NAMD Responds to CMS Request for Information on Minimum Staff Ratios

On June 10, NAMD submitted comments in response to CMS’ request for information on establishing minimum staff ratios in long-term care facilities. Although NAMD supports CMS’ goal of improving the quality of long-term care, a minimum staff ratio may have unintended consequences, including a reversal of progress to rebalance towards home and community-based services and budgetary challenges for states. Additionally, national workforce shortages would make implementing a minimum staff ratio very challenging.