How much staffing do you have?

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Specializes in Med-Surg, Rehab, LTC.

Hey, I'm ADON at a small rural ltc facility and I'm wanting to compare staffing with other places. How many residents do you have on average and how many nurses and cna's do you use to staff the floor?

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Specializes in Geriatrics, WCC.

For LTC, I staff CNA's 1:8 or 9 residents. TCU is 1:7..... but I will add more if acquity requires it. As for the licensed nurses on LTC I have a 37 bed floor that I use 2 nurses or 1 nurse and 2 TMA's. A 27-30 bed LTC that I use 1 nurse and a TMA. on the TCU, for 28 beds... 2 nurses and a TMA if needed.

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We have 50 beds--about 40 full now in a small LTC. One charge nurse (7a-7p, and 7p-7a) and one additional nurse from 7-3. 6 CNAs on 7-3, 4 on 3-11, and 2 on 11-7. If full, we will have a 3-9 to help cover the dinner shift.

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For LTC, I staff CNA's 1:8 or 9 residents. TCU is 1:7..... but I will add more if acquity requires it. As for the licensed nurses on LTC I have a 37 bed floor that I use 2 nurses or 1 nurse and 2 TMA's. A 27-30 bed LTC that I use 1 nurse and a TMA. on the TCU, for 28 beds... 2 nurses and a TMA if needed.

Wow, may I work for you? That's excellent patient to staff ratio for LTC, I bet you have high retention of your staff; and sounds like an excellent place to work. I wish more LTC held your type of standards.

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Specializes in Geriatrics, WCC.

We have many nurses and CNA's that have been there 15-30 yrs, though most are around the 5 yr mark. I have no openings for licensed nurses.... sorry.

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For LTC, I staff CNA's 1:8 or 9 residents. TCU is 1:7..... but I will add more if acquity requires it. As for the licensed nurses on LTC I have a 37 bed floor that I use 2 nurses or 1 nurse and 2 TMA's. A 27-30 bed LTC that I use 1 nurse and a TMA. on the TCU, for 28 beds... 2 nurses and a TMA if needed.

Great staffing :)

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Specializes in Gerontology, Med surg, Home Health.

We have 3 41 bed units. Two units are staffed with 5 CNAs and 2 nurses for day shift, 4 CNAs and 2 nurses evenings and 1 nurse wit 2 CNAs nights. The other unit has mostly independent psych patients...they make their own beds and do their own adls. On that floor I have 3-4 CNAs depending on census and 2 nurses.

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Wow, may I work for you? That's excellent patient to staff ratio for LTC, I bet you have high retention of your staff; and sounds like an excellent place to work. I wish more LTC held your type of standards.

No kidding!! Our retention was good, and all happy when we were a private-one owner. Now we have been bought by a large corp.-they cut our staff, and now all are unhappy, stressed, as well as the residents are unhappy! Right now our CNA's are working 1:14- a floor with 24 res, some "skilled" is handled by 2 CNA's and 1 nurse. They never get lunch!

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Specializes in Geriatrics, WCC.

these are older posts

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Specializes in Geri, psych, TCU, neuro--AKA LTC.

200 hours of staffing for 53 residents @ 1.16 MCM per 24 hours.

24 hours RN (one AM charge, One PM charge, One with focus for the day-- Assessments, Wounds, MD rounds, Mood/Behavior monitoring, Restorative, etc.)

12 hours MDS

40 hours LPN (16 hours AM and PM and 8 hours night)

8 hours TMA (on LT unit)

115 hours CNA (16 nights, other shifts flex with census)

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Specializes in LTC, Education, Management, QAPI.

RNs

7-3 = 2

3-11 = 1

11-7 = 1

LPNs

7-3 and 3-11 have a 30:1 patient to nurse ratio

11-7 have a 60:1 patient to nurse ratio

CNAs

7-3 has 10:1 patient to CNA

3-11 has 12:1 patient to CNA

11-7 has 20:1 patient to CNA

This is a 120 bed LTC/ dually certified SNF with approx 40 SNF and 80 NF residents at a given time.

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