Long term care SNF staffing

Specialties Geriatric

Published

I am wondering what the staffing should be for a LTC facility which is a SNF. This is a 50 bed SNF that has a DON, MDS, and two nurses and a DON assistant all whom work in the day shift. Is this customary? The last LCT facility I worked in had only a DON and Chg. nurse during the day shift, this was not skilled. The eve. shift has only one chg. nurse whom is overwhelmed with usually only 2-3 aides. The night shift has also one chg. nurse and 1-2 aides. I believe the day shift is over staffed while the eve. shift struggles. If anyone has any imput I would appreciate it. I work the eve. and night shift at this time and it is very difficult to get everything done. Usually the admits come on my eve. shift, and I am still responsible for the skilled nursing assessements. I also get labs late in the day, have to answer the phone, and deal with just about everything. Thank-you for any imput on this!:uhoh3:

http://www.nccnhr.org/uploads/HarringtonStatestaffingtableRevisedJan2008.pdf

Above is the 2008 LTC staffing tables for the individual states , what is your opinion, are these safe staffing ratios?

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Specializes in Nursing Home ,Dementia Care,Neurology..

How do you calculate your hours per direct nursing care? Do you have some sort of assessment you do on each resident?

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