Poll: 94% of Nurses Say Eliminating Nursing Home Staffing Rules Will Harm Patient Care

As federal officials move to eliminate proposed long-term care staffing requirements, nurses across the country are raising serious concerns about how the change could affect both patient safety and working conditions in nursing homes.

A recent Nurse.org poll* of 262 nurses asked respondents how they believe the elimination of the nursing home staffing mandate will impact resident care, nurse workloads, and the future of long-term care staffing standards. The results reveal overwhelming concern from frontline nurses.

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When asked how eliminating minimum staffing standards would affect patient and resident care quality in nursing homes, nearly all nurses predicted negative consequences.

• 94% said the rollback is likely to worsen patient/resident care quality
• 3% believe it will improve care quality
• 3% expect no impact

These results suggest that nurses largely view minimum staffing standards as essential to maintaining safe and effective care in long-term care settings, particularly for vulnerable elderly populations and those with complex medical needs.

Nurses Expect Increased Workload and Stress

Concerns weren’t limited to patients. Nurses also anticipate that the staffing rollback will directly affect their working conditions.

• 84% said the rollback will increase nursing workload and stress
• 13% believe it will decrease workload or stress
• 3% expect no change

For many long-term care nurses, staffing shortages already contribute to burnout, missed care, and moral distress. Poll respondents overwhelmingly indicated that removing minimum staffing requirements could intensify these challenges.

Strong Support for National Staffing Standards

Despite the rollback, nurses remain clear about what they believe is needed to improve long-term care.

When asked whether there should be a national minimum staffing standard for long-term care, the majority of nurses expressed strong support:

• 86% support a national minimum staffing standard
• 8% are unsure
• 6% oppose a national standard

This strong consensus highlights nurses’ belief that consistent, enforceable staffing requirements are critical to protecting both residents and healthcare workers—regardless of state or facility.

The poll also asked nurses to select TWO measures they would prioritize to ensure safe, high-quality long-term care nursing. The top responses point to systemic solutions rather than short-term fixes:

• National staffing minimums – 67%
• Better nurse recruitment and retention (higher pay and benefits) – 60%
• Improved training and staffing flexibility – 26%
• More RN hours and RN presence (rather than increased reliance on CNAs) – 24%
• Stronger state oversight and regulation – 18%

These findings suggest that nurses see staffing challenges as multifaceted—requiring regulatory standards, competitive compensation, and stronger clinical support models.

These poll results make one thing clear: nurses overwhelmingly oppose the rollback of long-term care staffing requirements and believe it puts both patients and nurses at risk.

As policymakers debate the future of nursing home regulations, frontline nurses are calling for national standards, better pay, and adequate RN staffing to ensure residents receive the safe, dignified care they deserve.

🤔Nurses, what do you think about these results? Share your thoughts below.