News On Minimum Staffing Rules For SNFs

PBJ News Topic

Minimum Staffing Roundup

CLA analysis: Federal nursing home staffing mandate projected to cost $6.8B to $11.7B annually, require more than 100,000 new hires

September 30, 2023

Our Take: CliftonLarsonAllen (CLA), on behalf of the American Health Care Association, published a series of cost analyses between July 2022 and September 2023 estimating that compliance with proposed federal minimum staffing requirements…

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AHCA & CLA: High costs to comply with potential minimum staffing rule

September 20, 2023

Our Take: An analysis by CliftonLarsonAllen (CLA), commissioned by AHCA, projects that a staffing minimum of 4.1 hours per resident per day will require SNFs to spend over $10 billion more annually. Providers…

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President Biden op-ed claims nursing homes are putting residents at risk

September 1, 2023

Our Take: With the long anticipated announcement of first-of-their-kind minimum staffing rules, the volume is turned up to 10 across the industry. Knowing the strong pushback and intense lobbying to come, President Biden…

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CMS issues proposed minimum staffing rule

September 1, 2023

Our Take: On September 1, 2023, CMS issued its first-ever proposed federal minimum nurse staffing rule for long-term care facilities, establishing thresholds of 0.55 hours per resident day (HPRD) for registered nurses and…

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Federal and state minimum staffing mandates create PBJ reporting and compliance pressures for skilled nursing operators

August 3, 2023

Our Take: Most SNFs fall below proposed staffing minimums, and operators must prepare for both Federal and state mandates. ▼ Meeting state minimums does not guarantee federal F725 compliance, meaning facilities must evaluate…

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AHCA lobbies against potential minimum staffing regulations

July 25, 2023

Our Take: Trade associations, and provider groups mounted a sustained campaign against an expected minimum staffing mandate. Citing a workforce more than 200,000 jobs below pre-pandemic levels, AHCA, LeadingAge, and the AHA consistently…

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Leaked CMS study finds no single staffing level guarantees quality care in nursing homes

June 30, 2023

Our Take: A comprehensive report prepared under contract to CMS by ABT Associates was inadvertently published in August 2023. The report found no single staffing level that would guarantee quality care in nursing…

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Congress weighs in on possible minimum staffing rules

June 1, 2023

Our Take: During the first half of 2023, federal lawmakers sent competing signals to CMS on the proposed minimum staffing mandate. A bipartisan bloc from rural states warned that a one-size-fits-all rule could…

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CMS readies nursing home staffing mandate proposal, reviews study recommendations

May 15, 2023

Our Take: CMS completed a year-long minimum staffing study in early 2023 and committed to issuing a proposed rule this spring. The delay amid pushback from operators, industry associations, and bipartisan federal lawmakers…

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CMS should be careful in what it asks for: providers, consumer groups, and legal analysts weigh in on minimum staffing mandate

December 23, 2022

McKnights

Our Take: Discussions around a federal minimum staffing mandate for skilled nursing facilities intensified waiting for a CMS announcement. Responses from industry leaders, consumer advocates, and legal experts evaluated its feasibility, the reality…

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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

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Our Take: CMS has proposed a 2.4% Medicare rate increase for SNFs in FY 2027 while simultaneously expanding…

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

PBJ technical specifications changed

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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

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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

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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

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

Virginia tries again for a state staffing minimum

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Our Take: Virginia has spent more than two years trying to establish nursing home minimum staffing standards. New…

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