State Nursing Home Inspectors Lacking as Staffing Mandate Looms

March 6, 2024, 10:05 AM UTC

A shortage of state inspectors to police compliance with proposed nursing home staffing requirements is prompting calls for a tougher enforcement component in the Biden administration’s final rule.

Faced with low pay, heavy workloads and high turnover rates for health facility inspectors, under-resourced state survey agencies suffer the same staffing woes as the nursing homes they scrutinize. Last year, agencies in 32 states had vacancy rates of 20% or higher for trained inspectors, or “surveyors,” a Senate Special Committee on Aging report found.

The shortages were the “root cause” of states’ performance problems in overseeing nursing homes, the Department ...

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