State variation in staffing and characteristics of nursing homes most impacted by new federal standards.

ABSTRACT:

Introduction

New federal minimum staffing standards aim to increase staffing in nursing homes. As the future of the new rule remains uncertain, this study compares the new standard to existing state staffing standards and examines the characteristics of nursing homes who may meet the new requirement.

Methods

We utilized the 2023 CMS Payroll-Based Journal Data to calculate staffing ratios and nurse turnover. We summarized staffing levels by nursing home size, ownership type, chain affiliation, and rurality. We compared state staffing policies using data from the Medicaid and Children's Health Insurance Program (CHIP) Payment and Access Commission (MACPAC). Statistical analyses included Student's t-tests and z-tests.

Results

Nursing homes in 11 states had staffin

SUBMITTER: Skinner RJ 

PROVIDER: S-EPMC12352297 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature