New minimum staffing requirements for nursing homes will squeeze margins for operators already dealing with rising costs and a nursing shortage as occupancy levels have recovered during the past two years.

After eight months of review, the Biden Administration on Monday published its final rule governing staffing at long-term care facilities, requiring that nursing homes provide at least 3.48 hours of care per resident per day.

The standard also requires that at least 0.55 hours of care must come from registered nurses and requires nursing homes to have an RN onsite and on duty at all times. The new minimum staffing rule is the first update of the care standard since 1987.

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