Margins squeezed by interest rates and inflation, staffing shortages amid a draconian staffing mandate proposal, an invasion of Medicare Advantage and mixed efforts at adapting to Minimum Data Set (MDS) changes are among a litany of the challenges facing the skilled nursing sector at the start of 2024.

However, all is not doom and gloom – and generally, the sector’s ability to be resilient and bounce back from pain is still intact. Moreover, industry leaders are encouraged by an overall improvement in fundamentals for the sector, including better occupancy rates.

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