LTC State Staffing Tables Jan.2008

In my state, staffing ratios haven't changed since the 1970s, when many nursing-home residents were still ambulatory and cognitively intact for the most part.

If it were up to me, I'd mandate staffing ratios of 1:5 for CNAs and 1:15 for nurses. Guess that's why I'll never strike it rich in this field!

Eye-opening reading ... thanks.

OMG!!!! PA doesn't seem to require much. I do agency in a LTC that has 2 units, one has 39 residents(1 RN and 1 LPN on days and eves, 1 RN night) and 5 CNAs days and 4 CNAs eves and 2 CNA on nights and the other unit has 47 residents and is staffed with 2 LPNs on days and eves and 1 LPN on nights. and 3 CNAs on days, 2 CNAs on eves and nights

I go to another LTC and they are only 37 beds and they have 1 RN and 1 LPN on days and eves and 1 LPN on nights..... not sure about the CNAs --- they haven't been without empty beds when I am there so they have some working part shifts, coming and going... makes me crazy because I never know how many staff I have....

Either way..... these are bare bones numbers, and if anyone calls off..... it is not a good shift.

Faye

I live in Florida. The staffing ratios are preety good, but when our staffing is low, they can and do use activities, restorative and management hours to bring up the numbers.

I live in Oregon as a CNA and we do have the max on days - I have 10 residents a day and I think its ridiculous. Starting I believe in April they are lowering our ratios to 8 and then next year it will be 7 - the state that is. It is hard enough to do the basic care with 10 nevertheless the extras such as nails, but we try....

ok, Do you think that taking care of that many pts is safe nursing? You can`t tell me that you don`t short cut on nursing? I just get amazed that this is allowed to continue. This is shameful. That medicare comes up with such numbers. The pt.s are shorted everytime. This is not nursing this is cattle farm care!But lets speng billions of dollars on other countries who in the end could care less about us!

Just a few years ago many of these people would be in the hospital.
IV medications and such with only ONE licensed nurse required for up to 59 patients!
unsafe and inhumane!

Well the ratio has changed but it is based on census so some days I may have 10 some days 8 or it can changed periodically as residents go out to the hospital or what not, I think that it's a hard enough job for nursing staff in general and the shortages. I have been off of work for 4 days for an abcess and they still call me (besides my doctors note) to come in even though I can't lift anything. We are in this field because we love it but it is hard to be motivated about it when you work 8 days straight and doubles because everyone else is overworked or we're understaffed.

I`m sorry kids ,but the reembursement just dosn`t cover from Medicare and such.BUT they have no prob. sending BILLIONS over to other countries. WHEN will the silent majority wake up and stop this and start taking care of those who have been paying that. It is a disgrace that I have to run my butt off to pass meds to 24 very acute pts. and I have a LPN who is doing all the treatments and two aids who you can`t find half the time. Then management can`t` understand why we have falls. Then comes up with this brillant idea that to have a contest to help reduce falls.HELLO, maybe more eyes and hands on the floor would help. I had asked for getting people to work as walkers, with their sole duty is that of just getting pts up and help them walk safely.I have come to discover that in nursing there is alot of higher educated (queen bee`s) talking about evidence based practice. Its simple girls! There needs to be more worker bee`s to make the hive safer. One of the mistakes that is taking place is this push to have higher degree nurses and thus there will be better care. DA-A-A, give me just simple help, to care for these pts. We need to get back to basics.