NIC Notes

Insights in Seniors Housing & Care

Ryan Brooks

Ryan Brooks

Senior Principal Ryan Brooks works with the research team in providing research, analysis, and contributions in the areas of healthcare collaboration and partnerships, telemedicine implementation, EHR optimization, and value-based care transition. Prior to joining NIC, he served as Clinical Administrator for multiple service lines within the Johns Hopkins Health System, where he focused on patient throughput strategies, regulatory compliance, and lean deployment throughout the organization. Brooks received his Bachelor’s in Health Services Administration from James Madison University and his Master’s in Business Administration from the University of Maryland.


Business Environment  |  Executive Survey Insights  |  Market Trends  |  Senior Housing  |  Skilled Nursing

Executive Survey Insights Wave 47: October 17 to November 13, 2022

By: Ryan Brooks  |  November 17, 2022

“Single-site operators and those with between two and nine properties were more likely to be considering product diversification, with single-site operators favoring lower acuity settings (36%) and those with between two and nine properties equally considering lower acuity (20%) and higher acuity settings (20%). With regards to expected changes to various care segments in their portfolio of properties, approximately half of respondents expect to increase the active adult (age 55+) and independent living care segments, while just under one-half (45% and 41%) anticipate increases in their assisted living and memory care segments. When asked about the contributing factors to the acceleration of move-outs, operators cite residents moving to higher levels of care as the leading cause (45%), followed by deaths (35%), resident and family member concerns (10%), natural disasters (5%), and current economic conditions (5%).”

Business Environment  |  Economic Trends  |  Forgotten Middle  |  Ideas and Discussion

California’s Middle-Income Population Projections

By: Ryan Brooks  |  October 27, 2022

Building upon the groundbreaking “Forgotten Middle” study and its subsequent update, NORC at the University of Chicago recalibrated a nationally representative forecast of the 2033 middle-market population to produce estimates reflective of future California residents. The analysis revealed several key findings about the potential unmet needs of California’s middle-income seniors, including:

Business Environment  |  Executive Survey Insights  |  Market Trends  |  Senior Housing  |  Skilled Nursing

Executive Survey Insights Wave 46: September 19 to October 16, 2022

By: Ryan Brooks  |  October 20, 2022

“Increased acuity of residents at move-in is being reported across all care segments, driven by delayed move-ins, but the most cited challenge facing operators – reported by more than 90% of respondents in the Wave 46 survey – is rising operator expenses. Responses to questions on property and professional liability insurance provide additional insight into that sentiment. Just under one-tenth of respondents reported the degree of staffing shortages across their organization to be severe, representing the lowest share of respondents reporting severe staffing shortages in the time this question has been asked. Though labor challenges persist, this may represent a glimmer of relief to the longstanding staffing crisis. Further, the survey results indicate that rent concessions are being offered at fewer properties now than was the case in earlier parts of 2022."

Executive Survey Insights  |  Market Trends  |  Workforce

Executive Survey Insights Wave 45: August 22 to September 18, 2022

By: Ryan Brooks  |  September 23, 2022

“Just under one-fifth of respondents noted that the severity of staffing shortages across their organization was severe, while two-thirds indicated the problem was moderate. Regarding tenure of newly hired, full-time employees, on average, just under one-third (29%) of organizations kept more than 80% of new staff on the job after one month, which is down from the Wave 39 survey, conducted in March 2022, when just under one-half (46%) of respondents kept more than 80% on the job after one month.

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