A bill for an act relating to nursing facility staffing requirements.

SF 527 is a bill that sets staffing requirements for nursing facilities in Iowa. It mandates a minimum of 0.55 hours per resident per day for registered nurses and 2.45 hours per resident per day for nurse aides, requires a registered nurse to be on-site 24/7, and specifies that facilities must verify nurse aides' qualifications through competency evaluations and state registries. The bill also establishes a process for facilities to request waivers if they cannot meet staffing levels due to recruitment challenges, while ensuring resident safety through annual department reviews and resident notification. These requirements directly affect all nursing facilities operating in Iowa.