I know there exists more than one thread that discuss legal staff/patient ratios, but I couldn't find any answers specifically addressing specifically:
how many SKILLED residents per licensed staff? Does the RN supervisor count if she is not involved in care/meds? Am I making sense? I found no answers on BOH or any of the state websites (PA).
I think that California may have mandated staffing ratios, but in my state and most others there is no mandated ratio. The SOM (State Operations Manual) has an F tag 353 regarding staffing, but it states, "The facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physicial, mental, and psychosocial well-being of each resident as determined by resident assessments and individual care plans." It does not specify a ratio. The only regulation that specifies a "ratio" is for RN which mandates that an RN be on duty at least 8 hours a day seven days a week under F354. Also under F354 it says, "...the determining factor in sufficiency of staff (including both numbers of staff and their qualifications) will be the ability of the facility to provided needed care for residents. If you read this regulation, it provides some guideance on "determining staffing suffiency". Example: Are staff responsive to residents' needs for assistance, and call bells answered promptly? There are more.
There is no differentiation for skilled versus LTC residents. The staffing is whatever the facility can get by with and get the job done with good resident outcomes...what a shame. Killing the staff....
Last edit by debRN0417 on Jan 10, '11