12/15/2025
On December 3, 2025, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule rescinding part of the minimum staffing rule in nursing homes, the most significant increase in protections for nursing home residents in decades. CMS cited Congress’s recent postponement of the rule’s implementation until 2035 and two federal court cases that found parts of the rule to be invalid as reasons for the rule’s rescission.
But CMS also contradicted itself by claiming the rule was no longer appropriate, despite promulgating the rule last year and defending it in the court cases. The interim final rule rescinds the minimum hours per resident day requirements (0.55 Registered Nurse, 2.45 nurse aide, and 3.48 total nurse staffing) and provisions requiring a registered nurse onsite 24 hours, 7 days per week. It does not, however, rescind other portions of the rule regarding enhanced facility assessment requirements, and provisions requiring that states disclose Medicaid spending on care staff.
Read more about this important, impactful decision and do your part to be an advocate for senior citizens living in nursing home and long-term care facilities.
On December 3, 2025, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule rescinding part of the minimum staffing rule in nursing homes, the most significant increase in protections for nursing home residents in decades. CMS cited Congress’s recent postp