Decline expected in CCRC skilled nursing presence

The median number of skilled nursing units in continuing care retirement communities (CCRCs) has remained steady over the last five years, but a decline is coming as developers continue cut SNFs out of the equation, according to Skilled Nursing News.

Among the nearly 2,000 CCRCs across the United States, there are a median of 72 skilled nursing units per site, according to the most recent data from Chicago-based specialty investment bank Ziegler.

That number was largely unchanged from the last time Ziegler looked at the data in 2013, director of senior living research and development Lisa McCracken told Skilled Nursing News. Still, she says a nationwide trend away from skilled nursing offerings at CCRCs — also known as life plan communities, or LPCs — will soon show itself in hard data.

“The more evident pattern is the number of providers building independent living and assisted living, but not skilled care,” McCracken said. “We have also seen some providers who are historically life plan communities, but they have elected to drop the skilled nursing. That is a very clear trend in the western part of the U.S.”

McCracken also pointed to a Ziegler survey from last summer, when the vast majority of chief financial officers in senior living organizations said they were either planning to keep the same number of skilled nursing beds or reduce their ranks. A similar survey conducted earlier this year found that skilled nursing and post-acute pressures were the third most common worry among non-profit senior living CFOs.

“Licensed care is our biggest area, increasing requirements with pressure on reimbursement and workforce issues — perfect storm,” one anonymous CFO told Ziegler in that analysis.

You can read the full story at Skilled Nursing News.


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