CMS Now Seeking Comments Through November 6th

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 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. The requirement to have an RN onsite 24 hours a day, seven days a week.

3. Enhanced facility assessment requirements. The proposed rule also includes a staggered implementation approach and possible hardship exemptions for select facilities.

CMS is now seeking comments on the new proposed mandates through November 6, 2023. Our free NurseDash staffing calculator will allow you to understand how much your facility will be impacted should the three core staffing proposals take effect.