Nursing home operators who have been lining up in opposition to a Biden Administration proposal to establish minimum staffing levels for resident care in nursing homes—a proposal they say would add more than $11B a year to their operating costs—now are seeing nurses lining up to demand minimum staffing levels as a basic working condition.

Margins at skilled nursing facilities have been squeezed by rising costs and labor shortages as occupancy levels recovered last year. A nationwide shortage of nurses that pre-dated the pandemic was greatly exacerbated when overworked nurses joined the Great Resignation.

Now, the remaining nurses in the workforce are throwing down the gauntlet at hospitals and nursing homes over staffing levels they say are inducing burnout and causing more nurses to leave the profession.

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