Need for Nursing Home Staffing Mandates Downplayed by Report

Nursing home industry calls for flexibility on the Biden administration’s upcoming proposal for minimum nursing home staffing requirements may have received an unexpected boost this week.

A leaked 478-page report commissioned by the Centers for Medicare & Medicaid Services found there was “no obvious plateau” for staffing “at which quality and safety are maximized or ‘cliff’ below which quality and safety steeply decline.”

That finding appears to contradict a 2001 report by Abt Associates that the CMS used as the basis for its recommendation that a minimum standard of 4.1 nursing hours per resident, each day was needed to prevent …

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