Figure A
Proposed, alternative, and previously recommended nursing home staffing standards
| RN HPRD | RN or LPN HPRD | NA HPRD | Total HPRD | 24-hour RN presence? | Facilities currently meeting standard | |
|---|---|---|---|---|---|---|
| Proposed | 0.55 | — | 2.45 | 3.00 | Yes | 16.7% |
| Alternative | 0.55 | — | 2.45 | 3.48 | Yes | 16.6% |
| Previously recommended | 0.55 | 1.15 | 2.40 | 4.10 | No | 19.4% |
Notes: Facilities currently meeting the proposed and alternative standards include all those providing at least 24 hours of daily RN care, though there is no way of knowing whether they provide round-the-clock care. HPRD stands for hours per resident per day. The alternative standard is the same as the proposed standard with an extra 0.48 HPRD of care provided by nursing staff (RN, LPN, or NA).
Source: Author’s analysis of CMS nursing home provider data, August 2023 (CMS 2023b).
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