The Biden administration finalized nursing home staffing rules Monday that will require thousands of them to hire more nurses and aides — while giving them years to do so.

The new rules from the Centers for Medicare & Medicaid Services are the most substantial changes to federal oversight of the nation’s roughly 15,000 nursing homes in more than three decades. But they are less stringent than what patient advocates said was needed to provide high-quality care.

Spurred by disproportionate deaths from covid-19 in long-term care facilities, the rules aim to address perennially sparse staffing that can be a root cause of missed diagnoses, severe bedsores, and frequent falls.

The rules primarily address staffing levels for three types of nursing home workers. Registered nurses, or RNs, are the most skilled and responsible for guiding overall care and setting treatment plans. Licensed practical nurses, sometimes called licensed vocational nurses, work under the direction of RNs and perform routine medical care such as taking vital signs. Certified nursing assistants are supposed to be the most plentiful and help residents with daily activities like going to the bathroom, getting dressed, and eating.

While the industry has increased wages by 27% since February 2020, homes say they are still struggling to compete against better-paying work for nurses at hospitals and at retail shops and restaurants for aides. On average, nursing home RNs earn $40 an hour, licensed practical nurses make $31 an hour, and nursing assistants are paid $19 an hour, according to the most recent data from the Bureau of Labor Statistics.

      • givesomefucks@lemmy.world
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        Because nurses were already severely underpaid and have been for a very long time…

        Which is why percentage increases don’t tell the whole story.

        • Riven@lemmy.dbzer0.com
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          Especially when you’re already making so little, that percentage is miniscule. 30 percent of 7 dollars is still a tiny raise.

      • Flying Squid@lemmy.world
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        Sure, but look at it this way… you have one of the most thankless nursing jobs available. You are in a horrible place under horrible conditions if it’s like the average nursing home and all of your patients are going to die on you. In exchange, you get low pay and a paltry raise compared to other nurses.

        Of course it’s not going to draw more nurses in to the job.

        • Sir_Kevin@lemmy.dbzer0.com
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          Plus you spent years of your life training to do this all while becoming horribly in debt. While some asshole like me with no degree makes considerably more. Everyone in the medical industry should have their wages doubled.