Operators and chains seek effective response to minimum staffing mandate

PBJ News | Minimum Staffing News Roundup
Our Take: Operators and trade associations cited limited labor supply, agency dependence, and admission restrictions as the operational realities in a minimum staffing world. These solutions emerged as the most likely near-term compliance strategy for facilities dealing with a mandate. Most fear the mandate carries cost volatility and will affects margins, admissions decisions, and long-term sustainability. ▼
Experts warn that the mandate’s flat hourly thresholds, applied without risk or acuity adjustment, may force financial calculations into what was historically a clinical admissions approach. Disproportionate impacts are expected in rural markets and with Medicaid-heavy providers.

Flaw in staffing mandate may push financial decisions ahead of clinical issues as admissions criteria: expert

“For the first time, there’s going to have to be a front-of-the-house nursing dialogue about taking in new residents because you can’t just have ‘sufficient’ staff.”

— McKnight’s Long-Term Care News, July 25, 2024

Recruitment Strategies to Help Senior Care Facilities Meet the New CMS Staffing Requirements

“The workforce is changing and one size does not fit all. Recruiting an experienced nurse who is thinking of retiring early because of burnout is very different than messaging used to reach the newer grads.”

— I Advance Senior Care, June 26, 2024

Federal nursing home staffing mandate will siphon workers from senior living, groups fear

“A federal mandate to hire more workers will not create more workers. And without additional funding to subsidize this new requirement, it sets up the system for failure.”

— McKnight’s Senior Living, April 23, 2024

Pegasus Builds On New Staffing Model, Eyeing Growth, Memory Care Evolution

“The biggest challenge we have is finding talented, passionate and committed executive directors. The whole industry needs to think ahead about getting people internally or externally attracted to the industry and train them to be leaders.”

— Senior Housing News, April 24, 2024

Catholic medical community says ‘simply not enough nurses’ to fulfill mandate

Catholic health organizations warned that the nursing supply pipeline is structurally insufficient to meet the mandate’s requirements, emphasizing that the workforce shortage is not a problem the rule alone can solve.

— Crux, April 2024

Eduro, Care Initiatives, HDG Execs: Punitive Regulatory Climate Hurts Nursing Home Providers as Staffing Mandate Looms

“We’re facing more fines and sanctions, creating a very punitive environment. Not only does it cost money from a financial perspective, but it also consumes an enormous amount of time for leadership in the buildings.”

— Skilled Nursing News, April 15, 2024

Staffing, Medicaid policy force nursing homes to ‘self-limit’ access

“There is a workforce crisis, there’s a funding crisis and what it’s leading us to, ultimately, is an access-to-care crisis.”

— McKnight’s Long-Term Care News, April 10, 2024

Brookdale’s staffing algorithm under fire for alleged chronic understaffing of communities

Building-level managers complained that Brookdale’s Service Alignment tool “underestimated the number of staff members needed to meet residents’ needs, particularly residents with cognitive issues.”

— McKnight’s Senior Living, April 2, 2024

Algorithms guide senior home staffing. Managers say care suffers.

“Using stopwatches, they timed caregivers performing various tasks, from making beds to changing soiled briefs, and fed the information into a program they began using to determine staffing.”

— The Washington Post, April 1, 2024

More Than Two-Thirds of Nursing Homes Fear Closures as Almost All Cite Challenges Recruiting Staff

“Nursing homes want to strengthen their workforce, but they cannot do it alone. We need collaborative solutions, not one-size-fits-all mandates, to protect access to care for all seniors.”

— Skilled Nursing News, March 5, 2024

Omega Exec: CMS Staffing Mandate Casts Shadow Over Improving Nursing Home Fundamentals

“Overshadowing these improvements, however, is the promise by [CMS] that they will finalize the staffing mandate sometime this year.”

— Skilled Nursing News, February 8, 2024

Understaffing, clinical demands driving trend of nurses fleeing profession

“More than three-quarters of care workers are considering a job change and 45% are considering changing careers entirely,” with short staffing and clinical workload cited as top drivers in a survey of nearly 3,000 nurses and nursing assistants.

— McKnight’s Long-Term Care News, February 8, 2024

Redefining the role of agency staff in nursing homes: Unveiling new realities

“There was no discernible correlation between agency use and any of these multifaceted outcomes for the time period examined” across more than 14,000 nursing homes submitting PBJ data to CMS for Q3 2023.

— McKnight’s Long-Term Care News, January 5, 2024

Outlook 2024: On staffing, operators say they’ll ‘find a way’ but agency boom, admission restrictions threaten

“There simply aren’t enough RNs available. It doesn’t add up to think that RNs are going to magically appear now that we have a mandate in place.”

— McKnight’s Long-Term Care News, January 5, 2024

Staffing issues continue to drive reduced admissions in SNFs

“The demand for our SNF services is rising at a rate significantly higher than our labor force allows.”

— McKnight’s Senior Living, December 18, 2023

Meet the providers who already would satisfy the nursing home staffing mandate

“We staff what we can get. It’s really that simple. If we could get the RNs, we would staff all our buildings like Bulle Rock.”

— McKnight’s Long-Term Care News, December 14, 2023

Playbook for nursing home operators in a staffing mandate world

“The daily reality is that there are not enough nurses and CNAs in most geographic areas to meet demand for these roles.”

— McKnight’s Long-Term Care News, November 27, 2023

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