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Nursing Services- Staff Ratio Requirements for the State of Pennsylvania

(1) The following minimum nursing staff ratios are required:

Census

Day

Evening

Night

59 and under

1 RN

1 RN

1 RN or 1 LPN

60/150

1 RN

1 RN

1 RN

151/250

1 RN and 1 LPN

1 RN and 1 LPN

1 RN and 1 LPN

251/500

2 RNs

2 RNs

2 RNs

501/1,000

4 RNs

3 RNs

3 RNs

1,001/Upward

8 RNs

6 RNs

6 RNs

 

 

 

 

 

(2) When the facility designates an LPN as a nurse who is responsible for overseeing total nursing activities within the facility on the night tour of duty in facilities with a census of 59 or under, a registered nurse shall be on call and located within a 30-minute drive of the facility.

(g) There shall be at least one nursing staff employee on duty per 20 residents.

(h) At least two nursing service personnel shall be on duty.

(i) A minimum number of general nursing care hours shall be provided for each 24-hour period. The total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 2.7 hours of direct resident care for each resident.

 
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