![]() If the facility closed, many residents likely would be transferred to larger nursing homes in the city of Lincoln, a 40-minute drive northwest, or Omaha, which is an hour northeast. Staffers often care for their former teachers, coaches, and babysitters. Most of the nursing home's 46 residents are from the area. It would need to hire several more aides and an overnight registered nurse to meet the requirements. ![]() Its red-brick nursing home sits near a cemetery, a hearing aid store, and a tractor dealership. Syracuse, which has about 1,900 people, serves a farming region in southern Nebraska. The proposal would not affect assisted living centers, which are designed to care for people with less severe health problems. They blame the industry for letting its staffing problems fester for decades, and many hoped the federal proposal would be more stringent. Patient-safety advocates have long pressed the government to impose such standards to prevent neglect of nursing home residents. Regulators estimate 1,358 rural nursing homes, including 58 in Nebraska, would need to add nurses to meet that standard. The proposal also would require around-the-clock coverage by at least one registered nurse at every nursing home. 1, is intended to ensure higher-quality care by requiring a minimum number of hours of average daily staffing per resident, including 2.5 hours from certified nurse aides and 33 minutes from registered nurses. The Biden administration proposal, released Sept. "Are they overworked? Probably," she says. Lana Obermeyer, whose mother lives there, says employees take good care of residents. It is running at barely half its licensed capacity, and managers say they've been turning away prospective residents because they can't find enough staff to care for more. The facility is the town's lone nursing home. Some families that rely on the Good Samaritan Society home in Syracuse, Nebraska, fear the regulation could hasten its demise. ![]() Facilities also could apply for "hardship exemptions." But industry leaders predict the rules could accelerate a wave of closures that has already claimed hundreds of rural nursing homes. Rural nursing homes would have five years to comply with some of the rules, versus three for their urban counterparts. The national debate over that question will heat up now that federal regulators have proposed to improve care by setting minimum staffing levels for all U.S. Many rural communities like this one face a health care dilemma: Is it better to have a nursing home that struggles to hire workers or no nursing home at all?
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