Pennsylvania State Regulations Revised – Effective Date July 1, 2023

The Pennsylvania state regulations have been revised for the first time in many years. These revisions include a stepped adjustment to required staffing mandates. The revised staffing mandates include both a PPD adjustment as well as inclusion of ratio requirements for RN, LPN and CNA staffing. Both must be achieved for compliance. Several updates were also made to update definitions to current terms and to align with federal and/or OAPSA definitions.


The revised state regulations, an education power point reviewing the regulations, regulation guidelines and FAQs regarding the revised regulations can be found on the PA state Department of Health website at Regulations (