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<h1 style="text-align: left">Long-Term Care Facilities: Are You Ready for New CMS Staffing Standards and Transparency?</h1><br>
  
    <br><b>By <a href="https://www.mossadams.com/people/marisolcooke">Marisol Cooke</a></b><br><span class="c7">Director<br><a href="https://www.mossadams.com/services/consulting/specialty/health-care">Health Care Consulting Practice, </a> Moss Adams</span><br><br><br>

    
    

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<p><b><a href="https://www.healthcarenewssite.com">See all this Month's Articles</a></b></p>

<p>Original Publish Date:  November 5, 2024</p>

<p>The Centers for Medicare &amp; Medicaid Services (CMS) recently issued <a href="https://www.federalregister.gov/documents/2024/05/10/2024-08273/medicare-and-medicaid-programs-minimum-staffing-standards-for-long-term-care-facilities-and-medicaid">a final rule</a>,  Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (final rule) that went into effect on June 21, 2024. This rule is intended to establish minimum staffing standards for long-term care (LTC) facilities as part of the Biden-Harris Administration's nursing home reform initiative to ensure safe and quality care in LTC facilities. </p>
    
<p>The rule also requires states to report the percent of Medicaid payments for certain Medicaid-covered institutional services that are spent on compensation for workers and support staff. </p>
    
<p>The rule represents a pivotal change in LTC staffing standards and underscores a profound shift towards a holistic and person-centered care for residents. Use the following insights to help your organization comply with these new standards. </p>
    
    <p><b>Background</b></p>
<p>Based on a study by Kaiser Family Foundation (KFF), just 60% of facilities currently meet the overall staffing requirements of 3.48 hours per resident a day, but fewer facilities meet the final requirements that include minimums for registered nurses and nurse aids. </p>
    
<p>The study also found nursing facilities are hiring more than 80,0777 nurse aids and 22,077 registered nurses. These statistics reveal the urgency of the situation and potential compliance repercussions.</p>
    
    <p><b>New Staffing Requirements</b></p>
<p>With a focus on not just meeting the bare minimums, but on the presence of skilled nursing professionals around the clock, the mandate recognizes the crucial role of registered nurses in safeguarding a resident’s well-being.</p>
    
    <p>The new rule requires the following standards for nurse staffing:</p>
    <ul>
        <li>Minimum 3.48 hours per resident a day total direct nursing care to residents </li>
        <li>A registered nurse on staff 24 hours per day, 7 days per week</li>
    </ul>
    
    <p><b>Exceptions to Implementation Effective Date of July 21, 2024</b></p>
    
    <p>The regulations must be implemented on the <a href="https://www.federalregister.gov/documents/2024/05/10/2024-08273/medicare-and-medicaid-programs-minimum-staffing-standards-for-long-term-care-facilities-and-medicaid">effective date</a>, except for the following:</p>

    <img class="img1" src="../../images/mandates.png" alt="Exceptions to Implementation Effective Date of LTC Mandates of July 21, 2024">
    <br class="clear">
    
    <p><b>Compliance Strategies </b></p>
<p>Maintaining compliance with the new LTC staffing standards is crucial for providing safe and high-quality care to residents. Here are strategies that facilities should consider:</p>
    <ul>
        <li><b>Revisit Internal Policies.</b> Review and update your facility’s internal guidelines to reflect the new requirements.</li>
        <li><b>Conduct Annual Risk Assessments.</b> Regularly assess staffing needs and identify gaps.</li>
        <li><b>Foster Relationships with Contracting Partners.</b> Collaborate with partners to close staffing gaps.</li>
        <li><b>Seek Alternative Funding.</b> Explore funding options to support staffing efforts, such as grants.</li>
    </ul>
    
    <p><b>Next Steps</b></p>
<p>Incorporating input from residents, families, and healthcare professionals, alongside the adoption of SMART goals and leveraging technology can shift your facility to a more personalized and efficient care paradigm. This multifaced approach acknowledges the complexities of modern healthcare delivery while striving for optimal outcomes for those entrusted to nursing home care.</p>
    
    <p><b>We’re Here to Help</b></p>
<p>For more information on the CMS’s new staffing standards and LTC strategies that can help keep your organization in compliance, contact your Moss Adams professional.</p>
    
    <p><b>Additional Resources</b></p>
    <ul>
        <li><a href="https://www.mossadams.com/industries/health-care/long-term-care">Long Term Care Practice</a></li>
<li><a href="https://www.mossadams.com/services/consulting/specialty/health-care">Health Care Consulting Services</a></li>
    </ul>



 
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