Trends in Staffing at State Veterans Homes: Do They Meet the 2024 Centers for Medicare & Medicaid Nursing Home Staffing Standards?
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View abstract on PubMed
Summary
This summary is machine-generated.Eighty-two percent of State Veterans Homes (SVHs) met the 2024 CMS staffing standards, maintaining higher staffing levels than the national average. Future research should explore factors contributing to these high nursing home staffing levels.
Area Of Science
- Gerontology
- Healthcare Management
- Nursing Home Administration
Background
- The Centers for Medicare & Medicaid Services (CMS) established new minimum staffing standards for nursing homes in 2024.
- State Veterans Homes (SVHs) are a critical component of long-term care for veterans, and their adherence to staffing standards is paramount.
Purpose Of The Study
- To determine the proportion of CMS-certified SVHs that successfully met the 2024 CMS Minimum Staffing Standards.
- To analyze staffing trends in SVHs from 2017 to 2024 and compare them to national averages.
Main Methods
- A longitudinal descriptive analysis was conducted using CMS Payroll Based Journal Files from 2017 to 2024.
- Average quarterly staffing levels (total nurse, RN-only, LPN, CNA hours per resident day) were calculated and compared to national averages and 2024 CMS requirements.
Main Results
- Eighty-two percent of the 115 analyzed SVHs met all three 2024 CMS staffing requirements.
- SVHs consistently demonstrated average quarterly staffing levels above the national average from 2017-2024.
- In Q4 2024, SVHs exceeded national averages by 33% for total nurse HPRD, 74% for RN-only HPRD, and 37% for CNA HPRD.
Conclusions
- A significant majority of SVHs are meeting and exceeding the 2024 CMS Minimum Staffing Standards.
- Sustained high staffing levels in SVHs warrant further investigation into contributing factors.
- Understanding these factors could provide valuable insights for improving staffing across all nursing home facilities.
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