Minimum Staffing News Timeline

With all eyes on the upcoming Minimum Staffing regulation for nursing homes, no PBJ related topic has generated as much discussion and activity.  PBJ Central has captured the conversation in this unique timeline, with links to the articles and CMS publications to enable a deep study of the discussion.

News & Analysis: Winter 2023
News & Analysis: Winter 2023

We Wait for CMS' to Issue Minimum Staffing Rule

No issue since PBJ started has generated as much news & caught the attention of so many.

While CMS prepares a Final Rule, operators start preparing, and strategize how to increase hiring. Others turn to exemptions & explore compliance strategies, while LPNs look to understand their long-term role in SNFs.

CMS Action: November 7, 2023
CMS Action: November 7, 2023

CMS Reviews Comments

With the comments period closed, CMS is obligated to review every comment and consider how to modify its Proposed Minimum Staffing rule

News & Analysis: November 6, 2023
News & Analysis: November 6, 2023

Comments on Rule Pour In

News & Analysis: Fall 2023
News & Analysis: Fall 2023

So Many Perspectives

A strong public reaction centers on paying for the mandate, patient safety & rural areas.

AHCA organizes pushback and estimates compliance at $6.8B, while other estimates range from $4B to $7.1B. Some pundits dig into the role of unions, while others analyze REIT performance.

CMS Action: September 1, 2023
CMS Action: September 1, 2023

Leaked CMS Study Leads to New Proposed Rule

A watchful journalist scooped CMS on its own minimum staffing research, prompting a quick release of a new Proposed Minimum Staffing Rule and public relations blitz by the Biden Administration defending the proposal

News & Analysis: Spring / Summer 2023
News & Analysis: Spring / Summer 2023

Fears Rise in Absence of Rule

News & Analysis: Fall 2022
News & Analysis: Fall 2022

Early Fears & New CMS Study

Initial comments on the idea of minimum staffing rolled in by Aug. 2022, and soon CMS held a listening session & announced a field study. Key influencers raised issues with state mandate conflicts, reacted to a PBJ analysis by national media and absorbed an academic study on staffing in disadvantaged neighborhoods.

CMS Action: June 29, 2022
CMS Action: June 29, 2022

Scrutiny of Staffing Increases

PBJ data takes on a larger role for State Survey Agencies to enforce existing staffing rules through a new CMS QSO memo
CMS Action: April 11, 2022
CMS Action: April 11, 2022

CMS Discloses Intent for Minimum Staffing Regulations

Buried amongst a bunch of updates, CMS shares its intent to seek input on a minimum staffing requirements. Long expected, the ’23 Proposed Rule finally alerted everyone to an upcoming year-long study of the issue