Adequate staffing is central to ensuring high nursing home quality. To help illuminate the implications of various new policy recommendations, John Bowblis and coauthors analyze nursing home staff expenditures.
Bowblis and coauthors look at the proportion of facility revenues spent on nursing staff, as well as nursing staff levels in hours worked and paid per resident day, in 2019.
The authors find that facilities with higher shares of Medicaid residents spent a larger share of revenues on nursing staff but
had lower staffing levels.
They determine that “any specific threshold for nursing staff expenditures…would have a varying degree of effectiveness in ensuring that any given nursing home was adequately staffed.” Ultimately, the authors argue, increased expenditures on staff do not necessarily translate to an increase in staffing levels.
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