Article by Maggie Flynn, Skilled Nursing News

While rural skilled nursing facilities are facing the same reimbursement and regulatory challenges as their urban peers, they’re going to have to take some extra steps to survive the pressures.

For one thing, rural SNFs are often dealing with a critical access hospital (CAH), defined among other criteria as being located more than 35 miles from another hospital. Going to a CAH with metrics — something SNFs have been told to do for hospitals with increasing frequency — isn’t likely to have as much benefit for a SNF when that hospital is the only one for many miles.

And because of rural SNFs’ location, the typical pressures of staffing and occupancy take on even greater intensity.

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