Nursing homes are the proverbial canary in the coal mine. They are chirping, but are you listening?
We should have made more progress on falls among the elderly by now, yet this problem not only persists, it may be getting worse.
Here's the problem I have with so many new studies: It seems that every one of them is soon offset by a different investigation that serves up a very different message.
Nobody in the senior living industry wants federal standards and regulations, but signs increasingly suggest that states eventually might have to hand over the keys.
If you are in the habit of obtaining continuing education credits from the National Association of Long Term Care Administrator Boards, your world will be changing dramatically on April 1.
If you can deliver post-acute care at a lower cost than the skilled care joint down the street, you just might find yourself swimming in a very nice new revenue stream.
Like the citizens of Troy who failed to realize a hollow wooden horse contained something terrible, senior living operators have ignored the real threat Medicaid might unleash: federal rules and regulations.
When it comes to senior living, technology arguably is the most disruptive force in play. And within the technology sphere, no tool is making a bigger impact than analytics.
It's no secret that finding and keeping qualified employees can be a real challenge in the senior living field. But things may be even worse than many operators realize.
We're learning that the folks over at the Department of Health and Human Services are cooking up new rules for caregivers. It might not take much for this apparent good deed to go completely haywire, however.
More operators are doing things that would have been heavily frowned upon in the past.
Don't make the same mistake your skilled-care brethren are now making.
It's starting to look like assisted living communities and skilled nursing facilities simply may become spokes connected to a hub controlled by somebody else.
One of the odd quirks of senior living is that it is full of happy workers and unhappy residents.
To judge by many of the marketing materials the senior living field produces, a major benefit is not being touted.
Here's my advice to the many men out there running senior living firms.
Something happened Monday that could greatly improve medication adherence among senior living residents and others.
New rankings may force many operators to stop describing their workplace environments in ways that are pure fiction.
You may not be terribly concerned that federal lawmakers are looking into recent deaths in a Florida nursing home. But this inquiry could blossom into something that affects senior living operators in one of the worst ways imaginable.
My impression was that hospice is one of the best things Medicare has to offer. Fast forward to this week.
When it comes to bringing on people with a criminal past, senior living organizations can find themselves in a real bind.
What does the Nobel Memorial Prize in Economic Sciences have to do with senior living? Not much, except that perhaps the way you go about trying to fill your units may be seriously flawed.
While I have been attending NIC conferences for more than two decades, I marvel at how relevant and informative they continue to be. The 2017 event was no exception. Here are but four takeaways from last week's event.
Sooner or later, all discussions about the nature of senior living come down to this: Is this a real estate business with a healthcare component, or vice versa?
We've all seen those horror films where the villain appears to be terminated — only to return for more. A real-live version of this scenario may be playing out in Washington.
It seems like hardly a month goes by without some organization posting a "best places to retire" list. Most of these scorecards have fallen victim to the same malady.
It's getting tougher to keep assisted living buildings filled, but some explanations as to why seem to be ill-fitting.
Hurricane Harvey has caused never-before-seen flood damage across southeastern Texas. Unless you are physically there, it can hard to put your head around its impact. That is, unless you take a look at one hard-to-believe photo of assisted living residents.
If you feel that regulatory compliance has become the bane of your existence, you're hardly alone.
Not to sound like an alarmist, but the chances of a cyberattack have never been greater.
Glen Campbell jumped into my life two times.
For a guy who claims to be a friend to business, President Trump sometimes expresses that affection in odd ways.
It's probably safe to make two predictions now that the Labor Department has asked for feedback as it prepares to rewrite the overtime rule.
If you run a senior living organization and are beset by labor-related challenges, Wednesday was a good day.
Forget about Obamacare's possible repeal. Or whether collusion took place in the White House. Or how many days of summer vacation the Senate might forfeit in August. The real story in Washington this week should be about arbitration.
Senior living owners and managers may welcome the news that a controversial overtime rule apparently has been shelved. It might be best to keep the celebrating to a minimum, however.
A new announcement from the Department of Labor comes as welcome news.
An event happening next week is worthy of your most valuable asset — your time.
In a year already brimming with regulatory victories, Monday's win might prove to be the biggest of them all.
The harsh reality is that finding the right person to run any senior living organization is hardly an exact science.
With the Trump administration's proposed budget for fiscal year 2018, it's guns versus butter, and guns are now in the lead, right? Not exactly.
If you are fairly certain about the road ahead for senior living, I have some troubling news to share. And it comes from just about the last place you'd expect.
A one-of-a-kind event recognizes providers that are harnessing technology to improve eldercare.
I was heartened to see a recent study that actually seems to have generated measurable success in the fight against Alzheimer's disease.
I am not a marketing director for an assisted living or independent living community. But if I were, my message would be simple and direct.
Dubious reactions to marijuana use among seniors speak to two truths.
It's very possible the real payoff of the National Investment Center for Seniors Housing & Care study of middle-market demand for seniors housing may be the reality check it delivers. And here, I'm afraid, the findings may not be so encouraging.
Talk to any operator, and it won't take long before you hear "quality" intoned in a highly reverential manner. Perhaps we should start using a different yardstick, however.
I have seen the future of senior living. And it looks a lot like a trailer park. Come to think of it, it just might be a trailer park.
What does a recent Labor Department ruling against the Walt Disney Co. have to do with your senior living organization? Hopefully, not a thing.
President Trump already has issued an executive order mandating that two regulations must be removed for every new one that is introduced. But just as one door may be closing, others are beginning to open.
As a general rule, Senate confirmation hearings tend to be mind-numbingly boring affairs. Things got interesting recently, however.
What if your boss made the following offer: Many of the resources you need to do your job will be reduced or removed. But in exchange, you can play a more central role in making the cuts.
Think your senior living community is exempt from data theft? Think again.
Most organizations would dramatically trim turnover overnight by adopting a coaching mindset and eliminating annual reviews.
You don't have to be an expert to realize that many operators are not listening to the market. And as long-term strategies go, that's probably not a good one.
It appears some significant changes may be coming Medicaid's way. And the early betting is that these adjustments are not going to be of the payment-enhancement variety.
It's hardly a secret that many fast-food joints serve revenge-seeking grub. But lately, they've begun doing something else that may cause indigestion.
Being on the business end of a Senate confirmation hearing can be a grueling, uncomfortable experience. That certainly was the case yesterday for the president-elect's choice to run the Department of Health and Human Services.
Think some ideas for improving senior living services in the United States are out there? Take a gander at what's being proposed in Germany.
California's highest court has offered clarification on employee-break requirements. But this is hardly a limited dispute. In fact, the largely unfavorable ruling just might have implications for senior living operators nationwide.
More than a few assisted living operators wouldn't mind snapping off a piece of the post-surgical transfer action, but it turns out that a huge battle is heating up.
Perhaps senior living operators shouldn't laugh too loudly at Donald's Trump's expense. Although many think the next inhabitant of the Oval Office is tone deaf on certain socioeconomic issues, it's pretty clear that many providers also rightly might be accused of being out of touch.
A senior living center in China's Jiangsu province has found a rather unique way to increase visitors.
Businesses tend to be quite happy when elections put Republicans in charge of Congress and the White House. But senior living operators would be well advised to temper their giddiness this time, for two reasons.
Medicaid as you have known it is probably going to be changed. And not for the better.
Much continues to be written and said about Donald Trump's White House victory. And as so often happens at times like these, another notable development taking place at the same time largely is being ignored.
In Joseph Heller's satirical novel "Catch-22," paradoxes keep getting in the in the way. It's a challenge many senior living operators can relate to.
The American Health Care Association is suing the government over a proposed rule that puts an end to arbitration clauses. Whether the lawsuit is a good idea remains to be seen.
Like aging children who look more like their parents, many assisted living communities are beginning to resemble the operators who once spawned them.
Ever have one of those birthdays where you received the classic "old geezer" treatment? You know, the black balloons, sympathy cards, tombstone-shaped birthday cake, adult diapers and other assorted gag gifts?
If this field is not going to hold its bad actors accountable, then you can bet that it's just a matter of time until someone else steps in.
One top-of-mind issue kept resurfacing at the recent National Investment Center for Seniors Housing & Care meeting: How do we deliver more value to our customers? A helpful resource recently surfaced.
So you say you'd like to snap off a piece of that C-suite action? It turns out that varied experience might get you there a bit faster.
Given the many uncertainties each operator faces, it's surprising that more of them don't do something that's guaranteed to improve their odds for success.
Sooner or later, operators in this sector will face a fork in the proverbial road. If you are not considering your future in this field, you must be extremely confident. Or foolish.
A technological development could give operators the ability to markedly improve care delivery and coordination.
If you run a senior living organization, a new Fidelity report should give you ample reason for concern. Why? Because it helps reveal a math challenge that will only get worse.
There is a very simple, effective way to prevent residents with dementia from wandering into harm's way. Unfortunately, it is also illegal in many places.
Assisted living operators increasingly are serving residents with severe physical and cognitive challenges, are accepting Medicaid dollars and are getting into trouble while doing so. In other words, they are doing many of the same things that landed nursing homes in trouble.
Assisted living got where it is today largely by promising to do a better job than nursing homes. That same strategy — under admittedly different circumstances — also may be the key to future success.
How can you help keep the married couples in your community as content as possible? One answer might be found in a surprising place.
Concerned about the new federal overtime rule? You have plenty of company.
A recent labor law ruling by Virginia's highest court should have most senior living operators breathing a bit easier. That's because an alternate decision could have launched a mountain of new wrongful-termination lawsuits.
If you are a senior living operator and your rents went up a bit last year, that's a good thing, right? As it turns out, the answer may not be so obvious.
One of the biggest drivers of drug costs may be something you're not likely to see on a direct-to-consumer advertisement any time soon.
What exactly does a local hospital merger have to do with the fate of your organization in the years to come? As it turns out, perhaps plenty.
It is becoming more difficult for our oldest citizens — your residents — to get the pain relief they seek. And that challenge is likely to get worse before it gets better.
This conflict management approach might seem onerous, but the researchers who propose it say it's a worthwhile investment for any team.
Memorial Day is Monday. At many senior living communities, ceremonies will be held to honor military members who are residents or who have died. At baseball games and other public gatherings, veterans will be publicly thanked for their service. It's all well and good. But is it enough?
The new overtime mandates are going to be a bad deal, for everyone.
Most senior living organizations routinely ignore a people-related tool that can help them better understand their strengths and weaknesses, spot emerging trends — and generate valuable competitive intelligence.
While some senior living operators are cursing the darkness, other innovative ones are trying to light a candle to address the biggest challenge facing the industry.
There's no getting around the fact that keeping your community fully staffed is a never-ending challenge, but there are some very simple and obvious things you can do.
You may or may not want to change the way you do business. That's your choice. But two undeniable realities are playing out.
The second paragraph in the Declaration of Independence famously proclaims that "all men are created equal." But the available evidence seems to suggest that some members of the herd have their unique advantages.
Wondering why it's so difficult getting prospects to move in? Here's my advice: Watch "Cool Hand Luke."
With all due respect to Alzheimer's, the brand needs an overhaul.
One emerging technology could affect admissions and force your community to rethink how it handles one amenity.
For years, your organization's growth has been steady if not spectacular. Then one day, you seem to have hit a wall.