Primarily based on a brand new KFF evaluation, fewer than 1 in 5 (19%) nursing amenities presently meet the minimal staffing requirements set out within the remaining necessities of the federal rule launched in the present day by the Facilities for Medicare and Medicaid Providers (CMS).
CMS adopted staffing requirements which are just like the staffing necessities within the rule proposed final 12 months, which included minimal workers ranges of 0.55 registered nurses and a pair of.45 nurse aide hours per resident day. The ultimate necessities of the rule preserve these workers ranges, and add an total staffing requirement of three.48 hours per resident day. The rule additionally requires a registered nurse on workers 24 hours per day, 7 days per week.
Practically 60% of amenities presently meet the general staffing requirement of three.48 hours per resident day, which has been set because the interim requirement within the rule. Fewer amenities (19%) would meet the ultimate necessities that embody minimums for registered nurses and nurse aides, which will probably be utilized when the rule is absolutely applied.
This evaluation doesn’t estimate which amenities would qualify for an exemption or how staffing ranges will change between now and when the staffing requirements take impact. City and rural amenities have completely different timelines to return into compliance with the rule, which this evaluation additionally doesn’t consider.