Operators who fall short face not only financial penalties but also reputational risk tied to publicly reported staffing metrics.
Nursing homes and residents cope with staffing shortages, fiscal woes
“Compliance shall be determined quarterly by comparing the number of hours provided per resident per day using the Centers for Medicare and Medicaid Services’ payroll-based journal and the facility’s daily census.”
— Mayfly Productions, December 2024
“Today data shows that less than 5% of South Dakota nursing facilities are meeting the .55 hours per resident day RN minimum requirement. Only 6% meet the CNA 2.45 hours per resident day requirement and only 5% meet the total 3.48 hours per resident day requirement.”
— South Dakota Association of Healthcare Organizations (SDAHO), November 20, 2024
North Dakota long-term care providers call federal rule an ‘impossible staffing mandate’
“Data from the Payroll Based Journal indicates 79% of the state’s facilities would not comply with the registered nurse mandate and only 17% would meet nursing requirements.”
— Jamestown Sun, July 15, 2024
“60% of the reporting nursing homes do not meet the total nurse staffing standard. 41% do not meet the RN standard. 81% do not meet the nursing aide standard.”
— WTTW Chicago News, July 10, 2024
SDAHO Shares Concerns with State Lawmakers over CMS Staffing Mandate
“South Dakota has over 1,200 nursing jobs that need to be filled today, and estimates show that 15% of nurses will be retiring in the next five years. RNs and CNAs are hard positions to fill, especially after the pandemic.”
— South Dakota Association of Healthcare Organizations (SDAHO), May 23, 2024
Impossible expectations are undermining nursing home care
“A December 2023 report found those working in nursing homes had ‘seen the highest average wage increases’ in all of healthcare, as ‘average earnings rose by 24.9% between February 2020 and September 2023, from $671 to $839 per week.'”
— McKnight’s Long-Term Care News, February 5, 2024
Do NC nursing homes have enough nurses?
“CPP analyzed data from a 91-day period in the second fiscal quarter of 2023 for 405 nursing homes across North Carolina, finding that only nine would have met the proposed RN requirement all 91 days and 14 met the proposed CNA requirement.”
— NC Health News, December 27, 2023
‘Everywhere you go is short staffed’: New Mexico nursing homes in crisis
“Only two of New Mexico’s 68 nursing homes would have met that minimum staffing standard for both registered nurses (RNs) and certified nursing assistants throughout April, May and June of this year.”
— New Mexico In Depth, December 15, 2023
Falling short: 99% of Mississippi nursing homes don’t meet new staffing regs
“In Mississippi, all but two of the 200 skilled nursing facilities — those licensed to provide medical care from registered nurses — would need to increase staffing levels under federal regulations the Biden administration proposed in September.”
— Mississippi Today, December 13, 2023
Nursing homes NC nurse shortage for proposed federal regulation
“More than half didn’t meet either proposed requirement at least half of the time.”
— Carolina Public Press, December 2023
