Dwindling reimbursement, occupancy numbers chipping away at skilled nursing margins, new analysis finds

Elderly woman getting out of bed in nursing home.The decline in nursing home beds has been even worse than previously believed, according to a new analysis.

Marcum LLP on Monday issued its inaugural statistical analysis of nursing home trends between 2013 and 2017. The 72-page book is aimed at providing a practical tool for operators to establish baselines and compare themselves against the competition.

Overall occupancy percentages declined from 83.07% at the beginning of the study down to 80.24% in 2017. Almost all U.S. regions experienced decreases in patient days, driven partially by patients turning to other care options, such as home health and assisted living, the report found.

“We always know that there are sales and consolidations in the industry, but I think the shrinking reimbursement and lower occupancy levels have really caused the non-chain or the smaller nursing home groups to pause and say, ‘what am I doing here? I can’t compete in the marketplace anymore,’” Matthew Bavolack, national healthcare services leader for the firm,  told McKnight’s. “You’re seeing a lot of single-entity operators either close or sell off their operations.”

The good news: Given the current population trends, the lull in nursing home census numbers will only be temporary. Still, “the nursing home of tomorrow will not operate, look or feel anything like the nursing homes of today,” the report notes. For instance, boomers will not want to share rooms and will expect hotel-like amenities.

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Find the original article here. mcknights.com By Marty Stempniak, February 26, 2019

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Mike Dotson

Mike Dotson started with Odyssey Rehabilitation in January of 2009 after 6 years in the Pharmaceutical Industry and over 10 years of sales experience. Mike attended Fairmont State University and has a B.S. Degree in Marketing & a Degree Management.

As the Chief Marketing Officer, Mike oversees the sales department, insures client satisfaction and implements the promotional strategies of the company. Since joining the team, Odyssey Rehabilitation has grown to be the largest privately owned contract therapy company in WV and has seen expansion into the Virginia market.

Due to the success and growth of the company, Mike was promoted from VP of Sales & Marketing to Chief Marketing Officer in October of 2014. Mike currently lives in Fairmont, WV with his wife Amy, two sons Maddex and Merric and twin daughters Mccartney and Amarya. He enjoys spending his free time going to sporting events, athletic training and being with his family.

Ester Jones

Ester has a Bachelor of Science (B.S) in Medical Technology and her Master’s Degree in Occupational Therapy (OT)- both from West Virginia University.

She began her professional OT career working in an outpatient rehabilitation hospital. Ester then accepted a job as an Occupational Therapist working in a Long Term Care setting. She was quickly promoted to a Program Manager and again to a Clinical Specialist. In 2008, Ester was hired by Odyssey Rehabilitation as the Vice President of Operations. In January of 2013, Ester was promoted to Chief Compliance Officer, and currently serves in this position. Ester is a licensed OT in West Virginia and Virginia.

She is also registered by the National Board of Certified Occupational Therapy, and is a current member of the American Occupational Therapy Association. Ester is a Certified Dementia Practitioner (CDP,) a Certified Dementia Trainer (CDT,) a Geriatric Specialist (GS,) and a Certified Online Training Professional (COTP.) She currently lives in Morgantown, WV with her husband Eric Sr. and son Eric II.

Photo of George Wyatt George is the Chief Financial Officer and Chief Operations Officer for Odyssey Rehabilitation. He has a BBA in accounting from Eastern Kentucky University and his MBA in management from Vanderbilt University. He began his healthcare career working in the hospital setting as a Chief Accountant and progressed to both CFO and COO roles for various hospitals. George also has several years of experience in home health and physician office management services. Most recently George was the CFO for a large multi-state rehab company and managing partner for a consulting company in the post acute health care arena. George is a member of the American College of Healthcare Executives (ACHA) and an advanced member of the Healthcare Financial Managers Association (HFMA). George is also a lifetime member of the Kentucky High School Coaches Association. He currently resides in Knoxville, TN with his wife and family.

Dr. Jack A. Spatafore

Jack Spatafore is the Vice President of Odyssey Rehabilitation. He helped start Odyssey Rehabilitation, alongside Greg, in 2006. Jack is also involved as an owner of Bridgeport Physical Therapy, an outpatient clinic located in Bridgeport, WV.

Jack received his Masters of Science in Exercise Physiology from the WVU School of Medicine and his Doctorate of Physical Therapy from Shenandoah University. He is also an active member of the WV Physical Therapy Board, which is involved in making physical therapy safe and accessible.

Jack lives in Bridgeport, WV with is wife Maria and 4 wonderful children Olivia, Anthony, Jack & Nina. Jack has an immense enjoyment for life because of his strong relationship with the Lord. He loves spending time with his family and working one on one with patients to help them achieve their goals.

Photo of Greg HayesGreg Hayes is the Managing Member and founder of Odyssey Rehabilitation. Prior to starting Odyssey Rehabilitation, Greg attended Fairmont State University where he received his Associate’s Degree as a Physical Therapy Assistant. His career as a PTA began in a local out-patient clinic before transitioning into Long Term Care for a contract therapy company. Greg quickly moved up the ladder, becoming a Regional Assistant Manager, overseeing operations throughout WV. In 2006, Greg decided to expand his career into ownership, and started Odyssey Rehabilitation. In a short amount of time, the company has grown to be one of the most recognizable contract therapy companies in the state of WV. Greg currently lives in Worthington, WV with his girlfriend Betsy and their four wonderful kids, Hannah, Tyler, Dillon, and Dalton. He enjoys hunting, golfing & Steelers football in addition to spending time with his family. Greg is also the business owner of two family owned companies specializing in appliance sales and service, as well as, Twisted Oaks, an outdoor company specializing in hunting products.