A new publication from Dr. Charlene Harrington of the University of California San Francisco lists the state staffing standards for nursing homes in all 50 states and the District of Columbia. Laid out in chart form, Nursing Home Staffing Standards in State Statutes and Regulations (pdf) summarizes the requirements for direct-care staff, as well as for licensed staff and caregiving staff overall. The report also estimates the difference between the state requirements and the federal standard for facilities with 100 beds, based on a formula that is explained in an endnote. Links are included to each relevant statute and regulation.
“The information is important for state advocates to have because any meaningful improvements in staffing will probably have to be made at the state level,” Harrington told Quality Care/Quality Jobs. “For instance, Florida has the highest standards at this time, but the state did not set a minimum limit for RNs, so nursing facilities are substituting licensed vocational nurses for RNs because they are less costly. This can have a negative impact on quality.”
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