CNA ratios by state

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Specializes in PACU, LTC, Med-Surg, Telemetry, Psych.

This makes me kind of peeved. A fellow co-worker asked me if there were state or federal mandated ratios for CNA to Patient in a hospital or LTC setting. I pride myself on being pretty well informed and did a bit of research. My research uncovered horror! I hate to stir folks up, but I thought I should post this)

What is really sad is that some of the few states that do have ratios also include RNs/ LPNs, etc who WILL NOT do "aide" work. (Dont flame me RN/LPNs :) .. some of yall may help from time to time,

but for the rest of us it is all on us as far as changing/turning/ etc... and the "I-did-not-get-a-degree-to-wipe-buttocks attitude very common. "If we have to touch patients we don't need you..)

Staffing ratios- CNA/Resident– per state:

AK NONE

AL NONE

AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)

AZ NONE

CA NONE

CO NONE

CT NONE

DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15

DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15

FL NONE

GA NONE

HI NONE

IA NONE

ID NONE

IL NONE

IN NONE

KS NONE

KY NONE

LA NONE

MA NONE

MD NONE

ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)

MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15

MN NONE

MO NONE

MS NONE

MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**

NC NONE

ND NONE

NE NONE

NH NONE

NJ NONE

NM NONE

NV NONE

NY NONE

OH 1:15

OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15

OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20

PA NONE

RI NONE

SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22

SD NONE

TN NONE

TX NONE

UT NONE

VA NONE

VT NONE

WA NONE

WI NONE

WV NONE

WY NONE

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I live in Florida and just quit my cna job in a Nursing Home 21 patients just me and a 16 year old with no training usually just 2 cna's per shift on 11 to 7 just one

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This is SCARY! :eek:

I'll honestly say most of the "regulated" night shift ratios listed above are better than the actual day shift ratios at some facilities I've worked at!

. . .and they wonder why LTC always gets slapped with neglect lawsuits!! :banghead:

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The nursing home where I did my clinicals gave each CNA 12 patients each in the morning and afternoon.

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This makes me kind of peeved. A fellow co-worker asked me if there were state or federal mandated ratios for CNA to Patient in a hospital or LTC setting. I pride myself on being pretty well informed and did a bit of research. My research uncovered horror! I hate to stir folks up, but I thought I should post this)

What is really sad is that some of the few states that do have ratios also include RNs/ LPNs, etc who WILL NOT do "aide" work. (Dont flame me RN/LPNs :) .. some of yall may help from time to time,

but for the rest of us it is all on us as far as changing/turning/ etc... and the "I-did-not-get-a-degree-to-wipe-buttocks attitude very common. "If we have to touch patients we don't need you..)

Staffing ratios- CNA/Resident- per state:

AK NONE

AL NONE

AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)

AZ NONE

CA NONE

CO NONE

CT NONE

DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15

DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15

FL NONE

GA NONE

HI NONE

IA NONE

ID NONE

IL NONE

IN NONE

KS NONE

KY NONE

LA NONE

MA NONE

MD NONE

ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)

MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15

MN NONE

MO NONE

MS NONE

MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**

NC NONE

ND NONE

NE NONE

NH NONE

NJ NONE

NM NONE

NV NONE

NY NONE

OH 1:15

OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15

OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20

PA NONE

RI NONE

SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22

SD NONE

TN NONE

TX NONE

UT NONE

VA NONE

VT NONE

WA NONE

WI NONE

WV NONE

WY NONE

Can anyone tell me where I would find the source for these? I'd like to be able to keep current on my state. THANKS!

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Can anyone tell me where I would find the source for these? I'd like to be able to keep current on my state. THANKS!

This appears to be the original source that the OP used:

Nursing Assistant Resources On The Web Staffing Ratios: Each State

I Googled for the staffing ratios but wasn't able to find anything very recent. The best I found was this study:

http://aspe.hhs.gov/daltcp/reports/8state.htm

Perhaps you could call your state's BON and ask if they have more current information regarding the ratios?

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This appears to be the original source that the OP used:

Nursing Assistant Resources On The Web Staffing Ratios: Each State

I Googled for the staffing ratios but wasn't able to find anything very recent. The best I found was this study:

http://aspe.hhs.gov/daltcp/reports/8state.htm

Perhaps you could call your state's BON and ask if they have more current information regarding the ratios?

Thanks for your quick reply!! This is very helpful :)

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The ratios you wrote for Oregon aren't correct. They are Days 1:7 Evening 1:11 Nights 1:19

I don't know about other facilities but the facility I work for has 1:7-8 on days, 1:7-8 on evenings, and 1:15 at night. The eighth person is always someone fairly independent, and they just lowered the ratio by one person, and there is always alot of nurses and med aides, so I don't think they're outside the law.

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Specializes in Med-Surg/urology.

Figures that MD wouldn't be mandated. Ugh...

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I just began working at a Rehab facility in Washington specializing with brain injury. The ratio of NAC/CNA is 1 to 14-18 residents. All of them are incontinent and highly dependent.

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Oregon ratios Changed as of 03/2014

http://www.oregon.gov/dhs/spd/adminalerts/Nursing%20Assistant%20%28NA%29%20Staff%20Ratio%20Chart.pdf

Day shift

NAs needed for 1:7 ratio

Evening shift

NAs needed for 1:9.5 ratio

Night shift

NAs needed for 1:17 ratio

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jromeo93 - I am glad you've found a job as we all know how tough it can be, - but that is crazy-making, and unsafe. Be careful jromeo93 with your back, your scope of practice and gl getting another position.
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