A CONSUMER GUIDE TO VT LONG-TERM CARE FACILITIES (JANUARY 2020)
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4. MINIMUM STAFFING LEVELS
On a twenty-four (24)-hour basis, a NH must have “sufficient” nursing staff, including licensed nurses and other
nursing personnel, to “provide nursing and related services to attain or maintain the highest practicable physical,
mental and psychosocial well-being of each resident, as determined by resident assessments and individual plans
of care or as specified by the licensing agency.”
In furtherance of this requirement, a NH must:
• Designate a licensed nurse to serve as a charge nurse on each tour of duty;
• Use the services of a registered nurse for at least eight (8) consecutive hours a day, seven (7) days a week;
and
• Designate a registered nurse to serve as the director of nursing on a full-time basis.
In terms of staffing levels, a NH “shall maintain staffing levels adequate to meet resident needs.” At a minimum,
an NH must provide:
• No fewer than three (3) hours of direct care per resident per day, on a weekly average, including nursing
care, personal care and restorative nursing care, but not including administration or supervision of staff; and
• Of these three hours of direct care, no fewer than two (2) hours per resident per day must be assigned to
provide standard LNA care (such as personal care, assistance with ambulation, feeding, etc.) performed by
LNAs or equivalent staff and not including meal preparation, physical therapy or the activities program.
A NH ensure that the medical care of each resident is supervised by a physician.