To the OP: Are you willing to relocate? We would love to have you where I work, and not as a CNA, we have plenty of those, I help out on the floor when I have time, mainly to answer lights and love working as a CNA, but my facility would never let me do that as an RN. There are good facilities out there, granted, you may have to drive a bit/relocate, but they are there. I drive 30 min. one way to get to mine and love it!
Get our ratios: We are a 154 bed LTC with an acute nursing home/skilled wings and a residential care. On the acute side where I work are 3 stations. Station 1 right now has about 40 residents a lot of dementia related residents...on days: 5-6 regular floor CNA's, 1 shower aide, 1 restorative aide, 1 CMT, and a charge. Eve: 4 regular aides, 1 CMT, 1 charge, and occasionally a restorative aide for half shift. Nights: 3 CNA's, and a charge.
Station 2 (my station): 38 residents days: 4 CNA's, 1 shower aide, 1 restorative aide, 1 CMT, and a charge. Eve: 4 CNA's, 1 CMT, and charge (me) Nights: 2-3 CNA's and a charge. Station 3: 20 residents, mainly self care days: 2 CNA's, 1 CMT, a charge Eve: 1 CNA, 1 CMT, and a charge. Nights: 1 CNA and a charge.
We also have on staff a wound care nurse who does all the treatments/dressing changes on all stations and takes care of anything regarding wounds of any kind.
Showers scheduled only on day shift. RA's help out in the dining rooms during meals. We only have 2 dining rooms. Station 1 has their own and stations 2 and 3 share one. We usually on evenings have 3 aides passing trays, 2 charge nurses feeding, 2 cmt's passing out coffee/hot tea/hot cocoa and 1 aide on the halls for lights and to pass room trays. We have an ADON and a DON and both are wonderful wonderful people with tons of experience. They will work the floor in any capacity on any shift if needed.
There are great facilities out there. I know, I work in one! Good luck!