Sector
Published Aug 28, 2026
Published Aug 28, 2026
Survey changes, value-based care and other regulatory updates are shaping how operators hire and build clinical teams. As regulatory priorities shift and staffing conditions stabilize, nursing home hiring is increasingly driven by specialized expertise and a clearer sense of accountability to a company’s core values…
to read what this moves for the 14,693 facilities it reaches.
‘Tsunami’ of Behavioral Health Challenges Amid OIG’s Antipsychotics Work Plan Seen Impacting QMs and Reimbursement in…
Published Sep 8, 2026
Published Sep 8, 2026
Nursing homes have only reached the tip of the iceberg when it comes to mental health challenges in the sector, with such challenges affecting quality metrics (QMs) and reimbursement amid renewed monitoring of antipsychotics use in facilities. Operators must start preparing now for behavioral health needs in…
to read what this moves for the 14,693 facilities it reaches.
Licences, beds and buildings1
Certificate-of-need, moratoria, physical-plant mandates and who owns what: the rules that decide whether supply can grow, and what an existing licence is worth.
Skilled Nursing Dealbook: Houston Nursing Home Sells for $15M, Multistate Provider Gets $30M in Financing
Published Aug 25, 2026
Published Aug 25, 2026
A Houston-based nursing home sold for $15 million following a court-approved bankruptcy sale. Meanwhile, a multistate provider secured a $30 million healthcare receivables financing facility to support operations across its 18 skilled nursing and post-acute care facilities. Multistate post-acute care provider gets…
to read what this moves for the 14,693 facilities it reaches.
Oversight and liability1
Surveys, enforcement and exposure. Lenders and buyers price citation risk directly.
‘Don’t Penalize Good Actors’: Nursing Homes Urged to Respond to Broad Oversight as Comment Period Ends August 31
Published Aug 26, 2026
Published Aug 26, 2026
Nursing homes would be wise to establish protocols – and comment on a certain proposed rule – to safeguard themselves from complications stemming from fraud, waste and abuse initiatives underway as part of a broader focus on Medicare and Medicaid program integrity. That’s because the Trump administration has made this…
to read what this moves for the 14,693 facilities it reaches.
Federal and general policy3
The floor every state builds on, and the policy movement that has not landed in one bucket yet.
As Special Needs Plans Surge, CMS Weighs Consolidating Plan Types Against Specialized Care in Nursing Homes
Published Sep 4, 2026
Published Sep 4, 2026
Special needs plans (SNPs) may be overhauled through streamlining or potentially by combining the various plans types. The Centers for Medicare and Medicaid Services (CMS) appears to be in an info-gathering stage when it comes to the future of SNPs, using requests for information (RFI), discussions with experts and…
to read what this moves for the 14,693 facilities it reaches.
Inside the 31-Nursing-Home Pilot Program: Resident Councils’ Impact on Image and Care Quality
Published Sep 2, 2026
Published Sep 2, 2026
While the Centers for Medicare and Medicaid Services’ (CMS) bid to make resident satisfaction a mandatory part of federal regulation was shelved, a pilot program across skilled nursing facilities is demonstrating the power of resident councils to improve both care quality and the nursing home industry’s tarnished…
to read what this moves for the 14,693 facilities it reaches.
‘A Slippery Slope’: Case-Mix Creep, Expanded MDS Reporting Could Dampen SNF Payment Gains
Published Sep 1, 2026
Published Sep 1, 2026
With greater scrutiny of case-mix growth and coding, nursing homes should be strengthening documentation. Operators should also prepare now for expanded MDS reporting requirements beginning in 2029, reimbursement experts said. To be sure, the Centers for Medicare and Medicaid Services (CMS) is not implementing a…
to read what this moves for the 14,693 facilities it reaches.
10 more items, with what each one moves
Every item here carries the number of buildings and beds it reaches, what it changes for an owner, and a link into that state's full report, facility by facility, with the rates, the ratings and the ownership. It is the same picture we run our own business on.
Create your free account and this page becomes yours, opened to the states you own in, every item in full, with the state report one tap away.
No password, nothing to install. You choose whether we ever send you anything: the boxes on the sign-up sheet start checked, and one tap clears one, or tells us to stop for good.
Track your state, or talk to us about it.
Follow the states you own in and we flag what moves in them. A free account opens every item here in full, with your state's report a tap away. Or put ten minutes on the calendar and we walk you through what is moving in your market.
How to read this
Every line here is a public record: a bill a legislature filed, a rule the Federal Register published, a rate a state set. We read the trade press, all 50 statehouses, the Federal Register and the state rate files every weekday, and publish what a nursing home owner would actually act on. Most of what we read does not make it here, which is the point.
A bill that is only moving is not a law. We say which is which and we do not put odds on anything, because nobody honestly can. Position in the process is the only signal that exists, so a bill earns a mention here by having advanced past a real hurdle, never by having been filed.
Want the full picture for your state: who the chains are, how the buildings are rated, what the state pays, and where the pressure is? Your state's report is free.
Straight answers
How often is this updated?
Every weekday. The line at the top of the feed says when it was last checked, and says so honestly when we cannot tell.
Is a bill that is moving already a law?
No, and this page never blurs the two. The lanes separate what is in force, what is enacted with a known effective date, and what is moving but unpassed. We put odds on nothing.
What earns an item a mention?
Advancing past a real hurdle, never merely being filed. Every item says what it moves for an owner, in dollars or obligations.
Is this legal advice?
No. It is a reading of the public record for skilled nursing owners and operators.