Is your Skilled Nursing Facility operating at sub-optimal staffing levels and receiving Medicare/Medicaid reimbursement? If so, it may be time to re-evaluate before it’s too late.

The U.S. Department of Health and Human Services’ (DHHS) Office of the Inspector General revealed in its most recent Work Plan (updated August 2018) an additional topic for Skilled Nursing Facilities that receive Medicare and Medicaid: oversight of staffing levels. This topic has been added due to the increasing concern for the effects staffing levels have on patient care and safety.

The OIG already investigates matters of fraud, waste, and abuse, such as billing for services not rendered and patient harm, but now it will also focus on the ways facilities’ staffing levels are affecting patient care.

Here the two criteria OIG will primarily use when investigating and determining adequate staffing levels:

  • Nurse staffing must be sufficient on a 24-hour basis
  • A registered nurse must be available 8 consecutive hours a day, 7 days a week

The OIG will primarily be reviewing this information from payroll records submitted to the Center for Medicare and Medicaid Services (CMS), with the objective to incentivize facilities to cultivate a high-quality workforce above the minimum requirements.

If you’re worried by these new requirements, or want to ensure that your Skilled Nursing workforce is well-qualified and robust enough to give your patients the care they need, please contact PassportUSA. One of our Business Development Directors will reach out and work with you to create a comprehensive workforce solution for your Skilled Nursing Facility with the help of our BSN-ready RNs.

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(Adapted from an article originally appearing on

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