016.06.01 Ark. Code R. § 054 - Minimum Direct-Care Staffing Requirements
For purposes of this regulation, and unless otherwise specified herein, the following definitions shall apply. The following definitions are independent of, and in no way are intended to modify, amend or otherwise change, the definitions set forth in the Reimbursement Methodology.
Step 1 - Determine the midnight census for the date the shift begins.
Step 2 - Divide the census by the ratio of direct-care staff required for the shift being computed. The result will be the total number of direct-care staff required for the shift .
Step 3 - Divide the census by the required ratio of licensed personnel for the shift being computed. The result will be the total number of licensed direct-care staff required for the shift .
Step 4 - Subtract the results of Step 3 from the results of Step 2. The result will be the total number of remaining direct-care staff required for the shift .
facilities shall maintain the following direct-care staff to resident ratios:
Beginning July 1, 2001
Example The facility has a census of eighty-two (82) residents as of midnight on January 10, 2002, and is computing the required direct-care staff for the day shift of January 11, 2002. The day shift has a direct-care-staff to resident ratio of one (1) direct-care staff to every seven (7) residents, of which there shall be one (1) licensed staff member to every forty (40) residents.
Step 1: Census of 82
Step 2: 82 ÷ 7 = 11.71 [Round to 12; total number of direct-care staff require]
Step 3: 82 ÷ 40 = 2.05 [Round to 2; number of licensed direct-care staff required]
Step 4: 12 - 2 = 10 [Number of remaining direct-care staff required]
Total number of direct-care staff for the day shift: 12 Total number of licensed direct-care staff for the day shift: 2 Total number of remaining direct care staff for the day shift: 10
Example The facility has a census of ninety-seven (97) residents as of midnight on October 4, 2001, and is computing the required direct-care staff for the evening shift. The evening shift has a direct-care-staff to resident ratio of one (1) direct-care staff to every nine (10) residents, of which there shall be one (1) licensed staff member to every forty (40) residents.
Step 1 - Census of 97
Step 2 - 97 ÷ 10 = 9.7 [Round to 10; total number of direct-care staff required]
Step 3 - 97 ÷ 40 = 2.42 [Round to 2; number of licensed direct-care staff required]
Step 4 - 10 - 2 = 8 [Number of remaining direct-care staff required]
Total number of direct-care staff for the evening shift: 10 Total number of licensed direct-care staff for the evening shift: 2 Total number of remaining direct care staff for the evening shift: 8
Example The facility has a census of 142 (142) residents as of midnight on December 7, 2001, and is computing the required direct-care staff for the night shift. The night shift has a direct-care-staff to resident ratio of one (1) direct-care staff to every fourteen (16) residents, of which there shall be one (1) licensed staff member to every eighty (80) residents.
Step 1 - Census of 142
Step 2 - 142 ÷ 16 = 8.87 [Round to 9; total number of direct-care staff]
Step 3 - 142 ÷ 80 = 1.77 [Round to 2; number of licensed direct-care staff]
Step 4 - 9 - 2 = 7 [Number of remaining direct-care staff]
Total number of direct-care staff for the night shift: 9
Total number of licensed direct-care staff for the night shift: 2
Total number of remaining direct care staff for the night shift: 7
Violations of these regulations shall be punishable in accordance with Ark. Code Ann. § 20-10-1407 and 20-10-1408.
The staffing standards set forth in Section 520.3 are minimum requirements that facilities must meet at all times, except as provided herein. In the event that the Office of Long Term Care determines that sufficient personnel are not employed or available to meet resident care needs, the Office of Long Term Care may require the facility to either increase staff on a per-shift basis or reduce resident census. In such cases, the Office of Long Term Care will notify the facility in writing of its determination, including the basis for the determination. In addition, the Office of Long Term Care will state the number of additional staff that must be employed or available and the date by which the additional staff must be employed or available; the amount by which the resident census must be reduced and the date by which that reduction must be achieved; or both.
In the event that the Director of the Office of Long Term Care determines that minimum staffing standards should be increased pursuant to Ark. Code Ann. § 20-10-1409(b)(2), the Director of the Office of Long Term Care shall certify the determination and any proposed regulatory increases to minimum staffing standards to the Director of the Division of Medical Services, who shall notify the Director of the Department of Human Services and the Legislative Council of the determination, and whether sufficient appropriated funds exist to fund the costs, as defined as direct-care costs by the Long Term Care Cost Reimbursement Methodology of the Long Term Care Provider Reimbursement Manual as in effect January 12, 2001, to be incurred by the proposed changes to the minimum staffing standards.
In no event shall minimum staffing standards be increased unless sufficient appropriated funds exist to fund the costs to be incurred by the proposed increases to minimum staffing standards.
MINIMUM STAFFING REPORTING FORM
THIS REPORT MUST BE TYPED. All fields must be completed for each reporting period. Indicate any shift in which minimum staffing requirements were not met by placing an asterisk beside the number of personnel for that shift for each category in which minimum staffing was not met. For example, if minimum staffing was not met for the Day Shift of the third day of the month because of insufficient direct care staff that were not licensed staff, an asterisk would be placed after the numbers in both the Total and Other fields.
Facility: Month/Year:
Signature of Person Preparing this Report:
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Licensed |
Other |
Total |
Licensed |
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Notes
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