HomeLatest NewsFederal NewsCMS Issues Proposed Rule for Minimum Staffing Standards for Long-Term Care Facilities

CMS Issues Proposed Rule for Minimum Staffing Standards for Long-Term Care Facilities

On September 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting proposed rule, which seeks to establish comprehensive nurse staffing requirements to hold nursing homes accountable for providing safe and high-quality care for the over 1.2 million residents receiving care in Medicare and Medicaid-certified LTC facilities each day.

The proposed rule consists of three core staffing proposals: 1) minimum nurse staffing standards of 0.55 hours per resident day (HPRD) for Registered Nurses (RNs) and 2.45 HPRD for Nurse Aides (NAs); 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. The proposed rule also includes a staggered implementation approach and possible hardship exemptions for select facilities. This proposed rule results from a multi-faceted approach aimed at determining the minimum level and type of staffing needed to enable safe and quality care in LTC facilities. This effort included issuing a Request for Information (RFI) in the FY 2023 Skilled Nurse Facility Prospective Payment System Proposed Rule, hosting listening sessions and extensive engagement with various interested parties, conducting a 2022 Nursing Home Staffing Study, which builds on existing evidence and research studies using multiple data sources, and reviewing recent years of Payroll-Based Journal System staffing data.

Establishing Minimum Nurse Staffing Standards

CMS proposes individual minimum nurse staffing standards for LTC facilities of 0.55 HPRD for RNs and 2.45 HPRD for NAs. However, these thresholds are minimums; while these proposed minimum standards, if finalized, would be applied across all LTC facilities, CMS also expects facilities to staff above these minimum baseline levels to address the specific needs of their unique resident population based on the facility assessment and resident acuity levels.

To read the CMS full media release click here. For additional information visit the sites below.


Stay Connected

Unified Voice Newsletter

Events This Month


03oct12:00 pm1:00 pmA Career with IntentionSDAHO Webinar

05oct8:30 am1:30 pm2023 Youth and Family Behavioral Health ConferenceHazelden Betty Ford Foundation

07oct9:00 am4:45 pmWOCN Ostomy Education Day 2023

10oct11:00 am12:30 pmThe Impact of Disenfranchised Grief on African American Communities (Member Only Webinar)SDAHO Webinar

10oct12:00 pm1:00 pmAttracting and Retaining the Best Talent Is the StrategyAHA Webinar

By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact