CMS just finalized nursing home staffing minimums

The rule sets roughly 3.5 hours of care per resident per day, with 0.55 RN hours and 2.45 CNA hours, phasing in over the next few years… If you work in LTC, is your facility hiring or changing schedules yet, and do hospital teams expect ripple effects on recruiting?

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At our SNF, we mapped the ‘3.5 HPRD’ into the scheduler and opened weekend-only RN slots to hit 0.55 without blowing OT — scheduling feels like Tetris at 6 pm… We’re also doing weekly PBJ audits to track gaps; biggest pinch is CNA nights, especially rural. Anyone shifting to 12s or split shifts to make it work, and are your hospital teams seeing more LTC resumes yet?

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