Pennsylvania already regulates nursing home staffing levels, and this summer rolled out the most significant update of these rules in decades. Since July 1, the Pennsylvania Department of Health has required all long-term care facilities to provide 2.87 hours of direct care to each resident daily, up from the 2.7 hours of daily direct care had to provide prior. The hours of care are not divided by type of provider. A bigger jump to 3.2 hours of direct care per day is scheduled to go into effect in Pennsylvania on July 1, 2024.