CNA ratios by state

  1. 1
    This makes me kind of peeved. A fellow co-worker asked me if there were state or federal mandated ratios for CNA to Patient in a hospital or LTC setting. I pride myself on being pretty well informed and did a bit of research. My research uncovered horror! I hate to stir folks up, but I thought I should post this)

    What is really sad is that some of the few states that do have ratios also include RNs/ LPNs, etc who WILL NOT do "aide" work. (Dont flame me RN/LPNs .. some of yall may help from time to time,
    but for the rest of us it is all on us as far as changing/turning/ etc... and the "I-did-not-get-a-degree-to-wipe-buttocks attitude very common. "If we have to touch patients we don't need you..)

    Staffing ratios- CNA/Resident– per state:
    AK NONE
    AL NONE
    AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)
    AZ NONE
    CA NONE
    CO NONE
    CT NONE
    DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15
    DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15
    FL NONE
    GA NONE
    HI NONE
    IA NONE
    ID NONE
    IL NONE
    IN NONE
    KS NONE
    KY NONE
    LA NONE
    MA NONE
    MD NONE
    ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)
    MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15
    MN NONE
    MO NONE
    MS NONE
    MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**
    NC NONE
    ND NONE
    NE NONE
    NH NONE
    NJ NONE
    NM NONE
    NV NONE
    NY NONE
    OH 1:15
    OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15
    OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20
    PA NONE
    RI NONE
    SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22
    SD NONE
    TN NONE
    TX NONE
    UT NONE
    VA NONE
    VT NONE
    WA NONE
    WI NONE
    WV NONE
    WY NONE
    Last edit by ctmed on Jan 11, '10 : Reason: posted link but had to copy/paste
    SeattleJess likes this.

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  2. 16 Comments...

  3. 2
    I live in Florida and just quit my cna job in a Nursing Home 21 patients just me and a 16 year old with no training usually just 2 cna's per shift on 11 to 7 just one
    SeattleJess and Autymnfyres like this.
  4. 2
    This is SCARY!

    I'll honestly say most of the "regulated" night shift ratios listed above are better than the actual day shift ratios at some facilities I've worked at!

    . . .and they wonder why LTC always gets slapped with neglect lawsuits!!
    SeattleJess and Autymnfyres like this.
  5. 2
    The nursing home where I did my clinicals gave each CNA 12 patients each in the morning and afternoon.
    SeattleJess and Autymnfyres like this.
  6. 2
    Quote from ctmed
    This makes me kind of peeved. A fellow co-worker asked me if there were state or federal mandated ratios for CNA to Patient in a hospital or LTC setting. I pride myself on being pretty well informed and did a bit of research. My research uncovered horror! I hate to stir folks up, but I thought I should post this)

    What is really sad is that some of the few states that do have ratios also include RNs/ LPNs, etc who WILL NOT do "aide" work. (Dont flame me RN/LPNs .. some of yall may help from time to time,
    but for the rest of us it is all on us as far as changing/turning/ etc... and the "I-did-not-get-a-degree-to-wipe-buttocks attitude very common. "If we have to touch patients we don't need you..)

    Staffing ratios- CNA/Resident– per state:
    AK NONE
    AL NONE
    AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)
    AZ NONE
    CA NONE
    CO NONE
    CT NONE
    DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15
    DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15
    FL NONE
    GA NONE
    HI NONE
    IA NONE
    ID NONE
    IL NONE
    IN NONE
    KS NONE
    KY NONE
    LA NONE
    MA NONE
    MD NONE
    ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)
    MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15
    MN NONE
    MO NONE
    MS NONE
    MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**
    NC NONE
    ND NONE
    NE NONE
    NH NONE
    NJ NONE
    NM NONE
    NV NONE
    NY NONE
    OH 1:15
    OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15
    OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20
    PA NONE
    RI NONE
    SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22
    SD NONE
    TN NONE
    TX NONE
    UT NONE
    VA NONE
    VT NONE
    WA NONE
    WI NONE
    WV NONE
    WY NONE


    Can anyone tell me where I would find the source for these? I'd like to be able to keep current on my state. THANKS!
    SeattleJess and Autymnfyres like this.
  7. 2
    Quote from cookderosa
    Can anyone tell me where I would find the source for these? I'd like to be able to keep current on my state. THANKS!
    This appears to be the original source that the OP used:

    Nursing Assistant Resources On The Web Staffing Ratios: Each State

    I Googled for the staffing ratios but wasn't able to find anything very recent. The best I found was this study:

    http://aspe.hhs.gov/daltcp/reports/8state.htm

    Perhaps you could call your state's BON and ask if they have more current information regarding the ratios?
    SeattleJess and Autymnfyres like this.
  8. 1
    Quote from CoffeemateCNA
    This appears to be the original source that the OP used:

    Nursing Assistant Resources On The Web Staffing Ratios: Each State

    I Googled for the staffing ratios but wasn't able to find anything very recent. The best I found was this study:

    http://aspe.hhs.gov/daltcp/reports/8state.htm

    Perhaps you could call your state's BON and ask if they have more current information regarding the ratios?

    Thanks for your quick reply!! This is very helpful
    SeattleJess likes this.
  9. 1
    The ratios you wrote for Oregon aren't correct. They are Days 1:7 Evening 1:11 Nights 1:19

    I don't know about other facilities but the facility I work for has 1:7-8 on days, 1:7-8 on evenings, and 1:15 at night. The eighth person is always someone fairly independent, and they just lowered the ratio by one person, and there is always alot of nurses and med aides, so I don't think they're outside the law.
    SeattleJess likes this.
  10. 2
    Figures that MD wouldn't be mandated. Ugh...
    SeattleJess and Lad2004 like this.
  11. 1
    I just began working at a Rehab facility in Washington specializing with brain injury. The ratio of NAC/CNA is 1 to 14-18 residents. All of them are incontinent and highly dependent.
    SeattleJess likes this.


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