How Many Residents Do You Care For On Your Unit?

[Nurse!Nurse!Hello?]

Naturally, I think I have waaay too many residents to care for so I'd like to do a quick reality check:

As a charge nurse in a LTC/SNF, how many residents are you responsible for on your unit? What shift do you work, and which state do you work in? (It's OK if you don't want to indicate the state--I am just curious if it varies by state...)

I'll start!

41 residents on 3-11 shift in Hawaii.

[lumbarpain, ADN, RN]

64 patients on entire unit as Charge RN with an Lpn with 5 Cnas if we are lucky enough... My patients on my unit alone 34 LTC/Sub acute.. Yikes.

[marthyellen]

The reimbursement for most facilities is based on Medicare and Medicaid rates which are set by the government. Until those rates reflect the cost of the care given, facilities will not be able to have more staff and keep the doors open. I read an article which stated (and I am paraphrasing) that if you do the math, the reimbursement for someone in a nursing home in Massachusetts under Medicaid is an hourly rate LESS THAN minimum wage.

I am in TX and our Medicaid rate is 49th.

[juzme]

64 patients on entire unit as Charge RN with an Lpn with 5 Cnas if we are lucky enough... My patients on my unit alone 34 LTC/Sub acute.. Yikes.

Wow, how do you manage?, seriously lumbarpain, how? I would love to work permanently in LTC but most of the facilities around have horrible staffing, esp, the ones I have to been to as agency. The only one I know that is staffed pretty well is my dear MIL and thank God for that...we couldn't bear it otherwise!

[kaiasunshine]

112 residents in our building, spread out 14 per floor!

7a-3p...16 care aids, 4 nurses

3p-11p...10 care aids, 4 nurses

11p-7a...4 care aids, 1 nurse

So on day shift there's one nurse and 4 care aids per 28 residents. Evenings have one nurse and three care aids per 28 residents. I feel very lucky at my facility, the ratio is absolutely perfect as long as everyone shows up for work!

Floor B1 and B2- stage two dementia

Floor C1 and C2- stage two and three dementia, large amount of mechanical lifts used

Floor D1 and D2- one floor is entirely residents with MS who require mechanical lifts, and one is about 70% cognitive and 30% stage one dementia

Floor E1 and E2- one floor is almost entirely cognitive while the other is about 50% cognitive and 50% stage one dementia

[Brea LPN]

35 residents. 1 nurse. 2 CNAs.

[chioma72113]

My facility has 108 residents...During the week on days (7-3)their are 4 LPNs and 17 CNAs..I work Medicare hall and I have 26 patients and 3 CNAs