Texas Nursing Home Staffing Ratios

The nursing home staff to patient ratio is SO important. Most of the day-to-day direct care that residents receive is from nurse aides with licensed nurses supplementing this care in good facilities. Walking with residents to the dining room; helping with eating, going to the bathroom, bathing, and dressing; cleaning up after accidents, or just saying a kind word – this assistance will probably be provided by a nurse aide.Nurse with elderly patient - Skilled Nursing Care

When a facility does not have enough aides, residents have to wait for attention. Often, they give up and get no help.

A nursing facility is required by law to maintain “sufficient staff to provide nursing and related services (1) in accordance with each resident’s plan of care; and (2) to obtain and maintain the physical, mental, and psychosocial functions of each resident at the highest practicable level, as determined by the resident’s assessment and plan of care.”

While no specific number or ratio is required, The National Consumer Voice for Quality Long-Term Care concluded that minimally acceptable ratios of direct caregivers to residents, for three daily work shifts, are as follows:

  • Day Time: One direct caregiver to five residents
  • Evening: One direct caregiver to 10 residents
  • Night: One direct caregiver to 15 residents

It’s important to ask about nursing home staff-patient ratio rather than how many are scheduled to work. Be sure to ask about this ratio of aides or direct caregivers to residents, rather than how many are scheduled to work. A good facility will ensure adequate staffing and will make provisions for staff absences.

  • What is the ratio of nurse aides to residents for the day, evening and night shifts?
  • Is there a facility policy about this?
  • How often do you call temporary employees?”

We hope you found this article about Texas nursing home staffing ratios helpful.

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