LTC Experts

Per CMS Regulations 42 CFR Part 483, Subpart B-Requirements for Long Term Care Facilities: F-TAG 353, Reg 483.30 NURSING SERVICES-states-The facility must have sufficient nursing staff to provide nursing and related services to attain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care. The -INTENT- To assure that sufficient qualified nursing staff are available on a daily basis to meet residents' needs for nursing care in a manner and in an environment which promotes each resident's physical, mental and psychosocial well-being, thus enhancing their quality of life. (Not number specific) **You must refer to your state regs specific guidelines for staff ratios. ***Nursing budget along with state regulation determines how your facility staffs. Your Administrator and DON are resources for that information. ****The acuity of each unit should be taken into account to determine the category mix (licensed to un-licensed staff) If you need to make changes during the fiscal year, you can manipulate shift workload distribution. This must be done creatively because you have to give up one position to shift it to another.