* Capitol News Illinois in May…

Employment in skilled nursing facilities nationwide as of February was down 8.3 percent compared with February of 2020, the month before the pandemic hit. Although the current staffing levels have somewhat recovered from their lowest point in early spring 2022 – when staffing was down 15.5 percent from pre-pandemic levels – other areas within health care have recovered much faster, according to a Kaiser Family Foundation analysis […]

But with a tight budget year, leaders in the General Assembly can’t promise a huge windfall for the struggling industry. House Majority Leader Robyn Gabel, D-Evanston, who leads a working group on Medicaid issues, told Capitol News Illinois the industry asked for $75 million to make up for increased property taxes, which the state had at one time subsidized.

But in the waning days of legislative session, Gabel said the working group is still exploring ways to help the industry but was explicit that General Assembly can’t give the industry anywhere near the $75 million it requested. […]

The industry is also fearful a new federal rule designed to implement minimum staffing ratios will have the unintended effect of further closures. […]

But, Gabel said, the state can only do so much when the entire nursing home industry is up against trends that have been festering for years.

* Today from WTTW…

A new federal staffing minimum rule from the Centers for Medicare and Medicaid Services (CMS) was designed to help those stranded without care like Payne. In May, CMS officially published the final rule of the first-ever federal minimum staffing standards for long-term care facilities. […]

But just 108 of the 670 Illinois nursing homes that provided the agency data meet all three of these requirements as of June, according to a WTTW News analysis of homes that submitted their staffing data to CMS. Eleven additional homes did not provide data.

-60% of the reporting nursing homes do not meet the total nurse staffing standard.

-41% do not meet the RN standard.

-81% do not meet the nursing aide standard. […]

If a home does not meet these requirements, there is a set of escalating penalties, like corrective plans of action or fines. Termination from the CMS program is the “enforcement item of last resort,” according to Health and Human Services (HHS) officials.

When presented with the low number of homes meeting the new CMS rules, the Illinois Department of Public Health, which regulates long-term care facilities, said the state already has staffing requirements. Illinois requires a minimum staffing ratio of 3.8 hours per resident per day needing skilled care and 2.5 hours per day for residents needing immediate care. However, repercussions for Illinois homes not meeting these requirements have been delayed until 2025.

*** Adding *** Lindsey Hess, the Communications Director at the Health Care Council of Illinois…

Most Illinois nursing homes are in compliance with Illinois’ staffing mandates, which actually require nursing staffing of 3.8 hours per resident per day (versus the proposed federal mandate of 3.48 hours). HCCI is vehemently opposed to CMS’ proposed plan of staffing mandates; one significant reason is the requirement of registered nurses on all shifts. Currently, CMS requires one registered nurse on duty per day, and licensed practical nurses may fill the remaining open shifts. In Illinois, where Medicaid is the largest payor of nursing home services, it would be unsustainable for safety net nursing homes to replace licensed practical nurses with registered nurses and ensure access to care for elderly citizens. In addition, nursing homes are still recovering from a historic labor crisis, and there’s a growing caregiver shortage. We support increasing the nursing home workforce, but a one-size-fits-all approach will not improve quality care.