Nursing Home Administrator Hours Down 20% Since Pandemic: The Long Term Care Community Coalition (“LTCCC”) reported: “nursing home administrators are providing less time in their facilities compared to before the COVID-19 pandemic. According to payroll-based journal data, nursing home administrators provided an average of 4.7 minutes per resident day (total of 6.17 hours per day) in the third quarter of 2022. This is a 20% decline from the 5.9-minute per resident day (total of 8.44 hours per day) in Q3 2019.”
The LTCCC report stated:
Staffing Facts for Q3 2022
- Federal data show that a majority of nursing homes continue to provide insufficient staffing levels (3.61 Total Nurse Staff Hours Per Resident Day (HPRD), 0.59 RN Staff HPRDon average) to meet the basic care needs of the nation’s 1.16 million nursing home residents.
- Important Note: Industry lobbyists are claiming that they need help to meet staffing standards. In fact, inadequate staffing has been a persistent problem for decades due to the fact that nursing homes are rarely held accountable when they put profits over the safety of their residents and staff.
- Only one in four (25.8%) nursing homes met the total care staff threshold (4.10 HPRD), as determined by a landmark 2001 federal study.
- Roughly half of nursing homes lost at least one administrator in the previous 12 months (among the 10,000 nursing homes with available administrative turnover data).
- At least 2,100 nursing homes lost at least two administrators in the previous 12 months.
- Nursing homes are increasingly reliant on contract staff, which accounted for 10.5% of all nurse staff hours in Q3 2022, up from 5.0% in Q1 2021.
What Is The Long Term Care Community Coalition (LTCCC)?
LTCCC states on its website:
The Long Term Care Community Coalition (LTCCC) is a nonprofit organization dedicated to improving quality of care, quality of life, and dignity for elderly and disabled people in nursing homes, assisted living, and other residential settings.
LTCCC focuses on systemic advocacy, researching national and state policies, laws, and regulations in order to identify relevant issues and develop meaningful recommendations to improve quality, efficiency, and accountability. In addition to providing a foundation for advocacy, LTCCC uses this research and the resulting recommendations to educate policymakers, consumers, and the general public. Consumer, family, and LTC ombudsman empowerment are fundamental to our mission.
What Are The Nursing Home Administrator’s Responsibilities?
42 CFR Part 483, Subpart B, § 483.70 Administration (d) states:
Governing body.
(1) The facility must have a governing body, or designated persons functioning as a governing body, that is legally responsible for establishing and implementing policies regarding the management and operation of the facility; and
(2) The governing body appoints the administrator who is –
(i) Licensed by the State, where licensing is required;
(ii) Responsible for management of the facility; and
(iii) Reports to and is accountable to the governing body.
(3) The governing body is responsible and accountable for the QAPI program, in accordance with § 483.75(f).
If you or a loved one may have been injured as a result of medical malpractice in a nursing home in the United States due to a nursing home infection, nursing home fall, nursing home aspiration, nursing home neglect, nursing home negligence, nursing home abuse, nursing home understaffing, or the nursing home failing to properly care for a vulnerable adult, you should promptly find a medical malpractice lawyer (nursing home lawyer) in your state who may investigate your nursing home medical malpractice claim for you and represent you or your loved one in a nursing home medical malpractice case, if appropriate.
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