Non-profit Skilled Nursing Unit and Long Term Care Facility within a CCRC
We have 90 beds (private, medicare, and medicaid certified) divided betweed 4 halls
staffing is as follows:
DON-RN
ADON-RN
ADON-LVN
Risk Manager-RN
6-2 1 LVN treatment nurse 8-5 M-F
4 LVNs
9 CNAs cut CNA's as Census drops depending on hall size
2-10
4 LVNs
9 CNAs
10-6
2 LVNs
5 CNAs
Sherrie
-----Original Message-----
From: [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED] On Behalf Of John Tracy
Sent: Tuesday, February 24, 2004 7:32 AM
To: [EMAIL PROTECTED]
Subject: staffing levels
I am trying to gather information for my DON.� I would like to pose a couple of questions to the group.� But first, let me explain my dilemma:
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We are a county facility.� We have 3 floors of SNF residents, 40 each.� We have a dementia unit that is 28 beds and a short-term, sub-acute rehab unit that holds 12 residents.
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Currently our staffing levels are slated for this:
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7-3:
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6 aides per unit on SNF,
4 aides on the dementia unit,
2 aides on short-term rehab
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3-11:
4 aides on the SNF units
3 aides on the dementia unit
2 aides on the short-term rehab unit
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11-7:
2 aides on all of the units except short term rehab with one.
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Now that you understand the makeup of the facility, let me give you some background.
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We were about 2.2 million in the red last year.� The cutting of IGT money hurt our facility badly.� As a result, we used all of our capital reserves for payroll and all of our other expenses.� So now, we need to cut.� We already cut our budget for all non-essential supplies and conferences, etc.� But now they are talking about cutting staff.� Our administrator states that we are way above what the national average is for staffing numbers.
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The proposition for staffing is:
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Cutting down the day aides by two and adding a 9-1 aide, cutting down to 3 aides on evenings and adding a 5-9 aide and cutting down the short term aides to 1.
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I am wondering what your staffing is like in your buildings with the aides and nurses?� The nurses staff like this:
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Days: 2 plus nurse manager on days except short term has one plus nurse manager.� Eves is one and two treatment nurses in the building to do all units from 5-9 pm and one nurse on 11-7 per floor.�
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I appreciate any feedback.
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Michelle
