2024 Nursing Home Staffing 22% Below Levels Expected By Resident Case Mix Acuity

During 2024, nursing home staffing for nurse hours per resident day (HPRD) was about 22% below expected staffing levels based on a new staffing calculation that uses the facility case mix index (CMI) to determine appropriate nurse staffing levels. An analysis of payroll-based journal data submitted by nursing homes to the federal Centers for Medicare & Medicaid Services (CMS) indicated that on average, nursing homes provided 3.73 total nurse staffing HPRD, which includes 0.60 registered nurse HRPD. The staffing expectation model was based on facility CMI, which calculated the national average expected staffing level at 4.92 . . .