![]() “There’s clearly a shortage for staff, and clearly there’s a funding need to support increased staffing … funding is clearly an issue and contributing to the problem.” Staffing costs on a zero marginĮxisting costs to attract talent are already draining nursing homes while reimbursement levels remain inadequate, executives said. “It’s at the worst possible time,” added Almer. Meanwhile, there is also the worry that if operators are unable to fulfill the obligations of the federal mandate, they will likely need to pay penalties they can’t afford.ĬMS should be helping the industry figure out how to get more people involved in long-term care, Lingle said, and only then look at a staffing mandate “down the road.” New hires have to be attracted through better offers for benefits and ongoing education. ![]() Lingle said that the expenses to meet whatever requirement CMS puts out is another concern. On the federal level, Landi would like to see some sort of waiver or other accommodation which takes acuity into account. To accommodate for differences in acuity, some operators, including iCare are already in ongoing conversations with states that have placed staffing minimum ratio requirements on facilities to also put in place waivers, he said. We want that to be taken into consideration,” said Landi, referring to the upcoming federal minimum staffing mandate accounting for variation in acuity. So, higher on the behavioral acuity, lower on the acuity. “We take care of 1,400 residents in Connecticut alone, and close to half of them have a mental illness.
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