Based mostly on a brand new KFF evaluation, fewer than 1 in 5 (19%) nursing services at present meet the minimal staffing requirements set out within the closing necessities of the federal rule launched at the moment by the Facilities for Medicare and Medicaid Companies (CMS).
CMS adopted staffing requirements which might be much 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 general 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.
Almost 60% of services at present meet the general staffing requirement of three.48 hours per resident day, which has been set because the interim requirement within the rule. Fewer services (19%) would meet the ultimate necessities that embrace minimums for registered nurses and nurse aides, which shall be utilized when the rule is totally applied.
This evaluation doesn’t estimate which services would qualify for an exemption or how staffing ranges will change between now and when the staffing requirements take impact. City and rural services have totally different timelines to come back into compliance with the rule, which this evaluation additionally doesn’t have in mind.