- cross-posted to:
- politics@sh.itjust.works
- cross-posted to:
- politics@sh.itjust.works
The Biden administration finalized on Monday the first-ever minimum staffing rule at nursing homes, Vice President Kamala Harris announced.
The controversial mandate requires that all nursing homes that receive Medicare and Medicaid funding provide a total of at least 3.48 hours of nursing care per resident per day, including defined periods from registered nurses and from nurse aides. That means a facility with 100 residents would need at least two or three registered nurses and at least 10 or 11 nurse aides, as well as two additional nurse staff, who could be registered nurses, licensed professional nurses or nurse aides, per shift, according to a White House fact sheet.
Plus, nursing homes must have a registered nurse onsite at all times. The mandate will be phased in, with rural communities having longer timeframes, and temporary exemptions will be available for facilities in areas with workforce shortages that demonstrate a good faith effort to hire.
The rule, which was first proposed in September and initially called for at least three hours of daily nursing care per resident, is aimed at addressing nursing homes that are chronically understaffed, which can lead to sub-standard or unsafe care, the White House said.
I like nursing homes. I don’t like nursing homes that don’t take care of their residents.
That is the substance of the matter here. I don’t care how profitable the business is if the residents aren’t being properly cared for.
The businesses are hardly profitable. For every dollar they get from housing a resident, they get just above half a penny of profit.
As I showed above, you can take the entire profit and put it into hiring more staff and it won’t actually make a difference. They either need to raise prices, cut costs elsewhere (maybe administration? I’m not familiar enough to know), or pay people less.
That’s what the numbers say.
Again: I don’t find the argument “we can’t take proper care of our residents because it’s not profitable” to be compelling.
No one seems to be arguing that the care being asked for is unnecessary, just that it’s expensive. And in that case I just don’t care.
Again, it doesn’t matter whether you find the argument about compelling.
If care cannot be provided profitably, it won’t be provided at all. That is reality. Somehow, the care must be paid for.
Those who need care are not better off if these facilities close.