Skilled Nursing News September 29, 2022
As federal minimum staffing requirements loom for skilled nursing providers, analysts with the Medicare Payment Advisory Commission (MedPAC) unveiled crucial data detailing the effects of state-level standards on the industry.
While research found state minimum staffing requirements increased staffing levels and in some cases improved quality measures, there were some unintended consequences: a decrease in indirect staffing and skill mix, or the number of registered nurses (RNs) and licensed practical nurses (LPNs) relative to certified nursing assistants (CNAs).
Between the first quarter of 2019 and the fourth quarter of 2021, there was a six-minute decline in hours per resident day for CNAs, while RNs and LPNs saw a minimal increase in 2020 before returning to near pre-pandemic levels in 2021,...