Nurses voice concern about new federal mandate for long-term care facilities

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Beginning in 2026, the mandate will require a registered nurse to be on site 24-7 at Medicare and Medicaid-certified long-term care facilities.

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Why dont medicare and medicade services mandate safe staffing ratios? At night we have 1 CNA to 25 residents.

MultiAnne
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FEDERAL MANDATE SHOULD BE STAFFING RATIO.

dorisarn
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Long overdue! Elder care needs a complete overhaul!

ShebaPhD
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Nursing homes need to address the reason that 99% of RNs feel that their license would be in jeopardy if they went to work at one and then it might not be so “impossible” to meet this mandate

wizardofahhhhhhz
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Awww, poor administrators.... How terrible that they have to hire a safe amount of staff. They won't be able to get new a Mercedes every year. Poor babies....

shutterchick
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Let’s also talk about the 40 patient to single nurse workload While ur at it 😩😖😖😣

Magical_Trash
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If long term care facilities paid people there would be plenty of nurses. They don’t pay because they are profit making places. It’s shameful.

sorayaassar
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Long term care facilities need to be investigated thoroughly. So many of these places are understaffed or have staff that turn a blind eye to the needs of the the people who depend on them. It's heartbreaking to visit these places and to have to step in and help a senior who has been waiting for someone to come in and give them a cup of water, or worst yet one who has been waiting for hours to get a soiled diaper changed. These people didnt ask to be put in this position but unfortunately it is a part of life. So to those who did sign up for the job to provide care, you need to do the job and do it right. Remember one day it will be you in those beds. To those who give their 100% a huge thank you, I know it isn't easy.

bort
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I also think a doctor should be there always, too

laurenmallon
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Are you kidding me???? Would YOU want your loved one in a home that thought having an RN on staff around the clock was too expensive and therefore a bad idea???? This is bullsh!t! I worked in several nursing homes in the state of Florida, which, in addition to California, has some of the most rigid rules/regulations/protocols for nursing homes in the nation. OF COURSE there was an RN on site 24/7! That's just how they staffed them - like hospitals. There were three shifts every day: 7a to 3p; 3p to 11p; and 11p to 7a - 24/7/365. And NO, an LPN wouldn't suffice in place of an RN. Why do you think RNs make so much more money?? LPNs have had less medical education than an RN, that's why. This is a lawsuit waiting to happen. The first time something goes pear shaped, and an LPN either does something only an RN is licensed to do, and someone's loved one dies as a result - it'll be BAD NEWS for the nursing home that decided an RN was too costly to have on overnight staff. What it that's YOUR mom/dad/grandma/grandpa???? What if an RN being present and properly trained could've saved their life??? What if this is just the first step towards allowing less educated, and therefore, less prepared people step in because they COST LESS MONEY???? You want first year med students taking over your care in ERs because MDs are too expensive? You want law school students taking over for attorneys because they're cheaper? You want an unsupervised resident performing your open heart surgery because the trained and experienced surgeons are too pricey? Where does it stop? This plan has BAD IDEA written all over it!

EnaAlready
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Finally. We need these changes for so many patients.

Loveroffood
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LPN’s aren’t allowed to give IV push medications, which are critical in a code situation. As an RN, the nurse interviewed should have known this. LPN’s can do CPR, but they can’t run a full code. This RN claiming they can causes me to question her skills. LPN’s are absolutely not interchangeable with an RN.

cqbarnieify
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The scope of practice is why Lpn’s cannot run a building alone. This has nothing to do with how competent they may be, it’s just they may face legal trouble trying to act as a higher scope.
I know this as a former hha, cna, lpn and now rn.

Zee-obpe
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Are the facilities owned by corporations or private equity? I would like to see a breakdown of how much the government pays for care versus how much goes to the workers and how much goes to administration and investors.

lg-iipm
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What is the concern?
All the residents in any rehab need medical care.
A nurse SHOULD be onsite.
What is the concern?
An LPN is not an RN. An LPN does not have the education and training of a RN.
If someone does not care for the well- being of residents, tell them 'You're fired'. Trump provides perfect templates for exercising this option.
For the costs of these facilities to the residents, they should be able to afford the salary of a RN.

katiedid
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This has been the case for rhode island for the past 10 years….its not that serious; have the admins pay to send a LPN to go back to school.

jeffreygomes-stsl
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This is crap and RNs with egos. I was an LPN for 25 years and in long term care did everything. Staffing was and is hell. We often had one LPN and 2 CNAs for 140 plus people. The computer mandatory charting for admissions took hours. And administration not to mention RN directors never cared just blamed

ClaireCopeland-ny
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Thank you for advocating for us LPNs. I've been a nurse for 29 years, float in hospitals and LTC and have TRAINED RNs. I don't believe the degree measures the care these people need. Mandate more staffing and then things will change.

mmatson
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I am an RN and used to work in a skilled nursing facility here in Galt, CA and there were around 150 patients. The problem with SNF’s is they do not invest on their employees. They invited someone from Red Cross to certify us with BLS basic life support and i had to pay the fee out of my own pocket. There were no classes offered to us. The pay was small and I also had to pay my own and family’s health insurance which was around 300$/ every 2 weeks. It was too much. They made us watch the Mandated videos on Elder Abuse etc and that’s basically the training they provide. 2 years after my contract expired i left. The hospital pays my health insurance and i regularly go to classes to increase and improve my skills. I get paid for all classes i take and it’s free. The pay is quite good.

The RN above said LVNs can do what an RN can do? I disagree. LVN’s do not assess. My experience has told me that an RN is extremely important for the welfare of patients. An RN has the ability to detect subtle changes that LVNs are not trained for. I do not understand why she is saying that. Maybe to be on the good side of the employer? These changes are long due.

Perpertua
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This is about the nurses comments in this article. That was the same argument used in favor of nurse practitioners. Now look at our health care system. The majority of nurse practitioners should not be doing the work of MD's

Robert-fx
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