Staffing needs vary between nonprofit and for-profit centers and from state to state.
is already facing fire from patient advocates who want it to be more robust, and industry trade groups that claim it’s unworkable. But the analysis — along with comments from health experts, advocates and industry officials — reveals a more complicated reality of nursing home staffing than meets the eye. Centers for Medicare and Medicaid Services
There are several reasons there’s such variation among different states. It likely reflects factors such as the states’ percentage of for-profit facilities, the availability of registered nurses and nurse aides, and whether the state already has its own requirement for minimum staffing levels, per KFF.
The new rule doesn’t include requirements for licensed practical nurses who generally provide routine care for patients, and some advocates and experts expressed concern facilities could simply replace LPNs with registered nurses and nurse aides.
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