There have been mixed reviews about the new mandates released by the Centers for Medicare & Medicaid Services, including a new proposal establishing minimum staffing standards for nursing homes nationwide. The proposal was made with the intention of raising the standard of service at senior care facilities that, according to CMS Administrator Chiquita Brooks-LaSure, will better serve residents by ensuring that they are able to receive the safest and highest level of care at all times (https://www.cms.gov/newsroom/press-releases/hhs-proposes-minimum-staffing-standards-enhance-safety-and-quality-nursing-homes).

But not everyone is happy.

While the intentions of the CMS mandates are in good faith, many senior care facilities are fighting back, referencing multiple issues with the minimum staffing rule. The primary issue is funding. The CMS has stated that in order to fund the new requirements, the total cost over the next 10 years will be $40.6 billion. However, they have not provided any solution for procuring those numbers, sending facilities into a scramble over how to stay compliant without any financial assistance.

The need for such extensive funding is thanks to new requirements that include increasing on-site RN hours from 8 hours a day, seven days a week, to 24 hours per day, seven days a week. RNs must now account for .55 hours per resident day (HPRD), while nursing aides must account for 2.45 HPRD. However, implementing such a demanding mandate requires more cash for the additional RN and nursing aide hours. This is a major flaw in the proposal because facilities do not have the means of increasing wages for current staff or hiring additional staff because there are no funds to pull from.

While there is a waiver process, it is not user-friendly and difficult to navigate, slowing down the efforts to find new workers and, in the meantime, deeming facilities unfit to operate. To keep it brief, the jump from 8 hours to 24 feels excessive to many facilities, making it unreasonably difficult to stay compliant. Critics argue that such an ambitious move will only decrease overall access to care because so many facilities within the sector will be out of compliance.

In preparation for the new CMS requirements, it’s important to look closely at the rule's phase-in parts to ensure a smooth transition. If and when the rules go into effect, it will be in your facility’s best interest to get ahead on your staffing plans for the coming years to maximize recruitment and retention. Staying in compliance will reflect positively on your five-star rating, which will only serve to attract potential residents and staff alike, both of which you will need to remain in good standing. The HPRD requirement for urban buildings will be effective three years after it becomes final, whereas for rural buildings it will be effective after five.

This means it is incredibly important to stay on top of your staffing hours by tracking who is working and when. If you can get in the habit of overseeing the movements of your staff in live time, you will be more prepared to regulate who is working and plan accordingly when the requirements come into full effect. Regarding the 24/7 RN requirement, it will be important to act proactively by reanalyzing and redistributing your staffing hours to see better where your facility falls short.

The 24/7-hour rule will take effect two years after the final rule is published for urban facilities and three years for rural facilities, so the time is now to get all your papers in order.

While the new CMS mandates are not yet rigid, it behooves facility operators to prepare for the changes now.

We want to hear from you! Let us know how you feel about these new mandates with a comment below. 

The state of the economy has hit many industries hard, with the healthcare sector being no exception. With increased labor and direct supply costs, inflation costs, as well as a growing demand for diversified care solutions, the passing of recent federal mandates has left many in the Senior Living & Care industry scrambling to keep up.

Despite the further pressures, there are some positive trends that point to future business opportunities for progressive Senior Care Facilities. Since late 2022, unemployment and inflation rates have decreased across the boards, whereas consumer spending has remained constant. Senior care facilities have also benefitted from the deceleration of new construction sites, causing occupancy rates in current facilities to increase in response to the perpetual demand for senior home and behavioral health care.

Consumer demands and expectations continue to grow and evolve over time, making room for senior care facilities to leverage their businesses in new ways.

Here are three ways to take advantage of the current trends:

1. Pinpoint your facility’s unique selling point. Consumers want to have the best of everything, and usually that means having access to something others don’t. A great way to promote your facility is by demonstrating how you provide an exclusive service or amenity along with everything else that is typically offered. Residents and their families want to feel as though they are in the best of hands, whether it comes down to facility layout, dining options, recreational activities, or social engagements. The demand for more diverse health and wellness solutions means that your facility has the ability to stand out if you keep your residents’ best interests in mind at all times.
2. Stay up-to-date on the latest technological advancements designed to manage facilities of your size and scope. The more accurately you can expedite critical decision-making regarding your facilities, the easier it will be to generate revenue. Invest in an all-in-one online dashboard like primeVIEW, which allows you to track important data relating to your real-time census, as well as your labor, financial and clinical systems. When it comes to post-acute care, having QAPI compliant data like this at your fingertips is invaluable to running a smooth and meticulous operation.
3. Reevaluate your marketing and sales approach. In an era that concentrates on wellness and lifestyle, consider how best to promote the superiority of your facility compared to your peers. Potential consumers want to feel as though their overall health and quality of life is going to be improved by choosing you, and a large portion of that has to do with the coordination of care provided. Create a comprehensive care model with wellness plans that your facility can execute seamlessly every time; Not only will it increase the level of confidence your current residents have in you, but it will demonstrate to potential consumers that your facilities are capable of consistently providing favorable outcomes and solutions for everyone. 

We’re heading to AHCA/NCAL 2019 Spring CEO Conference with innovative tech solutions that help post-acute execs prepare for value-based care.

Our new Managed Care MASTER solution is getting rave reviews from customers who are increasing their Managed Care revenue, while decreasing therapy costs and improving outcomes. It’s designed to handle complex level and Medicare RUG/PDPM reimbursement drivers, so your teams can be PDPM-ready by October.

Connect with us to learn more about our suite of applications that can solve your most difficult operational challenges.

I’m excited to once again join my colleagues at Prime Care Technologies in exhibiting at OHCA. Stop by Booths 127 and 129 to discover our latest advances in post-acute technologies. Our experts will demonstrate how we integrate and accelerate data to optimize business intelligence, claims and managed care reimbursement, as well as purchasing automation from Procurement Partners. We have much to share to address your operational pain points, so let's connect over a break!