MN SF2972

SF2972 Summary: Nursing Home and Assisted Living Facility Regulations

• Nursing homes and assisted living facilities must have a registered nurse onsite 24 hours per day and maintain minimum staffing of 3.48 hours per resident per day, including 0.55 hours of RN time and 2.45 hours for nurse aides; facilities face $300 daily fines for noncompliance.

• Facilities must designate a registered nurse as charge nurse for each shift and a full-time director of nursing, with an exemption process available for facilities demonstrating substantial hardship through a public comment procedure.

• For-profit entities seeking to acquire nonprofit nursing homes or assisted living facilities must provide 120 days written notice to the attorney general and health commissioners, along with detailed ownership disclosures, financial records, and building condition assessments.

• Acquiring for-profit entities must submit affidavits demonstrating financial capability, absence of litigation or criminal history in the past 10 years, no bankruptcy defaults, and a track record of maintaining or improving CMS ratings at previously acquired facilities.

• For-profit acquirers are prohibited from interfering with health care professional judgment, engaging in asset stripping or self-dealing, raising housing costs above CPI without justification, and must spend at least 75% of public funds on direct resident care; violations are enforceable by the attorney general as unfair trade practices.