Proposed Minimum Staffing Standards for LTC Facilities… What You Need to Know

Blog by: Janine Lehman, RN, RAC-CT, CLNC, Director of Legal Nurse Consulting, Proactive LTC Consulting

The Centers for Medicare & Medicaid Services (CMS) issued the long-awaited Proposed Minimum Staffing Rule on 9/1/23 with the stated objective of seeking “to establish comprehensive nurse staffing requirements to hold nursing homes accountable for providing safe and high-quality care for the over 1.2 million residents receiving care in Medicare and Medicaid certified facilities each day”.

Here’s what you need to know…

This proposed rule consists of three core staffing proposals:

1. Minimum nurse staff standards of 0.55 hours per resident day (HRPD) for Registered Nurses and 2.45 HPRD for Nurse Aids;
2. A requirement to have an RN onsite 24 hours a day, seven days a week; and
3. Enhanced facility assessment requirements.

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About Proactive Medical Review
HTS partners with Proactive Medical Review, a third party company who specializes in ensuring compliance with regulatory standards and promoting measurable care excellence. The team includes SNF experienced nurse, MDS, Health Facility Administrator, therapist and reimbursement specialists with experience serving in multi-site contract therapy operations, as corporate directors of quality, clinical program specialists, and Compliance Officers. Proactive is uniquely positioned to assist in managing the many changes and challenges facing providers partnered with HTS. Learn more about our commitment to compliance here.