McKnight's Long-Term Care 2024 Outlook Survey

Please take a moment now to share feedback on your current experiences and thoughts on the future of long-term care.

As a thank you for your time and insights, leave your contact information below and you will automatically be entered into a drawing to receive 1 of 20 $25 Amazon gift cards!

Question Title

* 1. What is closest to your title?

President, CEO

Other C-suite, Division leader

Administrator/Asst. Administrator

Director of Nursing/Asst. DON

Nursing supervisor or other clinical/nursing title

Consulting

Dietary/Dining

Facilities/Maintenance

Pharmacy

Rehab/Therapy

Social Services/Activities

Other (please specify)

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* 2. What is your facility/organization type?

Single nursing facility

Part of regional group/small chain

Part of major chain

Life Plan Community/CCRC

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* 3. Is your facility/organization for-profit or nonprofit?

For-profit

Nonprofit

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* 4. Is your facility considered rural?

Yes

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* 5. How optimistic are you about prospects for the industry in 2024?

More optimistic

Less optimistic

Neutral

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* 6. Please explain why you are more optimistic, less optimistic or neutral about question 5.

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* 7. What are your biggest concerns heading into 2024? (Select only FOUR)

COVID-related legal/liability claims

Getting residents/staff vaccinated or boosted

Having enough staff

Infection control matters

Inflation

Medicaid reimbursements

Medicare Advantage payments

Medicare Advantage denials

Traditional Medicare reimbursements

Rebuilding or keeping enough census

Staffing mandate

Staying open

Tighter compliance/Regulatory issues

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* 8. What would be the consequences on your skilled nursing unit/operation if the government finalized its proposed minimum staffing requirements for RN and CNA staffing, including round-the-clock RN coverage? (Check ALL that apply)

We would have to hire more agency nurses

We would have to close or restrict units or wings

We would consider converting beds to a different license type

We would consider selling or merging

We would likely have to close

We would find a way to comply, and then use it as a marketing tool

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* 9. What are the most challenging aspects of the proposed nursing home staffing mandate for your facility? (Pick two)

Hourly requirements for certified nurse aids

Hourly requirements for registered nurses

24/7 RN coverage

Additional facility assessment requirements

Other (please specify)

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* 10. What changes would make the staffing rule most palatable? (Pick up to three)

Complete withdraw by CMS

Addition of LPNs to RN hourly calculation

Allow RNs in administrative roles to count toward direct care

Simplified waiver process

Longer implementation period

Allow non-nurse titles to count (i.e. therapists, social workers, etc.)

Provide more funding to states and/or providers

Other (please specify)

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* 11. When will staffing supply return to suitable or something closely resembling a pre-pandemic level?

It already has

The first half of 2024

The second half of 2024

2025

2026 or later

Never

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* 12. What is your likely contract/agency staffing use in 2024 compared to 2023?

Less

Same

We don't/won't use it

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* 13. What do you expect for your skilled nursing occupancy levels in 2024?

Increase

Decrease

Stay about the same

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* 14. When do you expect to arrive at pre-pandemic census levels?

We already have

The first half of 2024

The second half of 2024

2025

2026 or later

Never

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* 15. Have you had to curtail admissions in 2023 due to staffing and/or other COVID-related challenges?

Yes

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* 16. Do you foresee having to restrict admissions at any point in 2024 due to staffing or other COVID-related challenges?

Yes

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* 17. In 2024, my facility/company will likely be more involved with _______ (Select ALL that apply)

ACOs

Ancillary business(es) (therapy, pharmacy, home health, etc.)

Specialty services, such as dialysis, Alzheimer’s/dementia, pain, ventilator care, stroke rehab, etc.

Using nurse practitioners or other advanced practice clinicians

None of these

Other (please specify)

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* 18. In 2024, is your organization most likely to __________ skilled nursing holdings?

Sell all or merge with another provider

Sell some

Hold all / stand pat

Acquire some

Acquire some and sell some

Not sure

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* 19. How do you rate your current job satisfaction? (1 being the lowest and 10 being the highest)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 20. If you would like to be included in a drawing to win one of twenty $25 gift cards, please leave your contact information so we can notify you if you won!

Name

Title

Facility/Organization Name

Email Address