FL H0569

Remove the combined 3.6-hour minimum staffing requirement for certified nursing assistants and licensed nurses, replacing it with separate minimums of 2.9 hours for certified nursing assistants and 1.0 hour for licensed nurses per resident per day.

Maintain minimum staffing floor ratios of one certified nursing assistant per 20 residents and one licensed nurse per 40 residents.

Allow licensed nurses to count toward certified nursing assistant staffing requirements if they exclusively perform nursing assistant duties for an entire shift, with time allocation tracking required if dual-duty arrangements are approved.

Require nursing facilities to submit semiannual reports on staff-to-resident ratios, turnover rates, and staff stability, with an admissions moratorium imposed if facilities fail to meet minimum staffing standards for 2 consecutive days until 6 consecutive days of compliance is achieved.

Modify citation standards to allow deficiency citations for non-conditional license facilities only when standards are failed for 2 consecutive days or when 97 percent of standards are not met on any single day.