For-profit facilities, representing 73% of the sector, report the lowest current compliance rate at 11%, and facilities in several large states including Texas, Louisiana, Arkansas, and Tennessee face compliance rates of 5% or below.
KFF estimates that 19% of nursing facilities would meet the minimum HPRD staffing standards under full implementation of the final rule with their current staffing levels. Nearly 60% of facilities would meet the interim requirement of an overall requirement of 3.48 HPRD, but fewer facilities would meet the RN and nurse aide provisions that are required when the rule is fully implemented (49% and 30% respectively).
Chidambaram, Priya, Alice Burns, Tricia Neuman, and Robin Rudowitz. “With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule.” KFF, 22 Apr. 2024, https://www.kff.org/medicaid/nursing-facilities-staffing-levels-standards-final-rule/
Less than one in five (19%) of nursing facilities currently meet all three staffing minimums required in the final rule, which include 3.48 HPRD overall, 0.55 RN HPRD, and 2.45 NA HPRD. A smaller share of for-profit facilities currently meet all requirements in the final rule than non-profit and government facilities (11% versus 41% and 39%, respectively).
— KFF, May 21, 2024
Analysis finds 4 in 5 nursing facilities don’t meet staffing requirements
More than 80% of nursing homes do not meet the updated requirements in the final staffing mandate from the Centers for Medicare & Medicaid Services, according to new analysis from KFF. The federal regulator estimates that around 25% of nursing homes may qualify for the nursing hours exemption, though officials noted such exemptions would require proof of good-faith efforts to increase staffing and invest in wages.
— McKnight’s Long-Term Care News, April 24, 2024
Analysis finds 4 in 5 nursing facilities don’t meet staffing requirements
A coalition of long-term care leaders in Minnesota estimated that only 5% of that state’s providers are currently able to meet the new standards — far lower than the 19% nationwide estimated by KFF. “There are potentially devastating and long-lasting impacts, such as nursing homes being forced to close if they cannot meet the new staffing mandates,” according to a statement from The Long-Term Care Imperative.
— McKnight’s Senior Living, April 24, 2024
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