CMS and States Launch $275 Million Initiative to Recruit and Retain Nurses in Nursing Homes - Scorecard - MDSpire
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CMS and States Unveil $275 Million Program to Attract and Retain Nursing Home Nurses

  • By

  • Centers for Medicare and Medicaid Services (CMS)

  • October 23, 2026

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Clinical Scorecard: CMS and States Unveil $275 Million Program to Attract and Retain Nursing Home Nurses

At a Glance

CategoryDetail
ConditionNursing home nurse workforce recruitment and retention
Key MechanismsEligible participants may receive up to $40,000 toward student loans, a $10,000 stipend, or both, in exchange for a three-year service pledge.
Target PopulationNursing students, recent graduates, and licensed RNs, LPNs, and LVNs who meet program requirements.
Care SettingMedicare- or Medicaid-certified nursing homes; eligibility covers all rural nursing facilities and additional facilities in areas experiencing greater labor shortages.

Key Highlights

  • The $275 million Nurses for Nursing Homes initiative is funded by civil monetary penalties collected by CMS and states; CMS pledged $100 million and states at least $175 million.
  • The initiative is projected to assist more than 4,000 nurses and includes all 50 states and the District of Columbia.
  • Eligible participants may receive up to $40,000 toward student loans, a $10,000 stipend, or both.
  • Eligibility covers 100% of rural nursing facilities and additional facilities in areas experiencing greater labor shortages.
  • Participants must pledge to serve for three years at a qualifying long-term care facility certified by Medicare, Medicaid, or both.

Guideline-Based Recommendations

Diagnosis

    Management

    • The CMS program website allows nursing students, recent graduates, and licensed nurses to review eligibility requirements, create an account, identify vacancies, and learn how to apply.
    • At employment commencement, applicants must hold a currently valid RN, LPN, or LVN license and maintain employment of at least 30 hours per week at an eligible nursing home.
    • Applicants must have qualifying student loan debt or, if they have no qualifying debt, have graduated within the previous two years to receive a stipend.
    • Applicants must pledge to serve for three years at a qualifying long-term care facility certified by Medicare, Medicaid, or both.

    Monitoring & Follow-up

    • The source states that staffing is included in CMS's Five Star Quality Rating System.

    Risks

    • Except during the specified initial 90-day exception, applicants must not have worked in a nursing home during the 60 days before creating an account and beginning an application.
    • The initial 90-day exception, October 26, 2026, through January 24, 2027, applies to RNs and LPNs/LVNs who began work at an eligible nursing home from July 28 through October 25, 2026.

    Patient & Prescribing Data

    Not applicable; the program is intended for nursing students, recent graduates, and licensed nurses pursuing nursing-home work.

    Eligible participants may receive up to $40,000 toward student loans, a $10,000 stipend, or both, in exchange for a three-year service pledge.

    Clinical Best Practices

    • The source states that applicants must work at an eligible nursing home certified by Medicare, Medicaid, or both.
    • The source lists licensure, minimum weekly work hours, qualifying loan debt or recent-graduate status, and prior-employment requirements as eligibility criteria.
    • The CMS program website provides eligibility information, vacancy listings, and application information.

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