STAT February 5, 2024
The Biden administration’s proposed minimum staffing standard is likely the most important nursing home reform measure in decades. If finalized, the rule would establish detailed federal nursing home staffing standards for the first time, requiring facilities to always have a registered nurse onsite and to meet explicit levels for RN and nurse aide staffing.
Following the release of the proposed rule in September, however, the administration has received intense criticism from both industry and advocacy stakeholders.
Industry stakeholders have argued the staffing requirement is an “unfunded mandate” that will lead to the closure of nursing homes. They point to thin operating margins in many facilities and to broader workforce challenges in hiring direct care staff.
Meanwhile, advocates have argued the...
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