Summary of the CASE Methodology for Calculating Expected Nurse Staffing

This document provides a summary of the CASE Methodology for Calculating Expected Nurse Staffing:  Recommended nursing home staffing levels based on their case mix index.

The CASE (Casemix Adjusted Staffing Expectations) methodology is an evidence-based, peer-reviewed methodology for identifying the expected nurse staffing levels necessary to meet the clinical needs of a nursing home’s residents. The published study, Nursing Home Guide to Adjusting Nurse Staffing for Resident Case-Mix, is available at https://doi.org/10.1111/jgs.19501.

Visit our Provider Data Reports and quarterly Nursing Home Staffing Reports for both reported and expected nurse staffing rates for every U.S. nursing home (in compliance with federal reporting requirements). Visit the Nursing Home Staffing Resource Center for our full range of resources, including guides on using the expected staffing methodology.