SNFs Appear to Have Gamed the System

Over the past few years, the federal government has focused on staffing as an area of improvement for nursing homes, requiring the operators to provide payroll-based evidence for their labor hours. This was based on the assumption that there’s a direct line between staffing and quality of care in these skilled nursing facilities. Yet, a recent study argues that when SNFs self-disclosed this information, care by the staff did not improve even when staffing had reportedly increased. 

According to the Centers for Medicare and Medicaid Services (CMS), when they increased the level of staffing required to maintain star ratings in 2012, the facilities that reported an increase in staffing had not seen a corresponding decline in the rate of bedsores in residents. 

In an article featured in the Strategic Management Journal by Ody-Brasier and Sharkey analyses were ran to determine whether SNFs hired less experienced labor at lower wages, or whether more time was needed to show improvements in 

For more, read here. 

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