I think this should be interesting to those who use Nursing Home Compare to check out how efficient or caring a
nursing home is. Since the certified nurse attendants (CNA) do almost all the resident care, it is important to know
how much time they devote to each resident. The numbers shown in the "Compare" really have no relation to time spent;
another fraudulent perception for the public to feel good.
The Medicare.gov site makes the following statement. above the staffing minutes / hours..."Nursing
Staff Hours Per Resident Per Day, is the average daily hours worked by the nurses or nursing assistants divided by total
number of residents. The amount of care given to each resident varies."
As this has been explained to me.
data is self reported by the facility.
The hours are totaled over two weeks. by position (RN, LPN or LVN, and
CNA) for the TOTAL hours on the clock. then divide by 14 (for an average daily total). now divide those averages.
by the average number of residents in the facility during that period.
2 RN's each worked 40 hours
per week. for two weeks totals 160 hours or 9600 minutes
Now divide 9600 minutes by 14 days. for an average
of 685.71 minutes per day.
Now divide the 685.71 minutes by the number of residents, say 100 residents in this
Gives us an average of 6.86 minutes per resident per day.
The same can be applied to the LPN
/ LVN and CNA categories.
Then total the RN and LPN / LVN averages for the total Licensed Nursing Hours.
Time for breaks and meals. as long as the staff is paid for that time. Is also calculated as part
of the time "worked."
As we can all see. with breaks, smoking breaks, paid mealtimes, paperwork, chit-chat, sex,
drugs, and naps. The amount of time actually spent with residents further diminishes.
Oh. and if any advocate
wants to dispute the smoking breaks (usually more than two per shift and more than 10 minutes at that). along with chit-chat,
sex, drugs and naps. that advocate just hasn't been in the game long enough.
And that's if you "trust"
the facility that is reporting the staffing hours.
In any case, I hope this was helpful to some extent.
As for Beechnut Manor in Houston.
the average CNA hours is now 91 minutes per resident / per day. That's just over 30 minutes per shift. again not counting
breaks, sex, chit-chat, etc. With three meals, 64 ounces of water, hygiene, toileting, dressing and undressing,
etc. 30 minutes just does not seem to go very far.
In the meantime.
Good luck to all!
Wes Bledsoe Wes@APerfectCause.org,