Senators call on CMS to end push for mandatory staffing in nursing homes

Jan 24, 2023 | Minimum Staffing

Senators call on CMS to end push for mandatory staffing in nursing homes

A bipartisan group of US senators representing rural states is calling on the Biden administration to halt its plan to mandate staffing levels in nursing homes, saying it’s the wrong step to take as facilities are already struggling to retain and hire professional staff.

“We fear a one-size-fits-all staffing mandate would undermine access to care for patients, particularly in rural communities,” reads a Jan. 20 letter from 13 senators to Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure. “Additionally, blanket staffing standards may not provide enough flexibility to nursing homes in light of well-known and long-standing obstacles to the recruitment and retention of direct care workers, especially in rural and underserved areas.”

The senators represent Arizona, Colorado, Montana, Nebraska, North Dakota, South Dakota, West Virginia and Wyoming

The minimum staffing push from CMS is part of a broader Biden administration effort to drive quality improvements and increase transparency in the nursing home sector. The federal proposal is expected this spring and comes amid similar efforts by many states to require a certain number of nursing hours per day per patient that most association leaders say will further harm the industry. 




January 24, 2023


Towhey, Jessica. “Senators Call on CMS to End Push for Mandatory Staffing in Nursing Homes.” McKnight’s Long-Term Care News, 24 Jan. 2023,

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