Tag: SNF

Swallowing Post-Stroke

Rebuilding Swallow Ability Post-Stroke

After experiencing a stroke that resulted in hospitalization, this 65-year-old patient was admitted to a skilled nursing facility for rehabilitation services. His swallow initiation was inconsistent, and he had difficulty managing his secretions, ultimately being diagnosed with oropharyngeal dysphagia (difficulty swallowing). He enjoyed a regular diet before his stroke, but because he could not take any food or liquid by mouth, a feeding tube was placed. 

Therapy Protocol

Speech Therapy

  • 5x/week x 3 weeks

Synchrony Dysphagia Solutions by ACP® with OmnisEMG Biofeedback 

  • Typical swallows with ice chips for swallow initiation using Trace Display and Bow and Arrow virtual reality (VR) representation of muscle movement 
  • Effortful swallows with nectar thick consistency and progressive challenge with increased viscosity and volume to improve swallow strength using Bar Graph VR representation 

Additional Interventions

  • Thermal stimulation to facilitate swallow initiation 

Synchrony Portable

Dynamic Balance System

Trace Display

Bow and Arrow

Bar Graph

Swallowing Post-Stroke

This patient is thrilled with the outcome of his therapy. He had this to share about his treatment using Synchrony: 

Thank you for everything you did! I can’t wait to get home and eat food again.

Patient

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After experiencing a stroke that led to hospitalization, this 65-year-old patient was admitted to a skilled nursing facility for rehabilitation services. His swallow initiation was inconsistent, and he had difficulty managing his secretions. As a result, he was diagnosed with oropharyngeal dysphagia (difficulty swallowing), and a feeding tube was placed. Learn how his speech therapy team utilized Synchrony Dysphagia Solutions by ACP® to improve his swallow coordination and help him return to an oral diet.

2025 Skilled Nursing Facility Industry Outlook

2025 Skilled Nursing Facility Industry Outlook 

The highlights:

  • A 4.2% increase in Medicare Part A payments to SNFs for FY 2025 provides essential financial support amid rising operational costs.
  • CMS is taking steps to reform prior authorizations in response to growing concerns over Medicare Advantage denials.
  • Occupancy rates are recovering and projected to return to pre-pandemic levels, while staffing shortages remain a major concern.
  • Technology will continue to play an increasingly significant role in driving operational efficiencies.

The skilled nursing facility (SNF) landscape continues to evolve in 2025, shaped by regulatory changes and challenges, rising demand, continued workforce shortages, and technological advancements. As the industry adapts to post-pandemic realities, several key trends are emerging that will impact patients and providers in 2025.

Medicare Rate Increases

In a welcomed development for SNF operators, the Centers for Medicare & Medicaid Services (CMS) implemented a 4.2% increase in Medicare Part A payments to SNFs in Fiscal Year (FY) 2025. This adjustment provides much-needed financial support for facilities facing rising operational costs.  

Medicare Advantage Denials Draw Scrutiny

The U.S. Senate Permanent Subcommittee on Investigations published a report last year on the growing denial rate for post-acute care for Medicare Advantage (MA) beneficiaries. Their investigation found that the largest MA insurers are disproportionately leveraging the prior authorization process to deny stays in post-acute care facilities. In an effort to improve access, CMS has taken steps to reform prior authorizations and hold MA and Part D plans more accountable for delivering high-quality coverage.  

SNF Value-Based Purchasing Program Focuses on Hospital Readmissions

Through the SNF Value-Based Purchasing (VBP) Program, CMS awards SNFs incentive payments for improved quality of care. For FY 2025, performance in the SNF VBP Program is centered around a single measure of all-cause hospital readmissions. Facilities that excel in preventing readmissions will be well-positioned to maximize their incentive payments in 2025. By leveraging ACP’s evidence-based clinical programming and advanced rehab technologies, SNFs can identify at-risk patients earlier, implement targeted interventions, and reduce readmission rates.  

Occupancy Trends Up

The industry is seeing encouraging signs of recovery in occupancy rates. According to recent data from the National Investment Center for Seniors Housing & Care (NIC), senior housing, assisted living, and independent living occupancy rates reached 86.5% in Q4 2024 and are projected to return to pre-pandemic levels this year. This growth and a decline in operational bed inventory suggest a strengthening demand for SNF services. 

Workforce Challenges Continue

Staffing challenges remain a concern for many SNFs in 2025 and beyond. The Health Resources and Services Administration (HRSA) predicts a deficit of nearly 80,000 full-time RNs in 2025, a concerning shortage that could continue into 2037. With increased demand for post-acute care, the industry must embrace creative staffing solutions and care delivery models to bridge this gap. Through robust training programs and ongoing clinical support, ACP helps facilities maximize their workforce capabilities. By equipping staff with the latest techniques, ACP enables SNFs to maintain high care standards despite staffing constraints.  

Leveraging Technology to Drive Efficiency

In 2025, providers will continue to turn to technology to help solve some of the industry’s most pressing challenges. As SNFs seek solutions to enhance operational efficiencies, reduce costs, and maintain high-quality care, platforms like ACPlus will lead the way. By interconnecting patients, devices, and EHR systems, ACPlus can streamline clinical workflows and drive better outcomes. Through the app, clinicians can conduct objective assessments to inform care planning. Our latest module within the app, ACPlus Respiratory Assessment (ARA), transforms respiratory care by helping SNFs identify patients with pulmonary dysfunction and generating treatment recommendations – demonstrating how sophisticated technology can both improve patient outcomes and drive efficiencies. 

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The skilled nursing facility landscape continues to evolve in 2025, shaped by regulatory changes and challenges, rising demand, continued workforce shortages, and technological advancements. As the industry adapts to post-pandemic realities, several key trends are emerging that will impact patients and providers in 2025.

ACP Certification for Nursing Clinicians

Introducing: ACP Certification for Nursing Clinicians

Last year, we introduced ACP clinical program certifications for clinicians and facilities. These certifications provide advanced training in five of our evidence-based clinical programs and are designed to enhance clinicians’ expertise, elevate facilities’ standard of care, and ultimately improve patient outcomes.  

Thanks to the positive feedback we have received from clinicians nationwide, we are thrilled to announce the expansion of our certification offerings to include nursing clinicians. This underscores our dedication to fostering interdisciplinary collaboration and expands our existing nursing clinical education offerings, providing our partners with even more opportunities for professional development.   

ACP Nursing Certification 

ACP Clinical Program Certifications are now available for rehab and nursing clinicians and facilities for the following clinical programs: 

To become ACP Certified in a specific program, nursing clinicians must complete the following: 

  • Program-specific core content 
  • One program or patient reflection summary 

Additional Online Nursing Continuing Education Courses 

In addition to our clinical program certifications, ACP also offers 15 BRN-approved* on-demand nursing continuing education courses via ACP University. These courses are designed to address geriatric patient conditions and facility program needs, covering essential interdisciplinary competencies such as chronic wound management, COPD management, fall prevention, and more, (with neuro courses coming soon)! View the entire on-demand course library here.

Non-CE Nursing Education Opportunities 

ACP partners also have access to non-CE education via live and on-demand webinars at no additional cost. Topics range from clinical programming to partner support. Live webinars are accessible through the partner login and you can view on-demand webinars here.

* Hanger is Approved by the California Board of Registered Nursing’s Approved CE Provider, Hanger Prosthetics and Orthotics (CA BRN 12814). ACP is a Hanger Company. 

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Last year, we introduced ACP clinical program certifications for clinicians and facilities. These certifications provide advanced training in five of our evidence-based clinical programs and are designed to enhance clinicians’ expertise, elevate facilities’ standard of care, and ultimately improve patient outcomes. Thanks to the positive feedback we have received from clinicians nationwide, we are thrilled to announce the expansion of our certification offerings to include nursing clinicians. Keep reading to learn more.

Moving Beyond Aerobics: The Benefits of Cycling in Rehabilitation

Moving Beyond Aerobics: The Benefits of Cycling in Rehabilitation  

While it’s been proven that cycling is an effective rehab tool for building aerobic capacity and improving strength1, its benefits extend far beyond—from improving gait and core stability to boosting mental health and cognitive function. Keep reading to learn why cycling is a key component of many of our evidence-based clinical programs and how to incorporate it into your rehab program to enhance patient outcomes and quality of life. 

1. Preparing for Gait Training  

Cycling is an excellent pre-gait activity that helps patients improve their motor control and reciprocal patterning for leg movement and arm swing. It also helps improve gait characteristics like limb symmetry, step length, speed, and distance. Cycling can also reduce patients’ risk and fear of falling, setting them up for more successful gait training.  

2. Improving Task Performance Ahead of ADL Training  

Cycling can significantly improve task performance by enhancing muscle activation and timing, which is crucial for self-care activities. For patients with conditions like Parkinson’s disease, cycling can help reduce upper extremity tremors and improve movement and balance.  

3. Boosting Core Strength & Power 

Cycling effectively engages core stability muscles, including the abdominals, back muscles, pelvic floor, and diaphragm. By activating spinal stabilizers, it can promote upright posture and balance, which are essential for daily activities and reducing fall risk.  

4. Reducing Pain & Physiological Stress 

Cycling aids autonomic nervous system (ANS) modulation and can be a helpful pain management tool for patients experiencing hip and knee pain. It can also significantly decrease systolic and diastolic blood pressure.  

5. Decreasing Anxiety & Elevating Mood 

Cycling can have a profound impact on mental health and cognitive function. It decreases anxiety and increases happiness by boosting endorphins, which help elevate mood and sleep quality. By increasing blood flow to the brain, it can also improve cognitive function, including coordination, planning, and memory.   

6. Reducing Abnormal Muscle Tone & Stiffness 

Active and motorized active-assisted rhythmical cycling facilitates the body’s relaxation response, which can decrease abnormal muscle tone and improve patients’ range and quality of movement.  

Supercharge Outcomes with Biofeedback & Virtual Reality

Moving Beyond Aerobics: The Benefits of Cycling in Rehabilitation  

The OmniCycle Connect can improve patient outcomes by using biofeedback to help patients execute upper and lower cycling exercises. Paired with OmniTour, our immersive virtual cycling technology, patients stay engaged and motivated, ensuring they get the most out of each training session.

  1. Kardan, M., Akter, T., Iqbal, M., Tcymbal, A., Messing, S., Gelius, P., & Abu-Omar, K. (2023). Cycling in older adults: A scoping review. Frontiers in Sports and Active Living, 5, 1157503. https://doi.org/10.3389/fspor.2023.1157503 ↩︎

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While it’s been proven that cycling is an effective rehab tool for building aerobic capacity and improving strength, its benefits extend far beyond—from improving gait and core stability to boosting mental health and cognitive function. Keep reading to learn why cycling is a key component of many of our evidence-based clinical programs and how to incorporate it into your rehab program to enhance patient outcomes and quality of life.

Improving Functional Mobility Using Dynamic Balance Training

Improving Functional Mobility Using Dynamic Balance Training 

A 67-year-old patient was referred to a skilled nursing facility for rehabilitation services after hospitalization due to a second stroke, which resulted in lower extremity weakness and decreased balance. Before this stroke, he lived at home with his wife and walked with a hemi-walker. To help him regain his strength and independence, his care team incorporated the OmniStand® Dynamic Balance System into his balance training.

Therapy Protocol

Occupational Therapy

  • 3x/week x 8 weeks

OmniStand Dynamic Balance System

  • OmniStand dynamic balance standing exercises to improve lower extremity strength and balance during standing and ambulation with decreased fall risk 

Additional Interventions

  • Therapeutic exercises, transfer and gait training, and bed mobility and balance exercises 

OmniStand

Dynamic Balance System

Improving Functional Mobility Using Dynamic Balance Training

This gentleman is thrilled with his therapy accomplishments! Thanks to his care team, he has returned home with his wife and is walking throughout the house with improved leg strength and balance. 

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A 67-year-old patient was referred to a skilled nursing facility for rehabilitation services after hospitalization due to a second stroke, which resulted in lower extremity weakness and decreased balance. Before this stroke, he lived at home with his wife and walked with a hemi-walker. Find out how his care team incorporated the OmniStand® Dynamic Balance System into his balance training to help him regain his strength and independence.

Clinician treating patient's hand with OmniSWD Shortwave Diathermy.

Shortwave Diathermy: A Drug-Free Approach to Pain Management

The highlights:

  • Shortwave Diathermy (SWD) is a therapeutic treatment that uses high-frequency electromagnetic waves to generate heat within body tissues, providing non-invasive, drug-free pain relief. 
  • SWD can effectively manage several types of pain, including joint, post-operative, post-traumatic, and chronic pain. It also increases local blood flow, relieves muscle spasms, decreases joint stiffness, and helps treat chronic inflammatory conditions. 
  • ACP’s OmniSWD system offers built-in clinical protocols, making it easier for clinicians to use. It achieves therapeutic thermal doses with 25% greater efficiency, saving time and improving patient outcomes. 

Pain impacts more than 30% of long-term care residents. In addition to reducing quality of life, pain can limit patients’ ability to perform activities of daily living (ADLs), restrict their ability to socialize, and lead to depression.1 Effectively managing pain is essential to helping patients maintain a high quality of life, improve mobility, and promote healing. Innovative technologies like shortwave diathermy (SWD) can be a valuable tool for clinicians seeking to deliver effective, non-invasive, and drug-free pain relief. In this post, we’ll explore what shortwave diathermy is, how it works, and how it can be a valuable pain management tool. 

What is Shortwave Diathermy?

SWD is a therapeutic treatment modality that uses high frequency pulsed electromagnetic waves to generate therapeutic heat within the body tissue. SWD can be applied for subthermal or thermal effects, penetrating deeply enough to reach muscles, joints, and soft tissues without overheating the skin. In addition to providing an analgesic effect, the heat also increases local blood flow, providing a safe and effective means of addressing pain and inflammation stemming from common conditions like contractures, slow-healing wounds, joint stiffness, and more.

The Benefits of Shortwave Diathermy in Pain Management

SWD offers several indications for common types of pain, including:

  • Joint2
  • Post-operative3
  • Post-traumatic4
  • Chronic5

In addition to providing effective pain relief, SWD can:

  • Increase local blood flow6
  • Relieve muscle spasms7
  • Decrease joint contractures/stiffness8
  • Increase extensibility of collagen tissue9
  • Help treat chronic inflammatory conditions10

OmniSWD®

Shortwave Diathermy System

I am pain-free and walking with a cane. I am looking forward to attending my sister’s baby shower.

Mr. Mickens on his treatment with OmniSWD and OmniCycle

OmniSWD® Shortwave Diathermy System

ACP’s OmniSWD Shortwave Diathermy System simplifies the integration of SWD into patient care by offering built-in clinical protocols for six indications. This feature removes the guesswork from selecting the appropriate therapy, ensuring safe and effective treatment. Additionally, the OmniSWD system enhances efficiency by delivering therapeutic thermal doses with 25% greater effectiveness, saving valuable time for clinicians and improving patient outcomes.

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  1. Shrestha, S., Cummings, G., Knopp-Sihota, J., et al. (2024). Factors influencing health-related quality of life among long-term care residents experiencing pain: A systematic review protocol. Systematic Reviews, 13(49). https://doi.org/10.1186/s13643-024-02459-7 ↩︎
  2. Van Nguyen, J., & Marks, R. (2002). Pulsed electromagnetic fields for treating osteo-arthritis. Physiotherapy, 88(8), 458-470. https://doi.org/10.1016/S0031-9406(05)60848-6 ↩︎
  3. Santiesteban A. J., & Grant, C. (1985). Post-surgical effect of pulsed shortwave therapy. Journal of the American Podiatry Association, 75(6), 306-309. https://doi.org/10.7547/87507315-75-6-306 ↩︎
  4. Draper, D. O., Abergel, R. P., Castel, J. C., & Schlaak, C. (2000). Pulsed short-wave diathermy restricts swelling and bruising of liposuction patients. American Journal of Cosmetic Surgery, 17(1), 17-20. https://doi.org/10.1177/074880680001700105 ↩︎
  5. Fukuda, T., da Cunha, R., Fukuda, V. O., Rienzo, F. A., Cazarini, C. Jr., Carvalho, Nde A., & Centini, A. A. (2011). Pulsed shortwave treatment in women with knee osteoarthritis: A multicenter, randomized, placebo- controlled clinical trial. Physical Therapy, 91(7), 1009-1017. https://doi.org/10.2522/ptj.20100306 ↩︎
  6. Karasuno, H., Morozumi, K., Fujiwara, T., Goh, A. C., Yamamoto, I., & Senga, F. (2005). Changes in intramuscular blood volume induced by continuous shortwave diathermy. Journal of Physical Therapy Science, 17(2), 71-79. ↩︎
  7. McCray, R. E., & Patton, N. J. (1984). Pain relief at trigger points: A comparison of moist heat and shortwave diathermy. Journal of Orthopaedic and Sports Physical Therapy, 5(4), 175-178. https://doi.org/10.2519/jospt.1984.5.4.175 ↩︎
  8. Leung, M. F. S., & Cheing, G. L. Y. (2008). Effects of deep and superficial heating in the management of frozen shoulder. Journal of Rehabilitation Medicine, 40(2), 145-50. https://doi.org/10.2340/16501977-0146 ↩︎
  9. Peres, S. E., Draper, D. O., Knight, K. L., & Ricard, M. D. (2002). Pulsed shortwave diathermy and prolonged long-duration stretching increase dorsiflexion range of motion more than identical stretching without diathermy. Journal of Athletic Training, 37(1), 43-50. ↩︎
  10. Szlosek, P. A., Taggart, J., Cavallario, J. M., & Hoch, J. M. (2014). Effectiveness of diathermy in comparison with ultrasound or corticosteroids in patients with tendinopathy: A critically appraised topic. Journal of Sports Rehabilitation, 23(4), 370-375. https://doi.org/10.1123/jsr.2013-0063 ↩︎

Pain impacts more than 30% of long-term care residents. In addition to reducing quality of life, pain can limit patients’ ability to perform activities of daily living (ADLs), restrict their ability to socialize, and lead to depression.1 Effectively managing pain is essential to helping patients maintain a high quality of life, improve mobility, and promote healing. Innovative technologies like shortwave diathermy (SWD) can be a valuable tool for clinicians seeking to deliver effective, non-invasive, and drug-free pain relief. In this post, we’re exploring what shortwave diathermy is, how it works, and how it can be a valuable pain management tool.

Improving Swallow Ability After Respiratory Failure

Improving Swallow Ability After Acute Respiratory Failure

After being hospitalized for acute respiratory failure, an 81-year-old woman was admitted to a skilled nursing facility. She was intubated (tube inserted in airway to assist with breathing), had pneumonia caused by aspiration (material entering the lungs), and was experiencing oropharyngeal dysphagia (difficulty eating and swallowing). Although she had a history of dysphagia from a previous spinal surgery, she was able to return to a diet of regular food and thin liquids prior to this hospitalization. To get her back on track, she was referred for speech language pathology (SLP) services. 

Therapy Protocol

Speech Therapy

  • 5x/week x 4 weeks

Synchrony Dysphagia Solutions by ACP® Portable with OmnisEMG™ Biofeedback

  • Effortful swallow and Mendelsohn maneuvers using Kangaroo virtual reality representation of the muscle output to improve strength and coordination

Additional Interventions

  • Patient and caregiver education on swallowing exercise and oral care

After undergoing four weeks of speech therapy with Synchrony Dysphagia Solutions by ACP®, the patient had improved her swallow timing and coordination and regained her ability to consume regular food. 

I came here not being able to enjoy my food/liquids the way I used to. Through the Synchrony visual feedback and guidance from my SLP, I got the help and confidence I needed to complete my exercises correctly and continue to do them on my own without any help.

Patient

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After being hospitalized for acute respiratory failure, an 81-year-old woman was admitted to a skilled nursing facility. She was intubated, had pneumonia caused by aspiration, and was experiencing oropharyngeal dysphagia. To help get her back on track, she was referred for speech language pathology (SLP) services. Find out how her care team used Synchrony Dysphagia Solutions by ACP to help her return to a regular diet.

Journey Beyond Recovery with the OmniTour™ Virtual Exercise Experience

Journey Beyond Recovery with the OmniTour™ Virtual Exercise Experience 

We are excited to announce the launch of our newest technology, the OmniTour™ Virtual Exercise Experience. OmniTour is an innovative virtual reality-based system that boosts patient engagement, improves outcomes, and optimizes care delivery through immersive cycling experiences. By seamlessly connecting with multiple OmniCycle® Connect devices, OmniTour enables group therapy options that make rehabilitation more fun, effective, and efficient. 

OmniTour Features & Benefits 

OmniTour leverages the powerful, immersive nature of virtual reality (VR) to deliver a better patient rehabilitation experience while helping clinicians optimize care delivery. Here are just a few of the key features that make it a game-changing addition to your rehab gym: 

  • Tour Movies: Patients can cycle through over 100 virtual routes across the world, from Amsterdam’s canals to the Grand Canyon, motivating them to train more often and with greater effort. 
  • Memory Lane: Patients can journey back in time with archival photos, cycling through cities from the 1930s to the 1990s. 
  • Photo Albums: Themed image libraries offer additional engagement options, including a “Guess the Picture” mode to challenge patients cognitively. 
  • Group Therapy Options: OmniTour connects with up to four OmniCycle Connect devices via Bluetooth, enabling group therapy sessions that improve care efficiency and encourage valuable patient socialization. 

Enhance the Patient Experience with Virtual Reality 

Incorporating VR into rehabilitation can deliver significant patient benefits: 

  • Increased patient engagement and motivation1 to participate in treatment 
  • Longer, harder, and more intense training sessions 
  • Enhanced mood and reduced apathy2 
  • Optimized treatment efficiency through more skilled time and opportunities for dual-task training 

Tap into the Benefits of Group Therapy 

OmniTour’s group therapy capabilities offer benefits to both patients and facilities: 

  • Improved patient self-care performance when paired with individual treatment3 
  • Increased patient satisfaction with their therapy sessions3 
  • Reduced feelings of isolation through socialization and connection 
  • Better engagement through healthy competition 
  • Optimized resources while maintaining high-quality care 
  • Enhanced real-world skill application through more complex training environments 

Upgrade Your Rehabilitation Program & Deliver Better Patient Outcomes with OmniTour 

OmniTour has the potential to help skilled nursing facilities tap into the power of virtual reality, provide more engaging interventions, and ultimately achieve better patient outcomes. By combining the physical benefits of cycling with the cognitive and emotional engagement of virtual experiences, OmniTour offers an exciting approach to rehabilitation that addresses the whole patient. 

  1. Kizmaz, E., Telli Atalay, O., Çetin, N., & Uğurlu, E. (2024). Virtual reality for COPD exacerbation: A randomized controlled trial. Respiratory Medicine, 230, 107696. https://doi.org/10.1016/j.rmed.2024.107696  ↩︎
  2. D’Cunha, N. M., Nguyen, D., Naumovski, N., McKune, A. J., Kellett, J., Georgousopoulou, E. N., Frost, J., & Isbel, S. (2019). A mini-review of virtual reality-based interventions to promote well-being for people living with dementia and mild cognitive impairment. Gerontology, 65(4), 430-440. https://doi.org/10.1159/000500040 ↩︎
  3. Luchynsky, M. K., Ashbaugh, K., Bowser, A., Campisi, E., Gleixner, M., Heinbach, B., & Snak, A. (2023). Efficacy of utilizing the group mode of treatment delivery in OT for skilled nursing facility settings. The American Journal of Occupational Therapy, 77(Supplement_2), 7711510267p1. https://doi.org/10.5014/ajot.2023.77S2-PO267 ↩︎

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