News On Minimum Staffing Rules For SNFs

PBJ News Topic

Minimum Staffing Roundup

How can facilities get ready for minimum staffing requirements?

November 12, 2023

Our Take: Multiple analyses from KFF, AHCA, and state associations found that more than 80% of nursing homes lack the current staffing levels to comply with the CMS proposed minimum staffing rule. Providers,…

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Comments on proposed minimum staffing rule pour in to CMS

November 6, 2023

Our Take: The November 6, 2023 comment deadline for CMS’s proposed minimum staffing rule drew a record-breaking 40,000-plus submissions. A broad coalition of skilled nursing operators, major associations, and former federal officials called…

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Opposition has plans to defeat CMS’ proposed minimums rule

November 4, 2023

Our Take: As the 60-day public comment period closed November 6, AHCA/NCAL and major provider associations formally called on CMS to rescind its proposed federal staffing mandate. Bipartisan senators, former House Speaker Paul…

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Congress has thoughts about the proposed minimum staffing rule

November 2, 2023

Our Take: Throughout fall 2023, a broad and bipartisan coalition of U.S. senators, House members, governors, MedPAC commissioners, and long-term care organizations called on the Biden Administration to withdraw its proposed minimum nursing…

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Ideas emerging to help SNFs overcome workforce shortages

October 31, 2023

Our Take: The CMS minimum staffing rule moved through its fall 2023 comment period. Operators, advocates, and analysts shared strategies to increase staffing levels such as increasing the available pool of nursing, lowering…

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Supporters of minimum staffing mandate state their case

October 25, 2023

Our Take: The CMS proposed minimum staffing rule generated an intense national debate during its Fall 2023 comment period, with bipartisan legislative support and patient advocates on one side and industry cost concerns…

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Scrutiny on private equity & REIT staffing compliance

October 20, 2023

Our Take: A series of reports from investment analysts, credit rating agencies, and federal watchdogs examines how the proposed CMS minimum staffing mandate is affecting compliance expectations, investment sentiment, and ownership transparency across…

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Analyses predict high annual cost of staffing mandate

October 10, 2023

Our Take: Multiple independent analyses released in fall 2023 estimate the cost of the proposed nursing home minimum staffing mandate. From CMS’ estimate at $4.1 billion to Leading Age’s $7.1 billion, providers warn…

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Unions play a role in the minimum staffing push

October 6, 2023

Our Take: Organized labor has been a central force in advancing the Biden administration’s proposed minimum staffing rule for nursing homes. HHS Secretary Becerra publicly credited union pressure for the regulation. The proposal…

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Roundup: Strong pushback to just announced proposed staffing rule

September 30, 2023

Our Take: Following the September 1, 2023 release of CMS’s first-ever proposed federal minimum staffing mandate for nursing homes, skilled nursing providers, financial analysts, and industry advocates responded with near-universal concern. Common issues…

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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

Industry analyses project $6.5B annual cost and widespread compliance gaps

April 18, 2026

Minimum Staffing Roundup

Our Take: Multiple analyses drawing from AHCA/NCAL, Altarum, and independent consultants project that CMS’s minimum staffing mandate will…

Democratic bills revive minimum staffing debate

March 30, 2026

Minimum Staffing Roundup

Our Take: CMS repealed the nursing home minimum staffing rule in early 2026 following court defeats. Key provisions…

CMS nursing home funding campaign grows to $200 million

March 16, 2026

Minimum Staffing Roundup

Our Take: CMS has expanded its nursing home staffing campaign from $75 million to $200 million. Proposed with…

PBJ technical specifications changed

March 16, 2026

PBJ Policy & Enforcement

Our Take: CMS made minor updates to the PBJ data specification for uploaded PBJ files. Users can no…

The effects of labor unions on nurse staffing ratios

March 2, 2026

PBJ Research & Analysis

Our Take: A Health Affairs study of 321 newly unionized nursing homes from 2013 to 2021 found that…

Did state staffing mandates add direct care staff or hurt SNF finances?

March 2, 2026

PBJ Research & Analysis

Our Take: A study of 6,849 nursing homes in 22 states found that state minimum staffing mandates raised…

Medical Director compliance under increasing federal and state scrutiny

February 23, 2026

Latest PBJ News

Our Take: Federal regulators and state lawmakers are intensifying scrutiny of SNF medical directors. OIG is actively reviewing…

State Attorneys General ask CMS for staffing rule on for-profit SNFs

February 1, 2026

Minimum Staffing Roundup

Our Take: Following CMS’s repeal of a federal staffing mandate, attorneys general from 18 states are urging the…

SNF benchmarking report points to value based care, Medicare Advantage, and PBJ scrutiny

January 30, 2026

Latest PBJ News

Our Take: Plante Moran’s 2025 SNF Benchmarking Report analyzes data from over 12,000 skilled nursing facilities. They highlighted…

AHCA: Nursing homes added 40,700 jobs in 2025 as turnover, agency use declined

January 28, 2026

PBJ Research & Analysis

Our Take: AHCA/NCAL’s January 2026 Nursing Home Workforce Report shows that the nursing home sector added 40,700 jobs…

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