So...what is the normal CNA to resident ratio?

And how do they arrive at that number?

We have between 20 and 25 residents. There is one CNA from 0700-1900, one medication assistant from 0700-1400, a restorative aide from 0900-1700, and a CNA from 1900-0700. The restorative aide isn't there a lot becasue she also does transports to appointments and we average three appointments a day. We are an hour from the nearest hospital, an hour from the nearest clinic, and two hours from the nearest specailist of any sort, so any appointment takes a lot of time. There is one LPN in the building 24/7 and an RN 8 hours a day, but she is the DON and is rarely if ever on the floor.

Isn't there some sort of forlmula for determining how much staff a facility should have?

Editing to add...our night shift also does all of the laundry for the facility. We also have to do a lot of the housekeeping and if a resident has an early appointment, we have to fix their breakfast...a HOT breakfast and NOT just something like hot cereal. Trying to fix sausage, eggs, toast, fruit, juice, and coffee is not easy when you are trying to get everyone up for breakfast and give meds to over half of the residents.