Staffing at Bronson Commons

Higher staffing levels and lower staffing turnover in a nursing home may mean higher quality of care for residents. Hours worked by different types of staff are reported by nursing homes, and are used to calculate a ratio of staffing hours per resident per day and the staffing turnover rate. Hours per resident per day describe the average amount of time staff are available to spend with each resident each day. Staff turnover describes how many staff stop working at the facility within a given year.

Staff Rating

★★★★★ Much Above Average

Staffing levels and turnover of staff in nursing homes may impact the quality of care nursing home residents get. Higher staffing ratings mean there are more nursing staff and less turnover of the staff, which may mean higher quality of care. The staffing rating is based on these measures:

1. Registered Nurse (RN) hours per resident per day in a three-month period;
2. Total nurse staffing (including RN, licensed practical nurse (LPN), and nurse aide) hours per resident per day in a three-month period;
3. Total nurse staffing hours per resident per day on the weekend in a three-month period;
4. Total nurse staff turnover within a given year;
5. RN turnover within a given year; and
6. Number of administrators who have left the nursing home within a given year.

The hours per resident per day represent each facility’s average over the last reported three-month quarter. For example, if the RN hours per resident per day is 45 minutes, then an average of 45 minutes of RN care are available to each resident throughout the day. However, these measures don’t necessarily show the number of staff present at any given time, or reflect the amount of care given to any one resident. Additionally, these measures include nursing staff with administrative duties. Individual residents may experience different staffing interactions on any given day based on the particular care they need.

There are other staff in a nursing home that aren’t captured in these measures or ratings, but still provide care and services to residents. These include staff in rehab therapy, social services, food and nutrition services, and others.

Registered Nurse (RN) Staffing

Registered nurses (RNs) are licensed healthcare professionals who are responsible for the coordination, management and overall delivery of care to the residents. Some nursing home residents who are sicker than others may require a greater level of care, and nursing homes that have more RN staff may be better able to meet the needs of those residents.

Staff turnover

Staff turnover is the percent of nursing staff or number of administrators that stop working in a facility within a given year. Low turnover indicates that facilities generally retain their staff for longer periods of time. Lower turnover is preferred because staff who work in facilities for longer periods of time may become more familiar with the residents and the facility’s operating procedures.

¹ Staffing hours per resident per day is the total number of hours worked by the staff member(s) divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time, or reflect the amount of care given to any one resident.

² Physical therapists (PTs) are licensed healthcare professionals who help residents gain or maintain physical function. PT staffing hours aren't included in the overall staffing rating for nursing homes. This measure shows the average time PTs spend providing care to residents throughout the nursing home.