A survey of skilled nursing operators was conducted by the Alliance for Quality Nursing Home Care and Avalere Health.

A significant number of participants indicated that they planned to lay off employees, slash benefits and delay building plans due to looming or recent Medicare and Medicaid cuts.

More than 30% of respondents to say they would lay off direct caregivers. 75% said that pay raises would shrink or be frozen. About 20% said new construction or renovation