Current through Register Vol. 35, No. 18, September 24, 2024
In addition to the requirements of 8.370.16.50 NMAC, the
following conditions shall be met:
A.
Assignments: There shall be sufficient nursing service personnel assigned to
care for the specific needs of each resident on each tour of duty. Those
personnel shall be briefed on the condition and appropriate care of each
resident prior to beginning hands-on care of residents.
B. Relief personnel: Facilities shall obtain
qualified relief personnel.
C.
Records, weekly schedules: Weekly time schedules shall be planned at least one
week in advance, shall be posted and dated, shall indicate the names and
classifications of nursing personnel and relief personnel assigned on each
nursing unit for each tour of duty, and shall be updated as changes
occur.
D. Staff meetings: Meetings
shall be held at least quarterly for the nursing personnel to brief them on new
developments, raise issues relevant to the service, and for such other purposes
as are pertinent.
E. Twenty-four
(24) hour coverage: All facilities shall have at least one nursing staff person
on duty at all times.
F. Staffing
patterns: The assignment of the nursing personnel required by this subsection
to each tour of duty shall be sufficient to meet each resident's needs and
implement each resident's comprehensive care plan.
(1) Nursing department personnel means, the
director of nursing, the assistant director of nursing, nursing department
directors, licensed nursing personnel, certified nursing assistants, nursing
assistants who have completed 16 hours or more of orientation and demonstrated
competency and restorative nursing assistants.
(2) The director of nursing, the assistant
director of nursing, and nursing department directors may be counted towards
the minimum staffing requirements only for the time spent on the shift
providing direct resident care services.
(a) A
skilled nursing facility or facility that offers intermediate and skilled
nursing shall maintain a nursing department minimum staffing level of two and a
half hours per patient day calculated on a seven day average.
(b) An intermediate care facility shall
maintain a nursing department minimum staffing level of two and three-tenths
(2.3) hours per patient day calculated on a seven day average.
(c) Within one hour of shift change,
facilities shall post the number of nursing personnel on duty in a conspicuous
and consistent location for public review. Shifts are informally defined as the
day shift, evening shift, and night shift. Employees working variations of
these shifts shall be included within the shift count where a majority of the
hours fall. Example: For a facility with 100 patients, two and three-tenths
(2.3) hours per patient day averages one nursing department employee on duty
for approximately every 10 to 11 patients. For a facility with 100 patients,
two and five tenths (2.5) hours per patient day averages one nursing department
employee for every nine to 10 patients. These are daily averages that will vary
from shift to shift so that actual staffing might approximate: 2.3 Hours per
patient day 2.5 Hours per patient day Day Shift One staff for eight patients
One staff for seven patients Evening Shift One staff for 10 patients One staff
for 10 patients Night Shift One staff for 13 patients One staff for 12
patients
