More than 7 in 10 nursing homes would not meet a staffing requirement recommended in a 2001 report commissioned by the Centers for Medicare and Medicaid Services. The Biden administration is soon expected to make every facility have enough trained staff to provide high-quality care, though operators say they can't hire enough people in the aftermath of the pandemic. There were more than 15,000 nursing homes certified by Medicare or Medicaid with nearly 1.2 million residents as of 2022.