i have worked in ltc care for many years,first as a nurse aide, then charge nurse, weekend manager, department head, andnow as a national consultant. atcapacity that would be too heavy of a load, period. if your census right now is around 15, it couldbe manageable. anything more than 15 istoo much for just two staff persons. remember you are providing all of the nursing care for those residentsas you outlined above.
secondly, go to www.nursinghomecompare.gov
thatis the cms (centers for medicare and medicaid services) website. look in depth at the staffing score. it ranges from 1-5 stars. you can be a 4 star facility with 1 starstaffing. the annual state survey setsthe benchmark for the 5 star rating system, which is what you saw on thewebsite you mentioned earlier. the othertwo parts to the five star system are staffing, specifically rn staffing, and qualitymeasures/quality outcomes. staffing andqi/qm’s can raise or lower your score.
thirdly, what shift will you be working? days? evenings? nights? each shift has inherent issues of itsown. if you will be on the night shift,two staff persons would be appropriate. however, think about this, most of the medications and treatments fallto the day shift nurse and the majority of new admissions come on evening shift………thatspells busy! i would ask to interviewsome of the current nurses and see how they enjoy working there. this is your career, your license, yourlife. be proactive and in control.
lastly, don’t be so anxious to work as anurse that you take the first offer that comes your way. i have found that in waiting a few weekslonger a better work environment was waiting just for me.
please re-post and let us know if you takethe position or not.
m. gale, rn, msn, rac-ct