A major concern for advocates, nurses, and families of nursing home residents is
the quality of care they receive. Today's nursing home population is older and sicker
with more complex care needs. Nursing home staffing needs to keep up with the new
demands and changes of the resident population. The purpose of this article is to explore
nursing home staffing patterns, describe their impact on quality of care, examine nursing
home staffing costs as a barrier to adequate staffing, and suggest an alternate model for
the delivery of care in nursing homes.