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CMS Repeals Nursing Home Minimum Staffing Standards
On December 4, 2025 by Mark Schulz
An interim final rule repealing the nursing home minimum staffing standards was released to the Federal Register on December 2. It is important to note that the interim final rule does not repeal the entire rule that was finalized in April 2024.
SNF Provider Preview Reports Updated and Ready for Review
On November 20, 2025 by Alecia Crumpler
Skilled nursing facilities can now access updated SNF Provider Preview Reports reflecting quality measure data that will be publicly reported in January 2026. Providers have until December 17, 2025, to review their data and request CMS corrections if needed.
Federal Review Slows 2026 Nursing Facility Rates: Guidance for Providers
On November 17, 2025 by LeadingAge Minnesota
The implementation of the 2025 legislative changes and the need for approval by the Centers for Medicare and Medicaid Services (CMS) has delayed the publication of the January 1, 2026, nursing facility rate notices by the Minnesota Department of Human Services (DHS). DHS is waiting to see what CMS does and does not approve.
LeadingAge MN Strengthens State’s Rural Health Transformation Application
On October 2, 2025 by Mark Schulz
LeadingAge Minnesota submitted comprehensive comments to strengthen the State of Minnesota’s application to CMS’ new Rural Health Transformation (RHT) Program. Our recommendations emphasize workforce solutions, improved access to care, and sustainable models for aging services in rural communities—ensuring older Minnesotans can continue to receive care close to home.
14th Edition of the Really Big Book of Nursing Home Regulations Available Now
On July 31, 2025 by Mark Schulz
The fourteenth edition of the Really Big Book of Nursing Home Regulations is finally here and ready to go! It is now available for order.
CMS Updates PBJ Manual and FAQs
On July 7, 2025 by Mark Schulz
The Centers for Medicare & Medicaid Services (CMS) has issued an update to payroll-based journal (PBJ) materials on the Staffing Data Submission Payroll Based Journal webpage. Updates to the PBJ Policy Manual include info for PBJ system registration through QIES and clarification that all reported nursing hours must be onsite hours. Updates to the PBJ Policy Manual FAQs reiterate the updates in the policy manual, and also include clarifications related to meal breaks, salaried staff, RN hours requirements and waivers, and questions pertaining to PBJ audits. Check out these updates in the PBJ Policy Manual and the PBJ Policy Manual FAQs located in the Downloads section of the PBJ page on the CMS website.
CMS Resumes “Associations Calls”
On May 29, 2025 by Mark Schulz
The Centers for Medicare & Medicaid Services (CMS) Division of Nursing Homes has resumed regular calls with LeadingAge and other national stakeholder associations.
Federal Judge Blocks CMS Staffing Mandate
On April 10, 2025 by Ben Hansen
On April 7, 2025, U.S. District Judge Matthew J. Kacsmaryk (TX) ruled in favor of the American Health Care Association, LeadingAge, and four nursing homes, finding that CMS exceeded its authority by imposing a federal minimum staffing mandate on nursing homes.
Upcoming CMS Surveyor Guidance and F-Tag Revisions: What Providers Need to Know
On February 6, 2025 by Kari Everson
Significant changes are coming for skilled nursing facilities (SNFs). On March 24, 2025, new and revised surveyor guidance, including updated critical element pathways, will take effect.
CMS Unveils New Program Offering up to $50k Incentives for RNs in Nursing Homes
On January 9, 2025 by Anna Mowry
Yesterday, McKnight’s Long-Term Care News released a breaking story that Centers for Medicare & Medicaid Services (CMS) will offer nursing students up to $40,000 in tuition reimbursement and/or $10,000 outright to work for a nursing home or state survey agency.
DEED: Regulations and Demographics Converge to Create a Momentous Long-Term Care Workforce Challenge
On January 9, 2025 by Anna Mowry
The Minnesota Department of Employment and Economic Development's (DEED) new article highlights the looming impact of federal minimum staffing regulations on Minnesota's nursing homes.
Updates To CMS Appendix PP: Revised Surveyor Guidance For Nursing Homes
On December 19, 2024 by Kari Everson
On Nov. 18, the Centers for Medicare & Medicaid Services (CMS) released QSO-25-07-NH outlining updates to Appendix PP, including revised surveyor guidance and F-tag changes for nursing homes.
National Healthcare Safety Network Respiratory Illness Reporting Changes Starting Jan. 1
On December 19, 2024 by Kari Everson
The Centers for Medicare & Medicaid Services (CMS) recently released finalized provisions for nursing home reporting through the National Healthcare Safety Network (NHSN).
LeadingAge Minnesota Joins 20 Other State Affiliates in Lawsuit to Overturn CMS Staffing Mandate
On October 10, 2024 by LeadingAge Minnesota
LeadingAge Minnesota has joined with 20 other affiliated organizations, together representing hundreds of not-for-profit aging services providers across the country, in a lawsuit to overturn the Centers for Medicaid and Medicare Services’ (CMS) staffing mandate. The mandate creates an untenable situation for senior care facilities across Minnesota and throughout the country.
CMS Updates Appendix PP for New Facility Assessment
On August 15, 2024 by Mark Schulz
The Centers for Medicare and Medicaid Services has updated the State Operations Manual, Appendix PP, to reflect the previously released advance copy information for the revised facility assessment requirements found in the Quality, Safety and Oversight memoranda, QSO-24-13-NH.
QSO-24-13-NH Revised Guidance for Long-Term Care Facility Assessments Released Yesterday
On June 20, 2024 by Kari Everson
The Centers for Medicare and Medicaid Services released QSO-24-13-NH providing guidance for nursing homes regarding the long-term care facility assessment requirements. LeadingAge Minnesota adapted the facility assessment from Quality Improvement Organizations to include the new requirements in a template for members. Access the Facility Assessment Tool here.
LeadingAge to File to Join Lawsuit to Halt Nursing Home Staffing Mandates Implementation
On May 30, 2024 by LeadingAge
Advancing the aggressive, multi-faceted strategy announced May 22, president and CEO Katie Smith Sloan on May 24 told members that LeadingAge intends to join the American Health Care Association lawsuit against the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS).
US House Resolution Introduced to Overturn Final Staffing Rule
On May 16, 2024 by LeadingAge
Representatives Michelle Fischbach (R-MN) and Greg Pence (R-IN) introduced a Congressional Review Act (CRA) resolution of disapproval to overturn the final minimum staffing rule. The resolution was introduced May 10, the same day the final rule was published in the Federal Register.
Minimum Staffing Rule PowerPoint Presentation for Board of Directors
On May 9, 2024 by Mark Schulz
A new resource is available to LeadingAge Minnesota members for use with their Board of Directors describing the staffing mandate from the Centers for Medicare and Medicaid Services (CMS) and includes strategic questions for their discussion.
Impact Calculations Available for Federal Nursing Home Minimum Staffing Rule
On May 2, 2024 by Jeff Bostic
A new resource is available to LeadingAge Minnesota members that allows nursing home providers to calculate the financial impact of the staffing mandate from the Centers for Medicare and Medicaid Services (CMS).
