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37.106.605    MINIMUM STANDARDS FOR A SKILLED NURSING CARE FACILITY FOR EACH 24 HOUR PERIOD: STAFFING

(1) The following table indicates an absolute minimum staffing pattern below which an acceptable level of care and safety cannot be maintained. Even with this staffing it would be difficult. Therefore, it is recommended that the quantity and quality of staffing should be determined by the administrator in consultation with his director of nursing. This decision should be based on the nursing needs of the patients and should reflect the current concepts of restorative and geriatric care.

                                            DAY                                                  EVENINGS                             NIGHTS

No. of Beds Licensed

R.N.* Hours

L.P.N. Hours

Aide** Hours

R.N. Hours

L.P.N. Hours

Aide** Hours

R.N.

Hours

L.P.N. Hours

Aide** Hours

   4-8

  8

  0

  0

0

8

  0

0

8

  0

  9-15

  8

  0

  4

0

8

  0

0

8

  0

16-20

  8

  0

  8

0

8

  4

0

8

  0

21-25

  8

  0

12

0

8

  8

0

8

  4

26-30

  8

  0

16

0

8

  8

0

8

  8

31-35

  8

  0

20

0

8

12

0

8

  8

36-40

  8

  0

24

0

8

16

0

8

  8

41-45***

  8

  8

28

0

8

16

0

8

12

46-50

  8

  8

32

0

8

20

0

8

16

51-55

  8

  8

36

8

0

24

0

8

16

56-60

  8

  8

40

8

0

24

0

8

16

61-65

  8

  8

44

8

0

28

0

8

20

66-70

  8

  8

48

8

0

32

0

8

24

71-75

  8

  8

52

8

0

32

8

0

24

76-80

  8

16

48

8

8

32

8

0

24

81-85

  8

16

52

8

8

32

8

8

20

86-90

  8

16

56

8

8

32

8

8

24

91-95

16

16

52

8

8

36

8

8

24

96-100

16

16

56

8

8

40

8

8

24

 

Staffing of homes with more than 100 beds will be given individual consideration.
* The two relief shifts could be provided by an L.P.N. up to 40 beds.
** The term "aide" includes orderlies.
*** In a home of 41 beds or more one R.N. in this pattern is to be the full-time director of nursing service.

History: Sec. 50-5-103 and 50-5-404, MCA; IMP, Sec. 50-5-103, 50-5-204 and 50-5-404, MCA; Eff. 12/31/72; TRANS, from DHES, 2002 MAR p. 185.

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