Connect with us

New Hampshire

Most NH nursing homes won’t meet new federal staffing rule and doubt they can

Published

on

Most NH nursing homes won’t meet new federal staffing rule and doubt they can


A new analysis from one of the country’s leading health policy research organizations confirms what the state’s long-term health care providers have warned: The state’s nursing homes don’t have nearly enough staff to meet the Biden administration’s new staffing rule.

According to KFF’s analysis released last week, just 26 percent of New Hampshire’s long-term care nursing facilities, 19 of 73, could meet a new rule from the Centers for Medicare and Medicaid Services with current staffing. KFF noted that CMS has estimated that closing the staffing gap will be costly for the country’s nursing homes: $43 billion in the 10 years after the final rule takes effect.

“It’s just impossible, especially in a rural state like New Hampshire,” said Brendan Williams, president and CEO of the New Hampshire Health Care Association. “You just can’t find those people. You can’t find the licensed nursing assistants. You can’t find the registered nurses.”

Advertisement

Patients and their families have told CMS they support the rule as a means to improve patient care. A Milford clergyperson was among those who submitted nearly 50,000 comments on the rule after it was first proposed in 2023.

“I have witnessed first hand the difficult conditions in various nursing homes due to inadequate staffing levels,” wrote the Rev. Hays Junkin. “This is tragic; our seniors and those who care for them deserve a safe and well staffed residence. I urge you to push for adequate staffing and ignore the nursing home industry’s opposition.”

The Centers for Medicare and Medicaid Services’ current staffing rule requires 24-hour clinical staffing and sets standards for patient care but leaves facilities discretion on staffing specifics. For example, in most cases a facility must employ a registered nurse for at least eight consecutive hours a day, 7 days a week.

The new rule, which is set to take effect in 2026 for urban facilities and 2027 in rural sites, requires a nurse to be on duty 24 hours a day, seven days a week. Each patient must receive 33 minutes of care a day from a registered nurse and 147 minutes of care from a nurse aide. Facilities could request “hardship” exemptions if they met several requirements.

Advertisement

The KFF analysis found that New Hampshire is closest to meeting the registered nurse staffing requirement with 79 percent of facilities able to provide each patient 33 minutes of care from a registered nurse each day. Only 30 percent of facilities meet the requirement for nurses’ aides, it found.

Williams said CMS’s new “one-size-fits-all” staffing rule ignores New Hampshire’s “hellscape of a workforce crisis” and the scarcity of affordable housing and child care that makes recruiting new workers difficult. Added to that, the state’s unemployment rate is low, and Medicaid reimbursement rates fail to cover the cost of providing care, he said.

Nursing facilities across the state are already limiting admissions because they don’t have the staff to fill all their beds. Williams said meeting the new staffing rule will leave long-term care facilities with no good options. The state and counties would have to increase taxes. Private facilities would have to charge more. Or, facilities will close.

The rule’s critics include U.S. Rep. Chris Pappas, who joined a number of other members of Congress in voicing concerns to CMS twice in 2023, before the rule was finalized, about the impact to nursing facilities.

“We believe the rule as proposed is overly burdensome and will result in additional closures and decreased access to care,” he wrote. It continued: “We recognize CMS as a crucial partner in identifying, mitigating, and preventing future health and safety problems in nursing homes. We stand ready to work with your agency on proposals to improve long-term care for patients.”

Advertisement

In an email last week, Pappas said he continues to have concerns and is disappointed CMS did not incorporate the feedback he passed on from worried health care providers in New Hampshire.

“I have the utmost faith and confidence in the health care workers of New Hampshire who do incredible work to keep our communities healthy, and I remain committed to supporting access to high quality care for individuals residing in nursing home facilities,” Pappas said.

He added: “Without additional support from Congress and CMS for our long-term care facilities and seniors, these new regulations have the potential to seriously impact a long-term care system already under tremendous strain. We must provide long-term care facilities with the resources and funding to stay open, recruit and retain a strong workforce, and provide residents with the best care possible.”

Gov. Chris Sununu has raised concerns, too, and joined 14 other governors in 2023 in calling on the Biden administration to abandon the rule.

Sens. Jeanne Shaheen and Maggie Hassan were two of three Democrats to join nearly 20 Republicans and independents that year in urging CMS to pause and rethink the rule.

Advertisement

A spokesperson for Hassan’s office said she and Shaheen are evaluating changes to the rule CMS has made since first introducing it.

Those include a phased-in approach to give facilities more time to complete initial staffing assessments; a new exemption for facilities that would not be able to fulfill the registered nurse requirement; and clarification that physician assistants, physicians, and other supervisory clinical staff can play a role in fulfilling staffing requirements.

A message to U.S. Rep. Annie Kuster’s office was not returned.

The Bulletin could not reach the state’s long-term care ombudsman. Jake Leon, spokesperson for the Department of Health and Human Services, said the agency has not heard much from the public about the new rule. He said the department’s Bureau of Health Facilities will monitor facilities for compliance once the rule is in place.



Source link

Advertisement

New Hampshire

Nashua man dies after car crash and fire on Route 101 in Candia, investigation ongoing

Published

on

Nashua man dies after car crash and fire on Route 101 in Candia, investigation ongoing


CANDIA, NH (WGME) – Early Monday morning, a Nashua man died following a crash on Route 101 eastbound in Candia, New Hampshire.

Joseph H. Lavoie, 58, of Nashua, had been driving along Route 101 eastbound near Exit 3 when he lost control of his car, resulting in a drift off the right side of the highway before striking the cement bridge at the Old Candia Road overpass.

State troopers arrived at the scene to find Lavoie’s car on fire, though several passing drivers had helped to pull Lavoie out of his car. The fire was quickly extinguished.

Lavoie was taken to the hospital where he later died from his injuries.

Advertisement
Comment with Bubbles

JOIN THE CONVERSATION (1)

The crash remains under investigation. Anyone with information that may assist the investigation is asked to contact Trooper Kevin LeDoux via email at Kevin.P.LeDeoux@dos.nh.gov.



Source link

Advertisement
Continue Reading

New Hampshire

New Hampshire’s Energy Landscape in 2025 – Concord Monitor

Published

on

New Hampshire’s Energy Landscape in 2025 – Concord Monitor


The biggest national news in 2025 often involved energy — how to make it, who gets to use it, who is going to need it. New Hampshire has sidestepped most of those questions so far but still saw plenty of energy news.

Goodbye, coal

The closing of the Merrimack Station power plant in Bow sounds like New Hampshire’s biggest energy news of the year and got a lot of national coverage along the lines of “New England shuts down coal!” but to be honest, it didn’t make much difference. The plant had been winding down for years, having run for fewer than 30 days in 2024, and would almost certainly have shut in a year or so because it lost what is known as capacity funding.

The more interesting question is what will replace it. Granite Shore Power President Jim Andrews has long touted plans to turn Merrimack Station, as well as the long-closed Schiller site in Portsmouth, into 21st century power plants using batteries and solar power, with perhaps some offshore wind assembly on the shores of the Piscataqua River.

Advertisement

But Donald Trump was elected and promptly began to trash wind and solar power, yanking subsidies and throwing up regulatory roadblocks. Granite Shore now says it is looking at all possibilities.

Both sites have excellent connections to the power grid, which makes them very valuable.

We need more electricity

New Hampshire, like New England in general, have not been swamped with proposals to build massive, power-hungry data centers for bitcoin mining and artificial intelligence. Those proposals have led to forecasts that national demand for electricity will spike by a quarter or more within a few years.

ISO-New England, the group that runs the six-state power grid, projects an 11% increase in electricity demand over the next decade, largely driven by the electrification of heating and transportation. That’s a lot, especially after years of stagnant demand, but it’s not panic-inducing.

Sidestepping regulation

New Hampshire is set to become the first state to allow energy providers to skip most utility regulation if they don’t connect to the grid. Supporters say it adds much-needed flexibility to the hidebound energy industry while critics call it a sop to very large energy users, such as data centers. It’s not clear how much it will be used, but it’s an interesting experiment, at least.

Advertisement

Community solar OK, wind not so much

The Republican-controlled legislature isn’t quite as anti-solar power as President Trump but it shows a lack of enthusiasm for renewable energy. They passed a bill loosening stormwater runoff rules for solar arrays but tightened the Renewable Energy Fund and as the year ended, they were looking to make severe changes to the Renewable Energy Portfolio.

On the other hand, there’s community solar. Thanks to a series of bills over the past few years, arrays up to 5 megawatts can share production with multiple customers, making big projects that opened or are being built in Exeter, Bedford, Derry, Warner and now Concord financially feasible. It seems likely that 2026 will set a record for the most solar added to the grid in New Hampshire. If the legislature would let private companies be community-solar customers, we’d do even better.

As for wind power, legislators echoed Trump’d hatred of the industry. Gov. Ayotte agreed to shorten the name of the Office of Offshore Wind Industry Development and Energy Innovation to simply the Office of Energy Innovation as part of removing virtually all support for wind power on land or in the sea. Not that we gave much support to begin with.

Ironically, this month saw New England receive a record amount of power from wind turbines — more than 1,600 megawatts at one point — as the Vineyard Wind offshore farm finally got up to speed.

What about natural gas? Nuclear? Heating oil?

As has been the case for many years, natural gas was the fuel to supply about half of New England’s electricity in 2025 and heating to about one-fifth of New Hampshire’s homes.

Advertisement

Many politicians are making noises about building more pipelines to bring in more natural gas from New York or Pennsylvania; Gov. Ayotte expressed support for bringing the proposed Constitution Pipeline, which was killed in 2020, back to life. Many argue that such work would be prohibitively expensive and make the region even more dependent on a single type of fuel.

Natural gas has traditionally been very cheap compared to other types of fuel but its price is increasingly affected by global patterns because of an increase in exports.

A separate question is whether the push to electrify the region’s heating can cut into our use of heating oil. Northern New England is by far the national leader in using that dirty fuel for heating; switching to electric heat pumps is almost always cheaper and definitely cleaner. New Hampshire is one of five states in the New England Heat Pump Accelerator, which looks to spend $450 million from Joe Biden’s 2022 Inflation Reduction Act to encourage more heat pumps.



Source link

Advertisement
Continue Reading

New Hampshire

FAA investigating after small plane crashes into New Hampshire condominiums

Published

on

FAA investigating after small plane crashes into New Hampshire condominiums


NASHUA, N.H. (AP) — A pilot was taken to the hospital with injuries Wednesday after a small plane crashed into a residential neighborhood in southern New Hampshire, authorities said.

Emergency crews found the aircraft upside down in a snow bank in the parking lot of a wooded condominium complex in Nashua Wednesday afternoon.

Police said the pilot was the only person on board and was the only person injured. The Federal Aviation Administration is investigating.

The Velocity V-Twin plane crashed at the Cannongate Condominiums shortly after departing from the nearby Nashua Airport around 2:10 p.m. local time, according to the FAA.

Advertisement

Aerial video from NBC10 Boston showed damage to the roof of one of the condos near the crash site.



Source link

Continue Reading

Trending