Skilled Nursing Facilities · New York
Where does your facility stand?
The walkthrough takes 30 minutes and produces a written, quarter-by-quarter HPRD assessment. No cost, no commitment. You keep the document either way.
$4.2M+
assessed against 20 facilities in DOH's first penalty cycle, Feb 2026
$2,000/day
maximum penalty for each quarter out of compliance
Quarterly
how DOH measures compliance, from your PBJ submissions
Two fronts, one agreement
The mandate is enforced on math you can change shift by shift and on documentation you can put in place this week.
VitalStaf places credentialed RNs, LPNs, and CNAs across Nassau, Suffolk, Queens, and the wider NYC metro per diem coverage scheduled against your census and your quarter, not open-ended blocks.
Because New York rewards facilities that keep long-run agency utilization low, our model is built around temp-to-perm conversion and surgical gap coverage. We're structured to get you compliant, then be needed less.
In penalty determinations, DOH evaluates a facility's documented recruitment and retention efforts, and has identified executed contracts with recruitment and staffing firms among the qualifying evidence, with reductions of up to one-third available per category where sufficient effort is shown.
A staffing agreement is operational relief and a documented effort at once. Our invoicing breaks out hours by role and by day, so your PBJ submissions capture every agency hour you've paid for.
How the walkthrough works
Step 1
Thirty minutes with you or your DON units, census, scheduling patterns, call-out reality.
Step 2
Your reported PBJ position, quarter by quarter, against all three components of the mandate.
Step 3
A written staffing-gap assessment with shift-level numbers. Yours whether or not we ever work together.
Common questions
New York Public Health Law requires nursing homes to deliver a minimum of 3.5 hours of nursing care per resident per day and that every quarter with set minimums for RN, LPN, and CNA hours.
Yes. Temporary, agency, contract, or per diem nurse and aide hours count toward your facility's average as long as they are properly captured in your PBJ submissions for the quarter.
DOH considers documented recruitment efforts during the quarter when determining the penalty. A signed staffing agreement and documented fill activity is evidence of good-faith recruitment efforts to close a gap.
Our pre-credentialed pool in the NYC metro area allows us to deploy credentialed RNs, LPNs, and CNAs to fill per diem shifts, often with as little as 24 to 48 hours' notice.
