Bankers have been growing wary of nursing-home operators despite the aging of the American population.
Like most FHA borrowers, nursing-home operators can get much better terms than in the conventional market.
Its largest nursing-home tenant is Genesis HealthCare, which operates more than 80% of the REIT's skilled-nursing portfolio.
He accused her of using millions of dollars from her second husband's nursing-home fortune in her campaign.
More daunting, though, is converting nursing-home operators who would prefer to roll out a new system all at once.
So far, REIT equity investors remain attracted to nursing-home landlords, in part because of their relatively high dividend yields.
There are more than 1.5 million nursing-home beds nationwide that provide intensive health- and personal-care services to the elderly.
Nursing-home loans also comprised 64% of the 700 loans in health care that the FHA insured in the same period.
Nursing-home operators still get most of their mortgage loans from private banks.
Long-term care now called long-term services and support can be as simple as help with shopping and home chores, or as complex as nursing-home care.
It is bottom of the 47 prefectures in the number of nursing-home beds and has only a fraction of the home-care assistance centers found elsewhere.
U. headquarters, I met a group of members nursing-home workers, janitors, hospital staff who had just returned from canvassing unionists door to door in mixed-race Columbus neighborhoods.
These entitlement programs combined make up about 90% of nursing-home revenue.
The national government hopes to have nursing-home places for 290, 000 old people by March 2000, but plans are falling behind schedule all across the country.
But someone will still have to pay for all the extra health care and nursing-home beds, and America's system of provision is both costly and dysfunctional.
Debra Cafaro, chief executive of Chicago-based Ventas, said the company hasn't disposed a significant amount of its nursing-home facilities, which represent 16% of its balance sheet.
Health Care REIT plans to reduce its nursing-home exposure to between 12% and 15% of its portfolio, from 18% and 25% at the end of 2011.
Reductions in hospital spending could be behind some of the slowdown in specialized nursing-facility costs, said Greg Crist, a spokesman for the American Health Care Association, a nursing-home industry group.
The White House suggests several areas where money could be saved, including cutting the prices Medicaid pays for prescription drugs and tightening the rules on when Medicaid pays for nursing-home care.
Some nursing-home landlords say the market risk is overstated.
If you have a loved one in a hospital or a nursing-home bed that has a bedrail, check for a gap between the mattress, the bed frame and the bedrail, Miles says.
Mr. Hegarty said the company is considering selling its 48 stand-alone nursing-home properties, which account for 4% of its net operating income and about 12% of the total number of properties Senior Housing owns.
Mr. Slome said one of the trickiest elements for insurers to handle amid low interest rates is inflation protection for consumers, which many want to make sure the policies will cover the rising cost of nursing-home care.
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The U.S. Department of Health and Human Services estimates that 70 percent of people will need this type of care, which can be quite expensive when nursing home or in-home care costs are calculated.
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Medicare did not pay for long-stay nursing home care, home health aides, or other long-term care services before this lawsuit, and it will not do so now.
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Stephen Guillard was CEO of several large skilled nursing facility operators including HCR ManorCare and was chairman of the Alliance for Quality Nursing Home Care, a trade group that represents large for-profit nursing home companies.
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The Web site, whose founder works with Stanford's longevity center, determinedly walks users through a set of questions to help them make emotion-free decisions about nursing home and end-of-life care.
Not having the proper resources to cover long-term care costs can result in a nest egg being used to pay for medical expenses, post-acute institutional care such as that which is provided at a skilled nursing facility, home-health care and other health-related expenses not covered under insurance.
Examples include health insurance premiums (Medicare, Medigap, and private), over-the-counter medications, and fees from services such as assisted living facilities, nursing homes and in-home care.
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Veterans can also receive nursing home care from some community nursing homes that have established contracts with the VA. These partnerships allow veterans to receive long-term nursing home care in their own communities so that they can stay near their loved ones.
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