For residents of nursing homes and other long-term care facilities, lack of sufficient staff has become an increasingly urgent concern in recent years. While we in the Kansas City area are blessed to have many well-staffed communities, shortages in this critical area of health care can be found in many areas of the country.

If your aging parents or other loved ones are among the more than 1 million Americans residing in a nursing home, you may worry about the level and quality of care they are receiving each day.

Nursing Shortage Impact: Choosing a Long-Term Care Facility for Older Adults

Research suggests that higher nurse staffing levels in long-term care facilities lead to better health outcomes for patients. Yet, the federal government has not altered any of the standards regarding nursing home staffing.

“When facilities are understaffed, residents suffer,” Xavier Becerra, Secretary of the Department of Health and Human Services, said in a news release. “They might be unable to use the bathroom, shower, maintain hygiene, change clothes, get out of bed, or have someone respond to their call for assistance.”

Fortunately, when selecting a nursing home for an aging loved one, you have some useful resources at your disposal. For example, you can access information about staffing levels at local facilities through Medicare’s free online Care Compare tool. U.S. News & World Report is another source that offers ratings on nursing homes. In addition, the American Council on Aging provides a searchable database of nursing homes near you that accept Medicaid and Medicare.

Minimum Staffing: A Proposal From the Biden Administration

The federal government is now seeking to take steps toward regulating nursing homes on the staffing front. In September 2023, the Biden administration introduced the idea of requiring any long-term facility that accepts Medicare or Medicaid to meet a minimum staffing level. The goal of its proposal is to improve the safety and quality of care of residents living in these types of facilities across the country.

Among the minimum staffing requirements outlined in this initiative are the following points:

  • Long-term care facilities must ensure there is a registered nurse (RN) on site 24-7.
  • These facilities would need to have a baseline number of RNs and nurse aides (about one RN per every 44 residents and one nurse aide for every 10 residents, with each patient receiving at least three hours of direct care a day).
  • Long-term care facilities must include input from nurses, managers, and other staff members in their annual assessments.
  • Nursing homes in rural areas would have more time to implement some of the proposed changes.

According to the proposal, the government would also take steps to enforce these standards. This would include auditing facilities’ staffing data, analyzing nursing homes’ use of funds, and expanding inspections of long-term care facilities, in addition to other measures.

“When nursing homes stretch workers too thin, residents may be forced to go without basic necessities like hot meals and regular baths, or even forced to lie in wet and soiled diapers for hours,” the White House stated in a fact sheet about the proposal.

As part of the effort to help long-term care facilities meet these standards, the Centers for Medicare and Medicaid says it will invest in scholarships and tuition reimbursement for aspiring nurses. The federal government also plans to provide grant funding meant to train more professionals in the field.