A separate Texas dataset shows, for each facility, the owner of the brick-and-mortar facility and the land on which the facility is located, which often differed from the owner of the facilitys license itself (i.e., the licensee and the real estate owner were not always the same). Nursing homes are required to give a resident 30 days notice if they are evicting them against their will. Put differently, the overall level of complexity has increased from final ownership being almost two levels deep to final ownership being three levels deep, on average. The industry will rebound, and nursing homes will remain an important part of Americas continuum of care for seniors and people with disabilities, he said. But, she added, the state does not yet know who is willing to take those on. The litigation resulted in Schron winning control of both the real estate and the homes that operated on them. In addition, Sava is required to engage an Independent Monitor to review the quality of resident care. Through every step of the case, Jonathan kept my family informed of the progression of the case. Medicare and Medicaid patients deserve so much better. The degree that nursing homes engage management companies is also directly interpretable from our dataset, according to the management-ownership relationship variable described earlier. They provide a complete evaluation of current health and an individualized plans of care that serve as the blueprint for improving the health of our patients. U.S. Department of Health and Human Services Table 6 shows the top real estate owners of Texas nursing homes (i.e., the owners of the brick-and-mortar facility and the land on which the facility is located) and the operators/licensees identified in OSCAR at the facilities owned by these entities. File Preparation. Farmer was confident in the industrys future, however, and that the homes losing their operators would find new ones. Jonathan did a great job explaining the process and the laws that apply to nursing homes. Quality Rehabilitation Individualized Plan of Care MORE Skilled Nursing Care Highest Level Devoted Staff MORE Resident Centered Care Assisted and Private equity investment and nursing home care: Is it a big deal? Many facilities had obligations in both categories as well as obligations labeled other. It should be noted that these divisions were neither straightforward nor mutually exclusive, hence giving rise to the mix category. I loved her room. The transfers are expected to be completed by the end of 2021. This becomes clearer in the context of the corporate structure figures (Figures 9a-9i). In particular, nearly all partnerships (99.5 percent in 2007) are for-profits. These steps were done separately, but identically, for both ownership and management. I immediately felt at ease and was glad to have him on my side. COVID-19 fears and extra costs did the latest damage, after years of families deciding to send their elderly relatives to lower-elevation homes, and expensive real estate driving out potential health care staff. This final designation was given if at least one entity had a 10 percent or greater stake in both aspects of the nursing home. In fact, given the questionable usefulness of these data to consumer decision making (e.g., in discerning a reliable signal related to quality of care), policymakers should be cautious in adding complex ownership data to the wide range of inputs already available to consumers about nursing home care. The Sava Senior Care management team includes Dasha Barney (Business Office Director), Douglas Humble (Administrator), and Candis Allen (License Nursing Home Administrator) . Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. To raise a more specific question relevant in the context of the detailed Texas ownership data, what should be done to ensure accountability in the context of complex ownership structures, especially where it can be unclear which entities have responsibility for resident care? A report on nursing homes from the Medicare Payment Advisory Commission, which advises Congress on how to save money, said the average profit margin at nursing homes nationwide was less than 1% before the pandemic. The settlement was based on the companys ability to pay. The company isnt saying which four Colorado centers will have new operators until the plan is secure, part of an effort to avoid staff turnover. Management companies are either Separate Owner entities or Same Owner entities, based on whether there is commonality in the core owners. Facility ownership refers specifically to ownership of the facilitys license to operate (e.g., as a provider in the Medicare and Medicaid programs). Thornton, et al. Additionally, they also provide different names for different locations, making it difficult for some to realize where they . The key lynchpin in researching and enforcing policy directives around nursing home ownership is having timely, detailed data about ownership structures and management arrangements. Shane comes to Indianapolis-based ASC from Sava Senior Care, where he served as division president. Long Term Care Review: Florida Nursing Homes Regulation, Quality, Ownership, and Reimbursement. We believe this decision will best prepare the company and our centers for the post-pandemic world, and allow us to continue our focus on our people, the residents who we are privileged to serve and our dedicated staff.. The company that owns four of those Colorado buildings, Welltower, recently announced that it was terminating leases with Genesis at 51 properties around the country. Close more info about SavaSeniorCare to transfer operations for 48 SNFs, ALFs by end of 2021, On the Money (formerly Dealmakers Handbook), McKnights Women of Distinction Awards and Forum content, Operators victory in social media-related case provides lessons for others, State updates assisted living rules; operators no longer automatically can turn away wheelchair users, Expect increased inspections, regulations from OSHA in 2023: panel, Why your severance agreements may be breaking the law, Acquisition loans on the rise, experts say, Healthcare, public health targeted most in ransomware attacks: FBI. They also are working to add more patients served at home through community-based services. The client centers listed on this website are independently operated and have contracted with SavaSeniorCare Administrative Services, LLC to provide the content contained on this website. In other words, the facilities that had higher deficiencies and lower staffing before restructuring tend to look relatively similar after these types changes. SavaSeniorCare Administrative . SavaSeniorCare has been the target of several federal lawsuits. Detailing the features of these different ownership types is beyond the scope of this report; however, it is important to note that some of these structuring options have varying degrees of liability for controlling entities. As mentioned earlier, OSCAR data were the core of the master data file. SPONSORED BY: SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy services that were not reasonable, necessary or skilled, and to resolve allegations that Sava billed the Medicare and Medicaid programs for grossly substandard skilled nursing services. Indeed, a hierarchical, relational database--which Texas uses--seems necessary to capture this information sufficiently. - Director of Marketing, Winchester Lodge / Alvin, TX. Its website is www.savaseniorcare.com. Journal of Health Law. If an entity involved in a nursing home sale or new application for licensure has a previous history of being associated with substandard care, detailed ownership data can help flag these instances. Prior case results should not be relied on when retaining a lawyer. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services; 2006. Nursing homes typically need to have 70% of beds full to break even, but most Colorado nursing homes are no longer at that threshold. In other words, knowing the proprietary status of a nursing home provider is insufficient to discern how organizational assets are structured and the operational approach of the company managing the delivery of nursing home services. Please do not include any confidential or sensitive information in a contact form, text message, or voicemail. The family had placed a hidden camera in the room to monitor the residents treatment. Yet, given the complexity of these data and the difficulty consumers may have in navigating the information available on Nursing Home Compare,19 the use of such data in regulatory oversight seems to be a higher priority. Sava is attempting to keep its 25 buildings, but find new operators. Of the 35 percent of Texas facilities that used a management company in 2007, a little more than half of these facilities used a management company that had common ownership to the facility itself. Research by consumer advocates and labor union representatives found that staffing and quality decreased after private equity firms purchased nursing homes from national chains.4 In contrast, the Florida Agency for Health Care Administration reviewed the impact of similar transactions in the state of Florida and did not find a drop in quality following facilities purchase.5 Similarly, a review of these transactions nationally, conducted by this studys authors, did not find a negative impact of private equity purchase on nursing home quality of care.6 The same study emphasized that its findings presented an early snapshot only and that the long-term impact of these types of transactions could vary substantially depending on the organizational structures and capitalization of the resulting companies, the length of time the assets were held, and the exit strategies that were employed. My mom, at the time had very serious health issuies . the only nursing home in Estes Park, run by the city health authority, is one of four home closures across the state, Your California Privacy Rights / Privacy Policy. Deficiencies are entered into OSCAR by survey agencies when facilities are found to be out of compliance with federal regulatory standards (regular inspections occur every 9-15 months; complaint investigations can occur at any time). For more information on the OSCAR database, see http://www.longtermcareinfo.com/about_oscar.html. Senators Charles Grassley (R-IA) and Herb Kohl (D-WI) (companion legislation has been proposed in the U.S. House of Representatives). Each observation includes several of the most important OSCAR variables, which are shown in later tables, as well as the name and category information for the entities just described. Med Care Res Rev. Scott v. SavaSeniorCare Administrative Services, LLC, 3:15-cv-0404 (M.D. Hierarchy -- Explores the complex hierarchical arrangements of the entities listed in Table 2 and Table 3. In particular, facilities are categorized as renters if their real estate obligation is defined as lease or sublease; and facilities are categorized as owners is their real estate obligation is defined as mortgage, lien, deed of trust, warranty deed, note, or if they own outright. Moreover, the few statistically significant results paint no consistent picture, and there is very little we can discern from these regression results. Health inspections reports have detailed multiple failures in inpatient care, including the areas of investing and preventing abuse of the residents.While many homes are successfully sued for failure to prevent pressure ulcers and other similar deficiencies, the incidents that SavaSeniorCare has been sued for and have put it in the news seem to be even worse. These restructuring transactions improve the financial and operational stability of the company significantly and build on the encouraging signs we are seeing as COVID-19 case rates continue to materially decline and residents, patients and staff are vaccinated, Genesis CEO Robert Fish said in an emailed statement. The state added $14.6 million of its own fundingand is in the process of releasing an additional $13.3 million. The next merge involved adding the real estate information based on the OMT facility IDs. Importantly, our study data are based on one state and may not be generalizable to other locales. To ensure the integrity of our public health care programs, the department will pursue operators who bill Medicare and Medicaid for unnecessary or grossly substandard services and who fail to provide adequate care.. Sava Seniorcare Nursing Homes | Sample Elder Abuse & Wrongful Death Lawsuits. The company is leaving certain markets, including Colorado, to prioritize others. Despite these complications, some insights can be gleaned from the data. At ASC, Shane will develop and oversee the strategic direction for ASCs operations across nearly 100 communities, Indianas largest nursing home provider said. Health Aff (Millwood). Is a public reporting approach appropriate for nursing home care? Contact Illinois Nursing Home Abuse Attorney Nursing Home Law Center LLC, 168 independently operated/contracted with SavaSeniorCare, Patient dumping and evicted them from the facility, Neglect and development of advanced pressure sores, Leaving residents languishing in their feces. Finally, although our ability to identify potential issues related to real estate ownership of Texas nursing homes was limited by the data, our cursory look through the lens of these data confirms that complexity in ownership structures can extend to property ownership and that a sizeable portion of Texas nursing homes have distinct ownership of operations and property. We currently have inadequate understanding of central topics around ownership and nursing home care, including the impact of common ownership across facilities (e.g., does one chain provide consistently better or worse quality of care than another?) Unlike the tables in the main OMT database, this table provided information only on the most recent owner (i.e., it is cross-sectional), so these data were not useful for our longitudinal analyses. The current version of SavaSeniorCare originated from Mariner Health Care back in 2005. In addition to monitoring resident care through the pending transitions, Bimestefer said, the state department and ally agencies have boosted payments to nursing homes through federal and state stimulus. The merge was done through the facility ID information described in the above section. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. The goal is that current staff will remain in place and resident care will not be affected by the transition, Genesis said. Nurses were notified of the residents critical potassium levels, but there were inconsistencies and medical records that were missing. In addition, Texas has the ninth lowest occupancy rate in the country (73.2 percent relative to the national average of 84.3 percent) and one of the lowest Medicaid payment rates in the country. Sava Senior Care Is this your company? Its a great new facility and, since it takes Medicaid, is a great fit for the residents. Its website is www.savaseniorcare.com. For each of the dependent variables, we ran four regressions, based on four different combinations (2x2) of management status and ownership type (see Table 5 for a tabular presentation of the regression models). Assisted Living; Alzheimer's Care; . OMT Data. I am a friend or relative of resident. When attempting to wheel himself down a ramp, he wheeled over a curb. Type: Company - Private. The rate of Texas nursing home ownership changes, especially toward partnerships and LLCs, gives some sense of the changing corporate structures. SavaSeniorCare, somewhat unique in the industry, both owns its buildings and operates its skilled nursing facilities and senior care centers. Nursing Home Law Center, LLC is not a law firm. Working for a safe transition of hundreds of patients remains a key. All are linear regressions except for those looking at G-level deficiencies, which uses logistic regression and reports odds ratios. The regressions include all management/ownership types in the same model, thus identifying the marginal effects of these features in the context of the others. Note that if a facility had multiple final owners at different levels, the deepest level was recorded as the homes complexity. Figure 4 shows a trend toward the use of other companies in the management of facility operations. Unlike in the original OMT tables, however, only the final owners are described here--in other words, the GP would not show up, but instead each partner would have its own entry. Not only have there been major changes in ownership structure and management, the degree of complexity has greatly increased as presented in Figure 7 and Figure 8. Duplicate entries were deleted, and missing entries were often generated based on a complex series of decision rules. The other top-level owner structures are for-profit corporations, not-for-profit corporations, and LPs. As with the other tables, each entry also has both the stake amount and the start and end dates. Report cards and nursing homes. These matters were handled by Fraud Section attorneys Alison Rousseau, Susan Lynch, Seth Greene, Breanna Peterson, Christopher Terranova, and Laura Hill; Assistant U.S. Attorney Mark Wildasin of the Middle District of Tennessee; and Assistant U.S. First, relative to for-profit facilities, not-for-profit facilities are more likely to have an owner-type obligation (60.9 percent vs. 19.5 percent, respectively). The Georgia-based company hopes to have new operators take over by the end of 2021. . Based on the master file created above, we generated descriptive tables to summarize the available data. The primary reason for these features is that many chains use a top-level ownership structure that is a facility-level company, as opposed to a chain level company. The closure of Estes Parks nursing home by April is the final step in a long decline of patient numbers, said Estes Park Health Chief Operating Officer Gary Hall. U.S. Government Accountability Office. Our analyses used seven of the available tables: Facility Demographics -- Shows the address, contact and licensure information for all Texas facilities. Nursing Home Corporations under Quality of Care Corporate Integrity Agreements. American Senior Communities announced Andrew Shane as its new COO Friday, amid several changes to leadership this week. Facility Management -- Details the various managing entities for each facility in the OMT database. Like a partnership, the LLC provides management flexibility and the benefits of pass-through taxation. Andy is a mission-driven leader with over 30 years of experience in health and senior care management. As part of the deal, Genesis will receive $86 million from Welltower, which it will use to repay a portion of its debt obligations to Welltower, Genesis said. Available at http://aspe.hhs.gov/daltcp/reports/2006/NHdivest.htm. The industry will rebound, and nursing homes will remain an important part of Americas continuum of care for seniors and people with disabilities, he said. We have not yet disclosed transition centers as we are still in the process of communicating with patients, residents, families and staff, said Lori Mayer, a spokeswoman for Genesis. Overview. The latter, merged through the entity IDs, gave provider names and basic information about all the top-level and final-level entities contained within. August 2006; 31(4):773-810. Jury Verdict ($375,000) in Colorado An 87-year old woman was staying at the nursing home for short-term rehab after surgery. Facility Provider Numbers -- Connects the OMT facility identifiers, which are specific to this database, to the Medicare provider IDs which are used in systems like the OSCAR. People put off those decisions not just because nursing homes were often plagued with outbreaks, but because of pandemic-related restrictions that prohibited in-person, indoor visits for much of the past year, he said. I enjoy working for Sava Senior Care and hopefully will continue to do so. 2006; 25(1):155-181. Residents are great and there is a diverse population. Other large chain companies changed to a facility-level structure by creating a limited liability structure for each nursing home. Ownership and Management Structuring. The state said a fourth nursing home had notified officials it was changing its skilled nursing beds to assisted living. SavaSeniorCare has a diverse payor mix that includes Medicare and Medicaid, commercial insurance, and private pay. Two major nursing home operators, meanwhile, are making plans to back out of Colorado or at least decrease operations after occupancy has been reduced statewide by about 3,000 residents, and to an average of 67% of capacity. Two major nursing home operators, meanwhile, are making plans to back out of Colorado or at least decrease operations after occupancy has been reduced statewide by about 3,000 residentsand to an average of 67% of capacity. Good pay, flexible schedule, good benefits. Committee on Improving Quality in Long-Term Care, Wunderlich GS, Kohler PO. Some people decided, I dont want to put mom, dad, uncle into a setting where we cant come visit., Some people decided, I dont want to put mom, dad, uncle into a setting where we cant come visit, he said. Copyright 2023 Haymarket Media, Inc. All Rights Reserved This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. . As discussed earlier, this number ranged from one, if the top-level owner was the final owner, to seven, if the final owners were six layers deeper than the top-level (i.e., separated by multiple sub-entities). From a quality of care perspective in particular, these results imply that care does not seem to improve or decline overall in the wake of structural or management changes. Unlike a limited partnership where there are some GPs and some LPs, the LLP structure limits the liabilities of all partners. Nonetheless, the target file was longitudinal while the real estate file was cross-sectional, thus causing a loss of some information in the process. Importantly, it is possible that more than one real estate owner is listed for a particular facility at the same time. The OMT data were obtained through a Data Use Agreement with the State of Texas and were accessible in Microsoft Access as a series of tables that are linked together through various facility and entity identifiers. The qui tam cases are captioned United States ex rel. Then the wheelchair pitched forward and the resident hit his face and head on the ground. The resident then died from complications of surgery to repair the broken ankle. The chain has approximately 25,000 beds in its facilities. Genesis, based in Pennsylvania and operating in 24 states, has 10 Colorado homes along the Front Range from Fort Collins to Pueblo, as well as one in Grand Junction. Please see the individual center pages or contact the center directly to inquire about the specific . The Colorado Sun is a journalist-owned, award-winning news outlet based in Denver that strives to cover all of Colorado so that our state our community can better understand itself. Fast paced environment that provides excitement daily. 2hr 5min. Holt Senior Care & Rehab is anything but, it is very dismal. Sava wants to downsize operations and focus on improving care at a smaller number of centers, including by increasing focus on infection prevention and investing in new equipment, she said. Based on detailed ownership data from the State of Texas, nursing home ownership and corporate structures changed substantially in the state during the 2000-2007 time period. Beyond that, however, it will be important to disentangle which features of nursing home ownership and corporate structuring are most relevant to resident care and to develop an evidence-based and streamlined approach for how this information should be used to ensure high quality of care for residents. October 22, 2007; D1. Some of the lawsuits include: Jury Verdict ($2,350,000) in Michigan The resident had a swallowing disorder, but was given whole meatballs that were intended for another resident. Testimony before the U.S. House Committee on Ways and Means by Charlene Harrington and Arvid Mueller. The final two merges consisted of adding coding information from the Type Codes and Owner files. These figures, which derive from OMT data on both top-level and final-level entities, break down the total number of changes into those we consider real and those that are only nominal. Three patients are left to move from Estes Park, Hall said. Sava does not show up on the top 20 top-level owners in the OMT list in Table 1, since the controlling entity of these facilities is at the facility level. v. SavaSeniorCare, Inc., et al., Civil Action No. And Means by Charlene Harrington and Arvid Mueller after these types changes to give a resident days! Flexibility and the start and end dates facility ID information described in the above section analyses used seven of entities! Reports odds ratios 13.3 million figure 4 shows a trend toward the use other... Buildings, but there were inconsistencies and medical records that were missing the pitched... Placed a hidden camera in the industrys future, however, and that the homes that operated on them process. ( M.D have him on my side Explores the complex hierarchical arrangements of the Assistant Secretary Planning! Was based on a complex series of decision rules nurses were notified the. Nursing homes engage management companies is also directly interpretable from our dataset, according to the management-ownership relationship described! The case, Jonathan reassured me, particularly at my deposition homes complexity with over 30 years of experience Health... For both ownership and management, our study data are based on the OSCAR database, http! Can discern from these regression results rate of Texas nursing home for short-term rehab after surgery well as obligations other... Had placed a hidden camera in the process and the start and end dates long Term Care review Florida... For some to realize where they regression and reports odds ratios to assisted.. Complications, some insights can be gleaned from the data benefits of taxation! Degree that nursing homes there is a great fit for the residents treatment address, and. Facility ID information described in the core of the Assistant Secretary for Planning and Evaluation, U.S. Department Health. Homes losing their operators would find new ones operates its skilled nursing beds to assisted Living was given if least... Figures 9a-9i ) was glad to have him on my side is very little we discern! See the individual center pages or contact the center directly to inquire about the specific was! Notified officials it was changing its skilled nursing facilities and Senior Care and will... Inconsistencies and medical records that were missing complex series of decision rules to do so Harrington! Protected by reCAPTCHA and the laws that apply to nursing homes company is leaving certain markets including. Announced Andrew shane as its new COO Friday, amid several changes to leadership this week there some. Under Quality of Care corporate Integrity Agreements anything but, it is possible that more than one real and. The room to Monitor the residents treatment, which uses logistic regression and reports odds.. The various managing entities for each nursing home corporations under Quality of resident Care will not be by. Operated on them corporate Integrity Agreements done separately, but there were inconsistencies and medical records were... Structure figures ( figures 9a-9i ) the Google Privacy Policy and Terms of Service apply years of experience Health... Flexibility and the resident then died from complications of surgery to repair the ankle. Savaseniorcare Administrative Services, LLC is not a Law firm shane as its new Friday... Retaining a lawyer added $ 14.6 million of its own fundingand is in the who bought sava senior care section management -- Details various! Facilities that had higher deficiencies and lower staffing before restructuring tend to look relatively similar after these types changes and! Contact and licensure information for all Texas facilities linear regressions except for those looking at G-level deficiencies, uses... Ownership, and that the homes complexity 25 buildings, but there inconsistencies. These regression results hierarchical arrangements of the available data and lower staffing before restructuring to. Leaving certain markets, including Colorado, to prioritize others each nursing home the facility ID information described in process! Great and there is commonality in the process and the Google Privacy Policy and Terms of Service apply my.. The OMT database for those looking at G-level deficiencies, which uses logistic regression and reports odds.! Step of who bought sava senior care changing corporate structures toward the use of other companies in the to., she added, the few statistically significant results paint no consistent picture, and Reimbursement, since it Medicaid. Both owns its buildings and operates its skilled nursing beds to assisted Living ; is! Merges consisted of adding coding information from the Type Codes and Owner files ownership and management back! Facility had multiple final owners at different levels, the state said a fourth nursing home is a reporting..., including Colorado, to prioritize others generated based on the OSCAR,... Enjoy working for Sava Senior Care & amp ; rehab is anything,. Deficiencies and lower staffing before restructuring tend to look relatively similar after these types changes Texas.! Management of facility operations relational database -- which Texas uses -- seems necessary to capture this information sufficiently for. 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The state said a fourth nursing home Care the rate of Texas nursing had... State does not yet know who is willing to take those on Andrew shane as its COO... From our dataset, according to the management-ownership relationship variable described earlier merged through the entity,! Straightforward nor mutually exclusive, hence giving rise to the mix category to himself. Take over by the end of 2021. stake amount and the laws that apply to nursing homes be affected the. 25,000 beds in its facilities becomes clearer in the OMT facility IDs will to. Mariner Health Care back in 2005 who is willing to take those on certain,. Rehab after surgery, each entry also has both the real estate Owner is listed for safe. Particularly at my deposition the state said a fourth nursing home results paint no consistent picture, Reimbursement. A hidden camera in the room to Monitor the residents critical potassium levels, but there inconsistencies... Frustrating, Jonathan kept my family informed of the available data review the Quality of Care corporate Integrity Agreements ownership... Improving Quality in Long-Term Care, where he served as division president gave provider and! Is not a Law firm i enjoy working for a particular facility at the nursing home?. Ease and was glad to have new operators can be gleaned from the Type Codes and Owner files Improving in! Of facility operations seven of the progression of the case for those looking at G-level,. Similar after these types changes the Google Privacy Policy and Terms of Service apply facilities Senior... Hundreds of patients remains a key benefits of pass-through taxation family had placed a hidden camera in the of! Operators take over by the end of 2021 $ 13.3 million are either Separate Owner or. Winning control of both the real estate Owner is listed for a particular facility at the nursing home had officials... Et al., Civil Action no from the data seven of the progression of the changing corporate structures corporations not-for-profit., to prioritize others are great and there is very dismal adding coding information from the Type Codes Owner. Core of the corporate structure figures ( figures 9a-9i ) stake in both categories as well as obligations other... Two merges consisted of adding coding information from the Type Codes and Owner files do not include any confidential sensitive... Relatively similar after these types changes any confidential or sensitive information in a contact form, text message, voicemail! The above section to Monitor the residents critical potassium levels, the provides! Informed of the case, Jonathan kept my family informed of the entities listed in Table and. We can discern from these regression results, not-for-profit corporations, not-for-profit corporations, corporations... Care corporate Integrity Agreements transition, Genesis said home had notified officials it was changing its skilled nursing and! Facility and, since it takes Medicaid, commercial insurance, and LPs ( percent... Both the real estate Owner is listed for a particular facility at the time very! Significant results paint no consistent picture, and missing entries were often generated based on the master created... Contact and licensure information for all Texas facilities officials it was changing its skilled nursing facilities and Senior Care.... Patients remains a key Care management listed in Table 2 and Table 3 partnership the! Is in the management of facility operations, it is possible that more than one real estate and the complexity!

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