Staffing

Senior Care Policy Brief: Nursing Homes Are Not Warehouses

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The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…

  • Nursing home industry claims low profit margins and potential closures due to minimum staffing standards.
  • Average total nurse staff hours per resident day falls below […]

Senior Care Policy Briefing: Misuse of Taxpayer Funds Leads to Resident Neglect

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The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…

  • NY lawsuit exposes nursing home operator’s $83M misuse of taxpayer funds, leading to neglect, suffering, and tragic deaths.
  • 78 defendants face criminal charges in $2.5B […]

Senior Care Policy Briefing: Nurses at Their Breaking Point

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The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • Mass vacancies at state agencies (U.S. Senate Aging Report).
  • Fall injury and pressure ulcer hospitalizations underreported in Care Compare data.

Pulling teeth: Elder Justice “No Harm” Newsletter (Volume 5, Issue 2)

In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]

Senior Care Policy Briefing: ‘Another Record Quarter…’

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The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • The Ensign Group reports another record quarter.
  • NY lawsuits revealing allegations of millions of siphoned profits.
  • An OIG report […]

LTCCC Alert: Nursing Home Administrator Hours Down 20% Since Pandemic

The following is an alert for the Q3 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.

March 9, 2023 – A nursing home administrator is responsible for overseeing their facility, including clinical and administrative affairs, to ensure that resident care needs are met. According to federal law, […]

Fall 2022 LTC Journal

The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • New federal guidance for nursing home surveyors to strengthen safety and accountability.
  • LTCCC’s Q1 2022 staffing report showing nursing home staff turnover at 53.3%.
  • A report detailing how real estate […]

NYS LTCOP Conference 2022: Elder Justice Past, Present, and Future

Click program titles to access PDFs of presentations from the 2022 New York State Long Term Care Ombudsman Program (LTCOP) conference, “Elder Justice Past, Present, and Future.” For more information about NYS LTCOP, visit https://aging.ny.gov/long-term-care-ombudsman-program.

Results of the NYS LTC Ombudsman – Center for Elder Law & Justice project. Lindsay Heckler, CELJ

Harmful resident-to-resident […]

2023-08-01T13:08:55-04:00LTC In NYS, New York|

Summer 2022 LTC Journal

The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • Unsafe antipsychotic alternatives on the rise.
  • Louisiana nursing home owner arrested for felony fraud and cruelty.
  • RN staffing levels down 12% in 2021.
  • Infection control compromised during pandemic.

LTCCC Alert: New Federal Guidance to Strengthen Nursing Home Safety, Quality, and Accountability

June 30, 2022 – Surveys (inspections) are the principal mechanism by which the government assesses nursing home quality and determines compliance with standards of care. Unfortunately, as previous LTCCC studies have shown, State Survey Agencies (SAs) – which are charged with monitoring care, responding to complaints, and ensuring compliance with minimum standards – too […]

2025-06-20T11:19:23-04:00Alerts|

Fall Prevention: Focusing on Process – Not People – to Keep Nursing Home Residents Safe

Program: Fall Prevention: Focusing on Process – Not People – to Keep Nursing Home Residents Safe
Date: Tuesday, September 13, 1pm (ET)
Register: https://bit.ly/fall-prevention-nh
Presenter: Sharon Banks Tarr (Clarity Legal Nurse Consulting)

Note: Video and other webinar materials will be available after the program at https://nursinghome411.org/webinar-falls.

2022-08-15T10:45:17-04:00, |

It Starts With Staffing: Requirements and Recommendations for Providing Safe and Quality Nursing Home Care

It Starts With Staffing: Requirements and Recommendations for Providing Safe and Quality Nursing Home Care.
When it comes to providing safe and quality nursing home care, it all starts with staffing. In this program, attendees will learn about:
• Existing requirements for safe and adequate staffing
• Staffing reforms proposed by the White House
• Staffing recommendations in a […]

2022-04-18T16:27:16-04:00, |

LTCCC Alert: Staffing Levels Fall 8% in Six Months

The following is an alert for the Q3 2021 staffing report. To access the report, click here.

March 3, 2022 – Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies to meet the clinical, emotional, and psychosocial needs of every resident. Unfortunately, understaffing is a widespread and persistent problem that […]

Arming Your Advocacy: Leveraging LTCCC’s Resources to Promote Resident-Centered Care

The best advocate is an informed advocate. In this webinar (Tuesday January 18, 2022 at 1pm ET), we will show you how to use LTCCC’s free resources including the NursingHome411 Learning Center, the Dementia Care & Antipsychotic Drugging Advocacy Toolkit, the Abuse, Neglect, and Crime Reporting Center, and our staffing data, to promote resident-centered care.

Register: […]

2021-12-28T11:15:21-05:00, |

LTCCC Alert: Build Back Better NEEDS Essential Staffing Standards

Tell your senators that residents NEED essential staffing standards in Build Back Better.

December 17, 2021 – A sufficiently staffed nursing home fosters an environment where residents can attain and maintain their highest practicable physical, emotional, and psychosocial well-being. All too often, however, nursing homes fail to provide the necessary levels of skilled nursing […]

2023-08-01T13:06:59-04:00New York, Oregon|

LTCCC Alert: Nursing Home Staffing Levels Drop in Q2 2021

The following is an alert for the Q2 2021 staffing report. To access the report, click here.

November 16, 2021 – Nursing homes with higher staffing levels are better equipped to meet their residents’ care needs. Unfortunately, understaffing has been a widespread and persistent problem, especially since the start of the COVID-19 pandemic.

Today, LTCCC […]

Fall 2021 LTC Journal

The Fall LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • A letter to NY Governor Kathy Hochul calling for action to protect long-term care residents.
  • LTCCC’s Q1 2021 staffing report showing failures to […]

LTCCC Alert: New Data Report Finds One in Six U.S. Nursing Homes is a “Problem Facility”

September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]

LTCCC Testimony: NY Senate Hearing on Nursing Home, Assisted Living, & Homecare Workforce

LTCCC Executive Director Richard Mollot testified at a New York Senate Hearing, “Nursing Home, Assisted Living, and Homecare Workforce – Challenges and Solutions,” on July 27, 2021, highlighting key long-term care policy concerns including widespread inadequate staffing, the rise of for-profit industry, and the lack of oversight and accountability. Read the testimony below.

[…]

Framework for Nursing Home Reform Post-Covid

The Long Term Care Community Coalition, along with California Advocates for Nursing Home Reform, Center for Medicare Advocacy, Consumer Voice, Justice in Aging, and Michigan Elder Justice Initiative, developed a framework to address longstanding problems in nursing homes. The framework provides recommendations in six critical areas that need reform: (1) staffing and workforce; (2) regulation […]

LTCCC Alert: Recommendations for Improving Nursing Home Safety, Dignity, & Financial Integrity

Click to read LTCCC’s recommendations for improving nursing home safety, dignity, and financial integrity.

June 7, 2021 – The COVID-19 pandemic exposed longstanding problems in nursing homes that have remained unaddressed, even as cases dwindle. Across the United States, nursing homes continue to be understaffed, underenforced, and unaccountable for so much of the harm […]

2025-04-10T13:27:52-04:00Alerts|

Nursing Home Staffing 2020 Q4

LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census […]

Spring 2021 LTC Journal

The Spring LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • A report challenging the theory that a nursing home’s location is the biggest determinant of COVID-19 transmission.
  • New York’s failure to ensure nursing homes’ compliance with minimum […]

U.S. Nursing Home Ratings & Info (Feb. 2021)

This page contains facility-level data on all U.S. nursing homes including five-star ratings, ownership status, health inspection outcomes, and more. Download individual state files by clicking the state on the map or list below. Download nationwide data here.

Note: Data were obtained from the CMS website (https://data.cms.gov/provider-data/dataset/4pq5-n9py) on February 1, 2021 based on data […]

Winter 2021 LTC Journal

The Winter LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • How the Federal Government’s inaction led to 11 nursing home deaths per hour.
  • The COVID-19 pandemic’s disproportionate toll on nursing homes with higher shares of Black or […]

Nursing Home Staffing 2020 Q1

Note: Not all facilities reported staffing data for Q1 2020 because of suspended reporting requirements due to the COVID-19 pandemic. (11,735 facilities reported staffing data in Q1 2020 vs. 14,969 in Q4 2020). State and national staffing averages for Q1 2020 exclude facilities that did not report.

Click on the links in […]

Nursing Home Staffing 2020 Q2

Click on the links in the first column of the table below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers […]

Nursing Home Staffing 2018 Q1

Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]

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