C-2: The Future of LTC: Evolving Thinking on Providing Care

NAB – 1.25 Hours | Wednesday, June 21st. 2:00 PM – 3:15 PM

Session Description:

With the combination of changes to CMS reimbursement, staffing challenges and dramatically increasing prices, LPC’s are seeing their Skilled Nursing units losing more money than ever before. Many providers are strongly considering decreasing, or eliminating, the number of skilled nursing beds in Life-plan communities; choosing to provide increasing levels of care in other settings such as in Personal Care/Assisted Living or through home-health care. Is this just a trend, or will this really be the way of the future? What does the LPC business model look like without Skilled Nursing? What happens to the elders who need the highest level of care? This presentation will discuss the factors leading up to this current philosophy on providing care, walk through some case studies of providers currently in the process of de-certifying their beds, and look at some of the risks and implications for the physical plant.

Learning Objectives:

Detail how one community is de-certifying all of their skilled nursing beds and what it means for their community.

Examine the financial, operational, staffing and regulatory impacts this decision can have.

Discuss if this further separates elders by income level, widening the gap for the middle market, and how these impacts single-site providers vs. multi-sites.


Amy Carpenter

Principal, SFCS

I am an Architect and have been named a Leader of Tomorrow by Long-Term Living magazine. I have over 25 years of focused experience in designing for elders.

Jennifer Schwalm

Partner, Healthcare Practice- Senior Services Leader Baker Tilley

Jennifer Schwalm is a partner in Baker Tilly’s healthcare group and leads the senior services practice. Jennifer has more than 25 years of healthcare industry experience with a focus in the senior services sector. She has a rich history of consulting and operational experience, assisting providers with business solutions. Prior to rejoining Baker Tilly, Jennifer held the roles of chief mission development officer at Masonic Villages of Pennsylvania and president of Ashlar Creative Solutions, a subsidiary of Masonic Villages of Pennsylvania.