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  • Staffing Ratios: Each State

    Posted by Heather on January 26th, 2008 / Print This Post Print This Post



    Each state is able to mandate it’s own CNA:Resident Ratio. Only 8 states have mandated actual numbers…the rest either have no numbers, or use some formula of hours of care to be given and most allow the care of nurses to be included.

    Staffing ratios- CNA/Resident– per state:

    AK NONE
    AL NONE
    AR DAYS: 1:6 EVENINGS: 1:9 NIGHTS: 1:14 (This can include nurses)
    AZ NONE
    CA NONE
    CO NONE
    CT NONE
    DC DAYS: 1:6 EVENINGS: 1:10 NIGHTS: 1:15
    DE DAYS: 1:7 EVENINGS: 1:10 NIGHTS: 1:15
    FL NONE
    GA NONE
    HI NONE
    IA NONE
    ID NONE
    IL NONE
    IN NONE
    KS NONE
    KY NONE
    LA NONE
    MA NONE
    MD NONE
    ME DAYS: 1:5 EVENINGS: 1:10 NIGHTS: 1:15 (This can include nurses)
    MI DAYS: 1:8 EVENINGS: 1:12 NIGHTS: 1:15
    MN NONE
    MO NONE
    MS NONE
    MT **Complicated formula used; 4 hours care for each resident; no actual mandated numbers of staff**
    NC NONE
    ND NONE
    NE NONE
    NH NONE
    NJ NONE
    NM NONE
    NV NONE
    NY NONE
    OH 1:15
    OK DAYS: 1:6 EVENINGS: 1:8 NIGHTS: 1:15
    OR DAYS: 1:10 EVENINGS: 1:15 NIGHTS: 1:20
    PA NONE
    RI NONE
    SC DAYS: 1:9 EVENINGS: 1:13 NIGHTS: 1:22
    SD NONE
    TN NONE
    TX NONE
    UT NONE
    VA NONE
    VT NONE
    WA NONE
    WI NONE
    WV NONE
    WY NONE

    SOURCE (pdf)

    What a shame.

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    6 Responses to “Staffing Ratios: Each State”

    1. Dawn Burrow Says:

      Oklahoma has it right!
      Dawn

    2. Patti Says:

      I’m really shocked as to how FEW states mandate ratios; I thought more did so…esp. CA…I see they are trying to pass legislation but so far have not been able to do so.

    3. Cheryl Says:

      I am shocked too. I thought a lot more states mandated. I read the paper and it’s strange how so many go by hours- and, it confuses me even more when I know that in some states the DON, ADON, charge nurses and other NURSES are counted in ratios when they don’t do hands on care. To me this is fraud. To say these nurses do personal care when they do not. I am not diminishing their role by any means, but they do not do aide work.

      I did note several states don’t allow this practice. That’s a good thing.

    4. andrea Says:

      It makes my blood boil when I see those ratios. I’m in Texas and we have a 1:13 any given time of the day. I believe it’s irresponsible from management and neglect towards residents

    5. Holly Says:

      In Maine they do count the nurses so the ratio looks good on paper but in reality it is no better than having no mandates. They include nurses who aren’t even on duty! Infection control nurse, who doesn’t work evenings or weekends. DON, ADON same thing. MDS nurse. It’s a scam. We’ve told the state surveyors this too and they allude to it, but because it’s allowed under law there is nothing to be done about it.

    6. Patti Says:

      Andrea I believe it makes all of our blood boil. It’s a contentious issue, that’s for sure. We need better staffing- and somehow we need to figure out how to pay for it. I don’t see the two sides coming together on it- because in the end it does mean WE ALL pay…my answer isn’t popular- but it stands: Close out nursing homes.