Appropriate staffing

One of the most important elements for running a successful ALF is having a strong team that is passionate about caring for seniors. It can be a difficult task to find these individuals due to the intense and oftentimes exhausting role. As administrators, we must ensure these folks are trained adequately and given the tools to be successful at their job or we will not have a chance at retaining them for long. Check out the following regulation provided by the Mississippi State Department of Health as to the staffing ratio required in your community:

Rule 47.11.4 Other Personnel. All direct care employees shall be a minimum of 18 years of age, and shall have verification that they are not listed on the “Mississippi Nurses Aide Abuse Registry.” Personnel shall receive training on a quarterly basis on topics and issues related to the population being served in the licensed facility. Training shall be documented by a narrative of the content and signatures of those attending. Personnel shall be employed and on duty, awake, and fully dressed to provide personal care to the residents. The following staffing ratio shall apply:

  1. One (1) resident attendant per fifteen (15) or fewer residents for the hours of 7:00 a.m. until 7:00 p.m.
  2. One (1) resident attendant per twenty-five (25) or fewer residents for the hours of 7:00 p.m. until 7:00 a.m. There shall be designated, in writing and posted in a conspicuous place, on-call personnel in the event of an emergency, during this shift.
  3. Shall have a licensed nurse on the premises for eight (8) hours a day. Licensed nurses, as required by this section, shall not be included in the resident attendant ratio.
  4. For instances where a resident is unable to self-administer prescription medication, a licensed nurse must be present to administer the prescription medication.
  5. Nursing activities must comply with Mississippi Board of Nursing regulations.

Pro Tip:

  • While there is a strict guideline as to how many staff members you should have on the premises at any given time it is generally accepted for the staffing ratio to be related to the census and care needs of the community. You must have the appropriate number of personnel in order to provide the care your residents need.