Nursing Home Industry Is Pushing Trump to Rescind Biden’s Safe Staffing Mandate

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Johanna Meneses, 32, grabs over the counter medications for her patients at Twilight Gardens nursing home in Norwalk, Ohio, on March 4, 2023.Johanna Meneses, 32, grabs over the counter medications for her patients at Twilight Gardens nursing home in Norwalk, Ohio, on March 4, 2023.COVID’s rampage through the country’s nursing homes killed more than 172,000 residents and spurred the biggest industry reform in decades: a mandate that homes employ a minimum number of nurses.

that have imposed their own minimums. In New York, California, Rhode Island, and Massachusetts — states with the most robust requirements — many homes remain below the legal staffing levels. Governors have given many homes reprieves, and other homes have found that paying penalties costs less than the increase in payroll for additional staff.

The Trump transition team did not respond to a request for comment. The Department of Health and Human Services did not respond to requests for comment, but in a court filing it argued that nursing homes should be able to reach the required staffing levels. The nursing home industry says many homes cannot afford to increase their workforces, and that, even if they could, there is a scarcity of trained nurses, and not enough people willing to work as aides for an average $19 an hour. A registered nursean hour on average in a nursing home, less than what they could make at a hospital, according to the Bureau of Labor Statistics.

Sarah Stull, Kimball’s administrator, said recruitment had always been challenging and that temporary nursing staffing agencies charged more than double what she paid her own staff.The government estimated that about a fourth of the nation’s nursing homes would be eligible to apply for hardship exemptions if there were a documented shortage of nurses and aides in their communities compared with the national average.

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