The average nursing facility census has declined 12.2% since the fourth quarter of 2019 (Q4 2019), from about 86.6% in Q4 2019 to 76.0% in Q3 2020. During this period, the total care staff hours per resident day (HPRD) rose by 1.6%, but nursing facilities are still understaffed. Staffing data submitted to the Centers for Medicare & Medicaid Services (CMS) indicates that during Q3 2020, nursing facilities averaged 3.43 total care staff hours per resident day (HPRD), which is 84% of the 4.10 total care staff HPRD recommended by CMS. Staffing hours for registered . . .

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