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).

View the underlying data on epi.org.