New Hampshire
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.”
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.
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.”
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.
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.
New Hampshire
Missing Berlin Motorcyclist Found Dead After Route 2 Crash: New Hampshire State Police Roundup
06/19/2026 02:16, EAST KINGSTON, BOLDUC, NATHAN RICHARD (22); ASHFORD, CONNECTICUT, 635:1,I (BURGLARY-NIGHT / HOME / WEAPON), 635:1,V (BURGLARY TOOLS-POSSESSION), 637:7 (RECV STOLEN PROP; $1501+), 637:7 (RECV STOLEN PROP; $1501+), 634:2,II (CRIMINAL MISCHIEF).
06/15/2026 19:49, RAYMOND, KETCHEN, DANA CANNEY (63); BROOKLINE, 265-A:2,I(A) (DUI-IMPAIRMENT), 264:25 (CONDUCT AFTER ACCIDENT), 265-A:2,I(B) (DUI; ADULT>.08; MINOR>.02), 172-B:3 (PROTECTIVE CUSTODY-ALCOHOL), 265-A:44 (TRANSPORTING ALCOHOLIC BEVERAGES OR MARIJUANA).
06/15/2026 21:05, GILFORD, SEXTON, JALEN R. (26); ALTON, 263:64,VI (DRIVE AFTER REV/SUS-SUBSQT), 263:64,IV (DRIVE AFTER REVOCATION/SUSPENSION; RECKLESS DRIVING), 263:1,II (LICENSE REQD; OP W/EXPIRED LICENSE W/IN 12 MONTHS OF EXPIRATION), 265:60 (SPEEDING 25 MPH OVER LIMIT OF 55 OR LESS).
06/16/2026 02:40, PORTSMOUTH, LANE, MICHAEL CORY (29); HUBBARDSTON, MA, 631:3 (RECKLESS CONDUCT), 265-A:2,I(A) (DUI-IMPAIRMENT), 265:79,I (RECKLESS OPERATION).
06/16/2026 17:16, GILFORD, COSTARELLI, ROBERT L. (55); EAST BRIDGEWATER, MA, 631:2-B,I(A) (DV; SIMPLE ASSAULT; BODILY INJURY OR PHYSICAL CONTACT), 634:2,III (CRIMINAL MISCHIEF).
New Hampshire
Concord City Manager Receives ‘Satisfactory’ Review, 2.5% Raise, But Sabbatical Request Gets Trimmed
Schultz said she “highly respects” Aspell, too, but there was a “dissonance between reality” when eyeing what the public and city employees were earning.
Ward 6 City Council Aislinn Kalob, too, would not be voting for the increase, saying it had been “heavily on my mind since we’ve had our nonpublic sessions,” which lasted about six hours of work. She appreciated Kretovic clearly outlining the job of city manager. But people were frustrated with the city manager, and she saw that in the comments in online forums.
“I do feel, after really digging into this, and learning about his job,” she said, “and thinking toward the future when, eventually, at some point, somebody new will be sitting in that seat, we are the ones who direct policy and he is the one that implements it… there is anger out there that should be directed more toward us.”
Kalob said, too, a room full of firefighters, upset about their contract, also made voting for the wage increase something she could not consider.
Michele Horne of Ward 2 echoed similar concerns to Schultz, saying there was significant “wage disparity” between the public and staff and the city manager. She also agreed with Kalob’s point that previous councils created this contract.
Sunflowers are my absolute FAVORITE flowers. I truly feel like they have magical uplifting abilities. Hence, why I’ve always kept fresh sunflowers in my house, brightening up my kitchen table or even my TV stand.
Obviously, it was a dream of mine to have my maternity photos taken in a sunflower field. They reflect sunshine and exude happiness.
Not to mention, one of my favorite quotes is about sunflowers! “Keep your face to the sunshine and you cannot see the shadow. It’s what sunflowers do.” Helen Keller
A beautiful reminder to keep an optimistic outlook on life and not dwell on the negative.
So, you can imagine the joy I felt when I learned that New Hampshire had its very own Sunflower Festival at Coppal House Farm in Lee!
About the Sunflower Festival:
During the summer, the farm transforms into a sea of golden blooms, giving visitors the chance to wander through thousands of sunflowers, snap photos, enjoy local food vendors, artisan crafts, listen to live music, and experience one of New Hampshire’s most beautiful summer traditions.
Other unique activities on the itinerary? Sip-n-snip! Guests can enjoy a cocktail or mocktail of their choice and cut their own fresh bouquet of flowers.
Or maybe you’re a yoga fan? You can join a 60-minute sweat session from Lee, New Hampshire yoga instructors right in the heart of the flower field.
And because the farm grows oilseed sunflowers for culinary oil (which they harvest in the fall months), the flowers only stay at their peak for a brief window, making the festival a limited-time experience, according to the festival organizers…
What makes this event even more special is the reason behind it. The festival started as a way to share the beauty of the sunflower fields, but it has grown into something much bigger. Organizers say the event has raised more than $90,000 for Make-A-Wish New Hampshire over the years and now shares a portion of its proceeds with several local nonprofit organizations serving the Seacoast community.
Anyone who knows me knows that paying it forward is something that’s incredibly important to me. It’s right up there with my love of sunflowers because both fill my cup in the best way. So, when I found out this festival celebrates my favorite flower and gives back to the community, I knew I had to share it.
Sunflower Festival Details:
This festival only runs from Saturday, July 25th until Sunday, August 2nd. You can get the full list of activities and more on the Coppal Farm website.
Daily Field Hours
10:00 AM – 6:30 PM
(last admission at 6PM because fields close at 6:30)
Weekend Tickets (prepurchased online – day before)
$12 per person ages 13 & older
$10 per person ages 5-12
$10 per person Seniors (65+) & Military
4 yrs & under are always free
Weekend Tickets (purchased day of – online or at farm):
$16 per person ages 13 & older
$14 per person ages 5-12
$14 per person Seniors (65+) & Military
4 yrs & under are always free
includes: access to sunflower fields, craft fair, food vending area, tented shade area, picnic area, farm animals, & live music
Weekday Tickets (prepurchased online – day before)
$8 per person ages 13 & older
$6 per person ages 5-12
$6 per person Seniors (65+) & Military
4 yrs & under are always free
Weekday Tickets (purchased day of – online or at farm)
$12 per person ages 13 & older
$10 per person ages 5-12
$10 per person Seniors (65+) & Military
4 yrs & under are always free
What tickets include:
Access to sunflower fields, food vending area, tented shade area, picnic area, and farm animals
READ MORE: A Classic Fairy Tale Comes To Life At Portsmouth’s Prescott Park This Summer
This festival might just leave you smiling long after you leave the fields!
What Flowers Thrive in New England
See what flowers thrive in New England weather: Maine, Massachusetts, and New Hampshire.
Gallery Credit: Logan
14 of the Best New Hampshire Farms Offering Locally Grown Strawberries
14 of the Best New Hampshire Farms Offering PYO Strawberries
Gallery Credit: Sarah Sullivan
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