According to data released July 25, almost 1,400 SNFs had inadequate staffing of RNs or didn’t provide payroll data proving necessary nursing coverage.
CMS used to rely on self reporting from nursing homes, but the ACA now allows for the collection of a SNFs staffing payroll records. The federal agency requires a nursing home to have a registered nurse in its facility eight hours a day, 365 days a year.
Medicare’s five-star system, awarded its lowest rating for staffing to 1,387 of the nation’s 15,616 skilled nursing facilities, according to a Kaiser Health News analysis of the latest data released by Medicare.
Medicare said those homes either lacked a registered nurse for “a high number of days” over three months, provided data the government couldn’t verify or didn’t supply their payroll data at all. The downgraded homes reported seven or more days without any registered nurses, the analysis found.
In an analysis by Kaiser Health News, for-profit nursing homes averaged 16 percent fewer staff than did nonprofits, even after accounting for differences in the needs of residents. At the average nonprofit, there was one RN for every 28 residents, but at the average for-profit, there was only one RN for every 43 residents. Researchers have repeatedly found lower staffing in for-profit facilities, which make up 70 percent of the industry.
For those SNFs that dropped in ratings due to inadequate staffing, the data showed it was divided among nonprofits, for profit and government-owned homes suggesting all types of facilities are vulnerable to RN staffing shortages.
The new star ratings are available to consumers on Nursing Home Compare
Read more from McKnights Long-Term Care News
Get more details and an analysis from Kaiser Health News
Click Here for Members Only Data: July 2018 Arizona Nursing Home Ratings