Nursing Services- Staff Ratio Requirements for the State of
Massachusetts
(B) Minimum Nursing Personnel
Requirements.
(1) General.
(a) Nursing personnel shall not service on
active duty more than 12 hours per day, or more than 48 hours
per week, on a regular basis.
(c) Full-time shall mean 40 hours per
week, five days per week.
(e) As a basic minimum, facilities that
provide Level I care shall provide a total 2.6 hours of nursing
care per patient per day; at least 0.6 hours shall be provided
by licensed nursing personnel and 2.0 hours by ancillary nursing
personnel.
(e) As a basic minimum, facilities that
provide Level II care shall provide a total of 2.0 hours of
nursing care per patient per day; at least 0.6 hours shall be
provided by licensed nursing personnel and 1.4 hours by
ancillary nursing personnel.
1. As a basic minimum, a SNCFC shall
provide a total of 5.0 hours of nursing care per patient per
day. In facilities housing 40 bed units, at least 1.4 to 1.8
hours shall be provided by licensed nursing personnel and the
balance by ancillary nursing personnel. In facilities having
less than 40 bed units at least 1.8 to 2.1 hours shall be
provided by licensed nursing personnel and the balance by
ancillary nursing personnel.
3. As a basic minimum an AIDSSNF shall
provide 4.4 hours of nursing care per patient per day; at least
2.0 hours of this care must be provided by licensed personnel
and 2.4 by ancillary personnel.
4. An AIDSSNF shall employ, at a minimum,
one .5 FTE (20 hours per week) psychiatric nurse who shall be
responsible for direct patient care as well as staff training.
These hours are in addition to the 4.4 hours of direct nursing
specified in 105 CMR 150.007(B)(3)(e)3.. 3. As a basic minimum
an AIDSSNF shall provide 4.4 hours of nursing care per patient
per day; at least 2.0 hours of this care must be provided by
licensed personnel and 2.4 by ancillary personnel.
4. An AIDSSNF shall employ, at a minimum,
one .5 FTE (20 hours per week) psychiatric nurse who shall be
responsible for direct patient care as well as staff training.
These hours are in addition to the 4.4 hours of direct nursing
specified in 105 CMR 150.007(B)(3)(e)3..
(e) As a basic minimum, facilities that
provide Level III care shall provide a total of 1.4 hours of
nursing care per patient per day; at least 0.4 shall be provided
by licensed nursing personnel and 1.0 hours by ancillary nursing
personnel. |
