The Biden administration has introduced a new regulation requiring minimum staffing levels in US nursing homes.

The Biden administration has introduced a new regulation requiring minimum staffing levels in US nursing homes.

Brandon Geiger

August 28, 2024

The article discusses new requirements from the Centers for Medicare & Medicaid Services (CMS) aimed at improving staffing levels in nursing homes, particularly in rural areas where workforce shortages are common.

Key Points:

  1. New Staffing Requirements: CMS has introduced new rules requiring nursing homes to have a nurse on site 24/7, with a minimum of 3.48 hours of total nurse staffing per resident per day.
  2. Rural Facilities: Rural facilities will have an extended timeline to meet the requirements due to workforce shortages in these areas.
  3. Exemptions: Facilities can apply for exemptions if they demonstrate good faith efforts to hire and retain staff, including paying competitive wages.
  4. Reporting Requirements: Providers must report staffing data, and CMS will publicly report this information.
  5. Funding: CMS has allocated $75 million for a national nursing home staffing campaign.

Impact:

  1. Improved Care: The new requirements aim to improve care quality by ensuring adequate staffing levels in nursing homes.
  2. Rural Workforce Challenges: The extended timeline for rural facilities acknowledges the challenges they face in hiring and retaining staff.
  3. Transparency: The reporting requirements will provide greater transparency into staffing levels and care quality.

Context:

  1. Workforce Shortages: Nursing homes, particularly in rural areas, have long struggled with workforce shortages.
  2. Care Quality Concerns: Previous concerns about for-profit players in healthcare spaces led to the introduction of these new requirements.

Overall, the article highlights CMS's efforts to address staffing challenges in nursing homes, particularly in rural areas, and improve care quality through increased transparency and accountability.