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

May

20may11:00 am12:00 pmAddressing Public Misperceptions About Palliative Care

21may12:00 pm1:00 pmTrauma-Informed Care: Why It’s Important and How to Implement It into PracticeCAPC Webinar

21may12:00 pm1:00 pmFinance Fundamentals for Hospitals (Hospital Financial series Part 2)SDAHO Webinar

22may12:00 pm1:00 pmLTC Town Hall: Understanding Enhanced Barrier PrecautionsWebinar

23may12:00 pm1:30 pmInfection Prevention: Guiding Hospitals Toward Effective, Compliant, and Sustainable SolutionsSDAHO 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