Does anyone know where I can find the nurse staffing ratios for Missouri LTC facilities? I am specifically interested in midnight shift staffing requirements. We have 42 residents.

If you know, please post the link here. Thanks so much!

The Missouri Department of Public Health should have the guidelines on their website. The State guidelines are the mininum requirements for LTC staffing. The Illinois guideline is a formula that figures in the acuity of the care for the residents. I'm assuming that all States have the same type of requirements. Hope this helps.

i believe in Missouri, they go by regional departments... this last facility i worked for tried to tell me that 1 cna, 1 med tech, and 1 lpn was efficient for state on a hall of 35 total care residents on the 2-10 shift... WE (us cna's) argued the point that we needed 4 full time cna's on that hall to get our work done efficiently. There was just absolutely no way we could with 3 cna's, let alone 2. I mean how does 2 aides get 35 total care residents up and ready for supper in one hour? especially if the dayshift crew leaves us 4 showers? It was a headache most days i was there. Im glad its behind me... I did hear that they were getting better staffed, but i wonder if it was just because all of us "dependable" aides had finally quit.

The place i'm working for now- We have an area with maybe 80 residents, and most nights (midnights) have 3 aides on the weekends, but usually 4-5 during the week.