RESIDENT CARE STAFFING REPORT 2025

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How do you calculate HPRD? By dividing the total number of hours worked by each type of staff by the total number of a facilitys residents, you can calculate your current Hours Per Resident Day (HPRD).
Sufficient Staff: To maintain the highest practicable physical, mental, and psychological well-being of each resident. Licensed Staff (RN/LPN/LVN) for up to 120 residents: 1 DON RN full-time. If DON has institutional responsibilities, add 1 Assistant DON RN full-time.
A staff-to-resident ratio describes how many care provider staff are needed to support a given number of residents in a facility. For example, if there are four staff members in a facility and 32 residents, this ratio is 4:32, or 1:8, meaning that there is one staff member to care for every eight residents.
Care Standards by State StateDirect Care Staff RatiosHours Per Resident Per Day (HPRD) California Sufficient staff 16-100 residents: 1 awake staff 101-200 residents: 1 on call and 1 awake staff, with an additional awake staff for each additional 100 residents 2.4 HPRD, CNAs50 more rows
CNAs are not allowed to perform invasive medical procedures or treatments that require advanced medical training. For instance, they cannot administer injections, including insulin, or handle tube feeding.
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In California, you can file a complaint with the California Department of Public Health (CDPH) Licensing and Certification Division about nursing home understaffing. You can file a complaint by: Contacting a DPH District office. Completing and submitting the online complaint form (you can do so anonymously)
Other than this, California has no requirements regarding staff to resident ratios. Nursing homes do not need to employ a minimum number of staff, so long as they can meet the 3.5 hours of direct care requirement.

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