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Nursing ³Ô¹ÏºÚÁÏs Nurse Staffing Data

³Ô¹ÏºÚÁÏ law requires Nursing ³Ô¹ÏºÚÁÏs to report information on the number of staff involved in direct patient care. Under the 2005 law, Nursing ³Ô¹ÏºÚÁÏs are required to publicly post information that details direct patient care staffing levels within their facilities. They are also required to report daily staffing levels via a web-based system to the Department of Health. The law also requires that the Department makes this information available to the public on a quarterly basis. The quarterly reports, based on data reported to the Department by Nursing ³Ô¹ÏºÚÁÏs, will show the average nurse staffing levels for a three-month period measured as staff-to-resident ratios for each of the following nurse categories.

  • Registered Nurses (RNs)
  • Licensed Practical Nurses (LPNs)
  • Certified Nursing Assistants (CNAs)

Registered Nurses and Licensed Practical Nurses: By law, RNs must assess nursing home residents' needs. RNs and LPNs work together to plan care, implement care and treatment, and evaluate residents' outcomes.

Certified Nursing Assistants (CNAs): Certified Nursing Assistants (CNAs) work under the direction of a licensed nurse to assist residents with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting.

In viewing the summary quarterly statistics, please note that:

  • Nursing ³Ô¹ÏºÚÁÏs may use a mix of nurse personnel - Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and Certified Nurse Assistants (CNAs) – to provide daily health and other care needs to their residents.

  • A nursing home's staffing levels may vary based on the location and affiliation of the nursing home. This report does not provide information as to whether a nursing home is located in a hospital, is a standalone facility, or is part of a Continuing Care Retirement Community (CCRC).

  • Quarterly staffing ratios may be used to compare Nursing ³Ô¹ÏºÚÁÏs to one another or to the statewide averages. However, the quarterly reports do not take into account the residents’ needs for services or the differences in Nursing ³Ô¹ÏºÚÁÏs policies and physical layouts, all of which may influence staffing requirements.

  • The quarterly ratios measure the average staffing levels over a three-month period. The ratios are based on the daily staff-to-resident ratios that facilities report on DOH’s web-based report form.

  • A RN-to-Resident ratio represents the average number of Nursing ³Ô¹ÏºÚÁÏ residents/patients served by each RN work-hour for any given shift/day. For example, a quarterly RN-to-Resident Ratio of 1:60 for a Day Shift means that, on average, the RN staffing level for the day shift in that facility is estimated at one RN per 60 residents (or patients).

  • When facilities use fewer RNs/LPNs and less work-hours by RNs/LPNs, their RN or LPN-to-resident ratios tend to be high. On the other hand, the larger the numbers of RNs or LPNs and the longer hours worked by RNs/LPNs, the lower the ratios. A lower ratio means better staffing level.

  • Care should be exercised when comparing staffing levels of different nursing homes. Some nursing homes care for sicker patients, like those who have just had an injury, surgery, or a serious illness. Such nursing homes generally have more staff and more staffing hours.

  • Nursing home staff such as clerks, administrators, or housekeeping staff are not included in these staffing level numbers.