The SNF Operator's Nightmare , Why Pennsylvania Makes Smart Money Run Screaming to Florida
Pennsylvania has earned its reputation as the absolute worst state for nursing home operators, and with 661 facilities spread across the Keystone State, there's a lot of pain to go around. Here's why Pennsylvania combines the worst of all worlds: terrible Medicaid rates, aggressive plaintiff attorneys, hostile regulators, punitive oversight, and a legislature that actively tries to block private investment. It's basically designed to bankrupt nursing home operators while generating maximum legal fees for trial lawyers.
Before we get into the hell that PA is for most snf operators let's take a look at the players in this great State: