A Example of Staffing Calculations from Section 300.1230

Section 300 Section 300.APPENDIX A   Example of Staffing Calculations from Section 300.1230 A.        Following is an example of staffing calculations assuming a 100-bed Skilled Nursing Facility that has 25 residents needing skilled care and 75 residents needing intermediate care. Under Section 300.1230(d) requirements, staffing would be computed as follows: 1.         Total Minimum Hours of Care Needed Level of Care # of Residents Total Hrs. Needed Per Day Per Resident Total Hrs. Needed Per Day Per Facility Skilled 25 [times] 3.8 = 95.0 Intermediate 75 [times] 2.5 = 187.5 Total Hours Needed 282.5 2.         Licensed Practical Nurse (LPN) Hours Required Level of Care Total Hrs. Needed Per Day Per Facility Minimum Percent Minimum LPN Hrs. Required Skilled 95.0 [times] 25% = 23.75 Intermediate 187.5 [times] 25% = 46.875 Total LPN Hours Needed 70.625 3.         Registered Professional Nurse (RN) Hours Required Level of Care Total Hrs. Needed Per Day Per Facility Minimum Percent Minimum RN Hrs. Required Skilled 95.0 [times] 10% = 9.5 Intermediate 187.5 [times] 10% = 18.75 Total RN Hours Needed 28.25 4.         Additional Direct Care Hours* Level of Care Total Hrs. Needed Per Day Per Facility Licensed Nurse Hours # of Additional Direct Care Staff Hrs.* Needed Per Day Skilled 95.0 [minus] 23.75 = 71.25 Intermediate 187.5 [minus] 46.875 = 140.625 Additional Direct Care Hours Needed 211.875 *See Section 300.1230(k).