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derived_fields
list
id
string
minimum_staffing_requirement
string
regulatory_citation
string
rule_scope
string
source
string
source_quote
string
staffing_rule_type
string
state
string
url
string
verified_fields
list
training_or_ce_requirement
string
awake_staff_requirement
string
[ "rule_scope", "staffing_rule_type", "state" ]
0-5-total-combined-residents-day-care-participants-and-respite-care-residents-mi-florida
168
Fla. Admin. Code Ann. R. 59A-36.010
0-5 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/0-5-total-combined-residents-day-care-participants-and-respite-care-residents-mi-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
16-25-total-combined-residents-day-care-participants-and-respite-care-residents--florida
253
Fla. Admin. Code Ann. R. 59A-36.010
16-25 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/16-25-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
26-35-total-combined-residents-day-care-participants-and-respite-care-residents--florida
294
Fla. Admin. Code Ann. R. 59A-36.010
26-35 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/26-35-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
36-45-total-combined-residents-day-care-participants-and-respite-care-residents--florida
335
Fla. Admin. Code Ann. R. 59A-36.010
36-45 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/36-45-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
46-55-total-combined-residents-day-care-participants-and-respite-care-residents--florida
375
Fla. Admin. Code Ann. R. 59A-36.010
46-55 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/46-55-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
56-65-total-combined-residents-day-care-participants-and-respite-care-residents--florida
416
Fla. Admin. Code Ann. R. 59A-36.010
56-65 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/56-65-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
6-15-total-combined-residents-day-care-participants-and-respite-care-residents-m-florida
212
Fla. Admin. Code Ann. R. 59A-36.010
6-15 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/6-15-total-combined-residents-day-care-participants-and-respite-care-residents-m-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
66-75-total-combined-residents-day-care-participants-and-respite-care-residents--florida
457
Fla. Admin. Code Ann. R. 59A-36.010
66-75 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/66-75-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
76-85-total-combined-residents-day-care-participants-and-respite-care-residents--florida
498
Fla. Admin. Code Ann. R. 59A-36.010
76-85 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/76-85-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
86-95-total-combined-residents-day-care-participants-and-respite-care-residents--florida
539
Fla. Admin. Code Ann. R. 59A-36.010
86-95 total combined residents, day care participants and respite care residents — minimum staff hours per week
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/86-95-total-combined-residents-day-care-participants-and-respite-care-residents--florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
a-direct-care-staff-person-aged-21-or-over-present-whenever-any-resident-is-in-t-pennsylvania
At all times one or more residents are present in the residence, a direct care staff person who is 21 years of age or older shall be present in the residence.
55 Pa. Code § 2800.57
a direct care staff person aged 21 or over present whenever any resident is in the residence
https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter2800/s2800.57.html&d=reduce
(a) At all times one or more residents are present in the residence, a direct care staff person who is 21 years of age or older shall be present in the residence. The direct care staff person may be the administrator if the administrator provides direct care services.
flat presence requirement
Pennsylvania
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/a-direct-care-staff-person-aged-21-or-over-present-whenever-any-resident-is-in-t-pennsylvania/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
a-first-aid-and-cpr-certified-staff-member-must-be-in-the-facility-at-all-times-florida
A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times
Fla. Admin. Code Ann. R. 59A-36.010
a First Aid and CPR certified staff member must be in the facility at all times
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
5. A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times. a. Documentation of attendance at First Aid or CPR courses pursuant to subsection <https://www.law.cornell.edu/re...
flat presence requirement
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/a-first-aid-and-cpr-certified-staff-member-must-be-in-the-facility-at-all-times-florida/
[ "minimum_staffing_requirement", "regulatory_citation", "training_or_ce_requirement" ]
completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses
null
[ "rule_scope", "staffing_rule_type", "state" ]
all-adult-care-homes-duty-to-staff-to-the-resident-census-and-never-to-leave-res-north-carolina
Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter
10A NCAC 13F .0605
all adult care homes — duty to staff to the resident census, and never to leave residents alone
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf
(a) Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter. (b) At no time shall residents be left alone without a staff member in the facility.
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/all-adult-care-homes-duty-to-staff-to-the-resident-census-and-never-to-leave-res-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
all-adult-care-homes-required-supervisors-and-aides-per-shift-must-be-posted-whe-north-carolina
The facility shall post daily staffing information in a location accessible to residents and visitors in accordance with G.S. 131D-4.3(a)(5)
10A NCAC 13F .0605
all adult care homes — required supervisors and aides per shift must be posted where residents and visitors can see them
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf
(d) The facility shall post daily staffing information in a location accessible to residents and visitors in accordance with G.S. 131D-4.3(a)(5). The information shall include: (1) the name and contact information of the administrator and manager; (2) the number of required supervisors on each shift; and (3) the number...
staffing records and disclosure
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/all-adult-care-homes-required-supervisors-and-aides-per-shift-must-be-posted-whe-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
all-assisted-living-facilities-staffing-judged-against-resident-assessments-and--virginia
staff adequate in knowledge, skills, and abilities and sufficient in numbers to provide services to attain and maintain the physical, mental, and psychosocial well-being of each resident as determined by resident assessments and individualized service plans
22VAC40-73-280
all assisted living facilities — staffing judged against resident assessments and individualised service plans, with no minimum number stated
https://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
A. The assisted living facility shall have staff adequate in knowledge, skills, and abilities and sufficient in numbers to provide services to attain and maintain the physical, mental, and psychosocial well-being of each resident as determined by resident assessments and individualized service plans, and to ensure comp...
acuity-based sufficiency standard
Virginia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/all-assisted-living-facilities-staffing-judged-against-resident-assessments-and--virginia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
all-assisted-living-facilities-staffing-ratios-set-by-the-facility-from-resident-texas
A facility must develop and implement staffing policies, which require staffing ratios based upon the needs of the residents, as identified in their service plans.
26 Tex. Admin. Code § 553.253
all assisted living facilities — staffing ratios set by the facility from residents' service plans, not by the state
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(1) A facility must develop and implement staffing policies, which require staffing ratios based upon the needs of the residents, as identified in their service plans.
acuity-based sufficiency standard
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/all-assisted-living-facilities-staffing-ratios-set-by-the-facility-from-resident-texas/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
all-assisted-living-facilities-staffing-sufficient-for-each-resident-s-negotiate-washington
Each assisted living facility must provide sufficient, trained staff persons to: (a) Furnish the services and care needed by each resident consistent with their negotiated service agreement; (b) Maintain the assisted living facility free of safety hazards; and (c) Implement fire and disaster plans.
WAC 388-78A-2450
all assisted living facilities — staffing sufficient for each resident's negotiated service agreement, with no minimum number stated
https://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450
(1) Each assisted living facility must provide sufficient, trained staff persons to: (a) Furnish the services and care needed by each resident consistent with their negotiated service agreement; (b) Maintain the assisted living facility free of safety hazards; and (c) Implement fire and disaster plans.
acuity-based sufficiency standard
Washington
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/all-assisted-living-facilities-staffing-sufficient-for-each-resident-s-negotiate-washington/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
an-attendant-in-the-facility-whenever-residents-are-in-it-and-the-minimum-age-or-texas
An attendant must be in the facility at all times when residents are in the facility.
26 Tex. Admin. Code § 553.253
an attendant in the facility whenever residents are in it, and the minimum age or education of a full-time attendant
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(b) Attendants. Full-time facility attendants must be at least 18 years old or a high-school graduate. (1) An attendant must be in the facility at all times when residents are in the facility.
flat presence requirement
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/an-attendant-in-the-facility-whenever-residents-are-in-it-and-the-minimum-age-or-texas/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
annual-continuing-education-hours-from-the-second-year-of-employment-onwards-georgia
null
Ga. Comp. R. & Regs. R. 111-8-63-.09
annual continuing education hours from the second year of employment onwards
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(6) Ongoing Staff Training. Beginning with the second year of employment, staff providing hands-on personal services must have a minimum of sixteen (16) hours of job-related continuing education as referenced in paragraph <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09> 111-8-63-.09 (5) a...
training requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/annual-continuing-education-hours-from-the-second-year-of-employment-onwards-georgia/
[ "regulatory_citation", "training_or_ce_requirement" ]
a minimum of sixteen (16) hours of job-related continuing education
null
[ "rule_scope", "staffing_rule_type", "state" ]
at-least-two-trained-staff-present-at-all-times-any-residents-are-present-one-pe-georgia
must be present in the assisted living community at all times any residents are present, with at least one staff person on each occupied floor
Ga. Comp. R. & Regs. R. 111-8-63-.09
at least two trained staff present at all times any residents are present, one per occupied floor
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(4) Trained Staff Present. At least two staff who have completed the minimum training requirements of Rule <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09> 111-8-63-.09 (2)(a) through (d) and (3)(a) through (e) above must be present in the assisted living community at all times any reside...
flat presence requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/at-least-two-trained-staff-present-at-all-times-any-residents-are-present-one-pe-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
average-monthly-minimum-awake-direct-care-staff-to-resident-ratio-waking-and-non-georgia
an average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs
Ga. Comp. R. & Regs. R. 111-8-63-.09
average monthly minimum awake direct care staff-to-resident ratio, waking and non-waking hours
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(18) The community must maintain an average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs. Average monthly minimum staf...
staff-to-resident ratio
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/average-monthly-minimum-awake-direct-care-staff-to-resident-ratio-waking-and-non-georgia/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours
[ "rule_scope", "staffing_rule_type", "state" ]
buildings-of-19-or-fewer-residents-licensed-for-residential-living-care-only-whe-virginia
For a facility licensed for residential living care only, in buildings that house 19 or fewer residents, the staff member on duty does not have to be awake during the night
22VAC40-73-280
buildings of 19 or fewer residents licensed for residential living care only — when the night staff member need not be awake
https://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
Exception: For a facility licensed for residential living care only, in buildings that house 19 or fewer residents, the staff member on duty does not have to be awake during the night if (i) none of the residents have care needs that require a staff member awake at night
census-banded minimum staff on duty
Virginia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/buildings-of-19-or-fewer-residents-licensed-for-residential-living-care-only-whe-virginia/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
the staff member on duty does not have to be awake during the night if (i) none of the residents have care needs that require a staff member awake at night
[ "rule_scope", "staffing_rule_type", "state" ]
census-of-greater-than-12-but-less-than-21-residents-administrator-or-manager-pr-north-carolina
there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times
10A NCAC 13F .0607
census of greater than 12 but less than 21 residents — administrator or manager presence
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf
(a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times.
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/census-of-greater-than-12-but-less-than-21-residents-administrator-or-manager-pr-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
census-of-greater-than-12-but-less-than-21-residents-one-awake-staff-member-on-e-north-carolina
there shall be at least one awake staff member on duty on the first, second, and third shifts
10A NCAC 13F .0607
census of greater than 12 but less than 21 residents — one awake staff member on every shift when the administrator or manager is not on duty
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf
(a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times. (b) When the administrator or manager is not on duty within the facility, there shall be at...
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/census-of-greater-than-12-but-less-than-21-residents-one-awake-staff-member-on-e-north-carolina/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
there shall be at least one awake staff member on duty on the first, second, and third shifts
[ "rule_scope", "staffing_rule_type", "state" ]
census-of-greater-than-six-but-less-than-13-residents-administrator-or-manager-p-north-carolina
there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times
10A NCAC 13F .0606
census of greater than six but less than 13 residents — administrator or manager presence
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(a) In a facility with a census of greater than six but less than 13 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times.
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/census-of-greater-than-six-but-less-than-13-residents-administrator-or-manager-p-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
census-of-greater-than-six-but-less-than-13-residents-staff-on-duty-when-the-adm-north-carolina
there shall be at least one staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift
10A NCAC 13F .0606
census of greater than six but less than 13 residents — staff on duty when the administrator or manager is not on duty
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(a) In a facility with a census of greater than six but less than 13 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times. (b) When the administrator or manager is not on-duty, there shall be at least one staff me...
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/census-of-greater-than-six-but-less-than-13-residents-staff-on-duty-when-the-adm-north-carolina/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times
[ "rule_scope", "staffing_rule_type", "state" ]
cluster-of-adjacent-facilities-each-with-capacity-or-census-of-12-or-fewer-resid-north-carolina
When there is a cluster of up to six licensed facilities located adjacently, there shall be at least one administrator or manager who lives within 500 feet of each of the facilities with a means of two- way telecommunication at all times
10A NCAC 13F .0606
cluster of adjacent facilities each with capacity or census of 12 or fewer residents
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(g) A cluster of facilities, each with capacity or census of 12 or fewer residents, shall comply with the following staffing: (1) When there is a cluster of up to six licensed facilities located adjacently, there shall be at least one administrator or manager who lives within 500 feet of each of the facilities with a m...
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/cluster-of-adjacent-facilities-each-with-capacity-or-census-of-12-or-fewer-resid-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
communities-with-31-to-60-residents-on-site-registered-or-licensed-practical-nur-georgia
For communities with 31 to 60 residents, a minimum of 16 hours per week
Ga. Comp. R. & Regs. R. 111-8-63-.09
communities with 31 to 60 residents — on-site registered or licensed practical nurse hours
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week;
banded professional coverage hours
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/communities-with-31-to-60-residents-on-site-registered-or-licensed-practical-nur-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
communities-with-61-to-90-residents-on-site-registered-or-licensed-practical-nur-georgia
For communities with 61 to 90 residents, a minimum of 24 hours per week
Ga. Comp. R. & Regs. R. 111-8-63-.09
communities with 61 to 90 residents — on-site registered or licensed practical nurse hours
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week; (iii) For communities wit...
banded professional coverage hours
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/communities-with-61-to-90-residents-on-site-registered-or-licensed-practical-nur-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
communities-with-more-than-90-residents-on-site-registered-or-licensed-practical-georgia
For communities with more than 90 residents, a minimum of 40 hours per week
Ga. Comp. R. & Regs. R. 111-8-63-.09
communities with more than 90 residents — on-site registered or licensed practical nurse hours
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week; (iii) For communities wit...
banded professional coverage hours
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/communities-with-more-than-90-residents-on-site-registered-or-licensed-practical-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
communities-with-one-to-30-residents-on-site-registered-or-licensed-practical-nu-georgia
For communities with one to 30 residents, a minimum of 8 hours per week
Ga. Comp. R. & Regs. R. 111-8-63-.09
communities with one to 30 residents — on-site registered or licensed practical nurse hours
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week;
banded professional coverage hours
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/communities-with-one-to-30-residents-on-site-registered-or-licensed-practical-nu-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
continuing-education-hours-required-during-the-first-year-of-employment-as-a-dir-georgia
null
Ga. Comp. R. & Regs. R. 111-8-63-.09
continuing education hours required during the first year of employment as a direct care worker
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(5) Training Hours Required During First Year of Employment. All staff offering hands-on personal services to the residents, including the administrator or on-site manager, must satisfactorily complete a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct car...
training requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/continuing-education-hours-required-during-the-first-year-of-employment-as-a-dir-georgia/
[ "regulatory_citation", "training_or_ce_requirement" ]
a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker
null
[ "rule_scope", "staffing_rule_type", "state" ]
enough-qualified-staff-regardless-of-the-minimum-hours-table-including-apartment-florida
all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service needs, resident contracts, and resident care standards
Fla. Admin. Code Ann. R. 59A-36.010
enough qualified staff regardless of the minimum hours table, including apartment-style facilities
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
(b) Notwithstanding the minimum staffing requirements specified in paragraph (a), all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service ...
flat presence requirement
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/enough-qualified-staff-regardless-of-the-minimum-hours-table-including-apartment-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-above-200-residents-what-each-further-100-residents-adds-at-night-california
Every additional 100 residents, or fraction thereof, shall require an additional one (1) staff person on duty, on the premises and awake.
Cal. Code Regs. Tit. 22, § 87415
facilities above 200 residents — what each further 100 residents adds at night
https://www.law.cornell.edu/regulations/california/22-CCR-87415
(4) Every additional 100 residents, or fraction thereof, shall require an additional one (1) staff person on duty, on the premises and awake.
census-banded minimum staff on duty
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-above-200-residents-what-each-further-100-residents-adds-at-night-california/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
an additional one (1) staff person on duty, on the premises and awake
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-caring-for-101-to-200-residents-night-supervision-california
In facilities caring for one hundred one (101) to two hundred (200) residents, one employee shall be on call, on the premises; one employee shall be on duty on the premises and awake; and one employee shall be on call and capable of responding within 10 minutes.
Cal. Code Regs. Tit. 22, § 87415
facilities caring for 101 to 200 residents — night supervision
https://www.law.cornell.edu/regulations/california/22-CCR-87415
(3) In facilities caring for one hundred one (101) to two hundred (200) residents, one employee shall be on call, on the premises; one employee shall be on duty on the premises and awake; and one employee shall be on call and capable of responding within 10 minutes.
census-banded minimum staff on duty
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-caring-for-101-to-200-residents-night-supervision-california/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
one employee shall be on duty on the premises and awake
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-caring-for-16-to-100-residents-night-supervision-california
In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes.
Cal. Code Regs. Tit. 22, § 87415
facilities caring for 16 to 100 residents — night supervision
https://www.law.cornell.edu/regulations/california/22-CCR-87415
(2) In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes.
census-banded minimum staff on duty
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-caring-for-16-to-100-residents-night-supervision-california/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
at least one employee shall be on duty on the premises, and awake
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-caring-for-fewer-than-16-residents-night-supervision-california
In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.
Cal. Code Regs. Tit. 22, § 87415
facilities caring for fewer than 16 residents — night supervision
https://www.law.cornell.edu/regulations/california/22-CCR-87415
(1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.
census-banded minimum staff on duty
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-caring-for-fewer-than-16-residents-night-supervision-california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-co-located-with-a-nursing-home-may-share-staff-but-the-hours-count-on-florida
Facilities that are co-located with a nursing home may use shared staffing provided that staff hours are only counted once for the purpose of meeting either assisted living facility or nursing home minimum staffing ratios
Fla. Admin. Code Ann. R. 59A-36.010
facilities co-located with a nursing home may share staff, but the hours count only once
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
(e) Facilities that are co-located with a nursing home may use shared staffing provided that staff hours are only counted once for the purpose of meeting either assisted living facility or nursing home minimum staffing ratios.
counting rule
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-co-located-with-a-nursing-home-may-share-staff-but-the-hours-count-on-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-required-to-have-a-signal-system-where-night-staff-must-be-and-when-t-california
at least one night staff person shall be located to enable immediate response to the signal system. If the signal system is visual only, that person shall be awake.
Cal. Code Regs. Tit. 22, § 87415
facilities required to have a signal system — where night staff must be, and when they must be awake
https://www.law.cornell.edu/regulations/california/22-CCR-87415
at least one night staff person shall be located to enable immediate response to the signal system. If the signal system is visual only, that person shall be awake.
flat presence requirement
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-required-to-have-a-signal-system-where-night-staff-must-be-and-when-t-california/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
If the signal system is visual only, that person shall be awake.
[ "rule_scope", "staffing_rule_type", "state" ]
facilities-with-17-or-more-residents-a-staff-member-must-be-awake-around-the-clo-florida
In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night
Fla. Admin. Code Ann. R. 59A-36.010
facilities with 17 or more residents — a staff member must be awake around the clock
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
4. In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night.
flat presence requirement
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/facilities-with-17-or-more-residents-a-staff-member-must-be-awake-around-the-clo-florida/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night
[ "rule_scope", "staffing_rule_type", "state" ]
hours-of-assisted-living-services-owed-per-day-to-each-mobile-resident-pennsylvania
at least 1 hour per day of assisted living services to each mobile resident
55 Pa. Code § 2800.57
hours of assisted living services owed per day to each mobile resident
https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter2800/s2800.57.html&d=reduce
(b) Direct care staff persons shall be available to provide at least 1 hour per day of assisted living services to each mobile resident.
per-resident service hours per day
Pennsylvania
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/hours-of-assisted-living-services-owed-per-day-to-each-mobile-resident-pennsylvania/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
hours-of-assisted-living-services-owed-per-day-to-each-resident-who-has-mobility-pennsylvania
at least 2 hours per day of assisted living services to each resident who has mobility needs
55 Pa. Code § 2800.57
hours of assisted living services owed per day to each resident who has mobility needs
https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter2800/s2800.57.html&d=reduce
(c) Direct care staff persons shall be available to provide at least 2 hours per day of assisted living services to each resident who has mobility needs.
per-resident service hours per day
Pennsylvania
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/hours-of-assisted-living-services-owed-per-day-to-each-resident-who-has-mobility-pennsylvania/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
how-much-of-the-required-per-resident-service-time-must-fall-in-waking-hours-pennsylvania
At least 75% of the assisted living service hours specified in subsections (b) and (c) shall be available during waking hours.
55 Pa. Code § 2800.57
how much of the required per-resident service time must fall in waking hours
https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter2800/s2800.57.html&d=reduce
(d) At least 75% of the assisted living service hours specified in subsections (b) and (c) shall be available during waking hours.
counting rule
Pennsylvania
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/how-much-of-the-required-per-resident-service-time-must-fall-in-waking-hours-pennsylvania/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
independent-living-residents-are-excluded-from-the-census-used-to-compute-minimu-florida
are not counted as residents for purposes of computing minimum staff hours
Fla. Admin. Code Ann. R. 59A-36.010
independent living residents are excluded from the census used to compute minimum staff hours
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
2. Independent living residents, as referenced in subsection <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-015> 59A-36.015(3) , F.A.C., who occupy beds included within the licensed capacity of an assisted living facility but do not receive personal, limited nursing, or extended congregate...
counting rule
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/independent-living-residents-are-excluded-from-the-census-used-to-compute-minimu-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
initial-and-annual-training-for-staff-who-assist-residents-with-activities-of-da-california
All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69.
Cal. Code Regs. Tit. 22, § 87411
initial and annual training for staff who assist residents with activities of daily living
https://www.law.cornell.edu/regulations/california/22-CCR-87411
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69.
training requirement
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/initial-and-annual-training-for-staff-who-assist-residents-with-activities-of-da-california/
[ "minimum_staffing_requirement", "regulatory_citation", "training_or_ce_requirement" ]
initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69
null
[ "rule_scope", "staffing_rule_type", "state" ]
initial-training-deadline-for-all-staff-whatever-their-role-georgia
null
Ga. Comp. R. & Regs. R. 111-8-63-.09
initial training deadline for all staff, whatever their role
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(2) Initial Training for All Staff. The administrator or on-site manager must ensure that any person working in the assisted living community as staff, receives training within the first 60 days of employment on the following: (a) residents' rights and identification of conduct constituting abuse, neglect or exploitati...
training requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/initial-training-deadline-for-all-staff-whatever-their-role-georgia/
[ "regulatory_citation", "training_or_ce_requirement" ]
receives training within the first 60 days of employment
null
[ "rule_scope", "staffing_rule_type", "state" ]
initial-training-deadline-for-staff-providing-hands-on-personal-services-includi-georgia
null
Ga. Comp. R. & Regs. R. 111-8-63-.09
initial training deadline for staff providing hands-on personal services, including first aid and CPR certification
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(3) Initial Training for Staff Providing Hands-On Personal Services. In addition to the initial training required of all staff in paragraph (2) above, the administrator must ensure that staff hired to provide hands-on personal services to residents receive training within the first 60 days of employment which includes ...
training requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/initial-training-deadline-for-staff-providing-hands-on-personal-services-includi-georgia/
[ "regulatory_citation", "training_or_ce_requirement" ]
receive training within the first 60 days of employment
null
[ "rule_scope", "staffing_rule_type", "state" ]
limited-mental-health-extended-congregate-care-and-limited-nursing-services-lice-florida
Facilities holding a limited mental health, extended congregate care, or limited nursing services license must also comply with the staffing requirements of rules
Fla. Admin. Code Ann. R. 59A-36.010
limited mental health, extended congregate care and limited nursing services licences carry extra staffing rules
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
(f) Facilities holding a limited mental health, extended congregate care, or limited nursing services license must also comply with the staffing requirements of rules <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-020> 59A-36.020 , <https://www.law.cornell.edu/regulations/florida/Fla-Admin...
additional rules for special licences
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/limited-mental-health-extended-congregate-care-and-limited-nursing-services-lice-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
maintenance-clerical-and-food-preparation-staff-do-not-count-towards-the-minimum-florida
Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement
Fla. Admin. Code Ann. R. 59A-36.010
maintenance, clerical and food preparation staff do not count towards the minimum staffing hours
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
7. Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement.
counting rule
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/maintenance-clerical-and-food-preparation-staff-do-not-count-towards-the-minimum-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
minimum-age-of-anyone-who-supervises-employees-or-supervises-or-cares-for-reside-california
All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age.
Cal. Code Regs. Tit. 22, § 87411
minimum age of anyone who supervises employees or supervises or cares for residents
https://www.law.cornell.edu/regulations/california/22-CCR-87411
(b) All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age.
flat presence requirement
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/minimum-age-of-anyone-who-supervises-employees-or-supervises-or-cares-for-reside-california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
minimum-age-of-the-on-site-manager-and-responsible-staff-persons-georgia
The on-site manager and responsible staff persons must be at least 21 years of age and responsible for supervising the provision of care by all other staff
Ga. Comp. R. & Regs. R. 111-8-63-.09
minimum age of the on-site manager and responsible staff persons
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(1) The on-site manager and responsible staff persons must be at least 21 years of age and responsible for supervising the provision of care by all other staff. No staff person under the age of 18 is permitted to work in the assisted living community unless there is direct line-of-sight supervision being provided by th...
flat presence requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/minimum-age-of-the-on-site-manager-and-responsible-staff-persons-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
more-than-95-total-combined-residents-day-care-participants-and-respite-care-res-florida
For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week
Fla. Admin. Code Ann. R. 59A-36.010
more than 95 total combined residents, day care participants and respite care residents — incremental staff hours above the table
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
86-95 | 539 | For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week.
weekly staff-hours table
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/more-than-95-total-combined-residents-day-care-participants-and-respite-care-res-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
nurse-cover-the-on-call-registered-nurse-staff-must-be-able-to-reach-minnesota
provide staff access to an on-call registered nurse 24 hours per day, seven days per week
144G.41
nurse cover — the on-call registered nurse staff must be able to reach
https://www.revisor.mn.gov/statutes/cite/144G.41
(13) provide staff access to an on-call registered nurse 24 hours per day, seven days per week.
flat professional coverage requirement
Minnesota
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/nurse-cover-the-on-call-registered-nurse-staff-must-be-able-to-reach-minnesota/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
office-kitchen-housekeeping-laundry-and-maintenance-work-staff-who-must-be-emplo-california
Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.
Cal. Code Regs. Tit. 22, § 87411
office, kitchen, housekeeping, laundry and maintenance work — staff who must be employed on top of the care staff
https://www.law.cornell.edu/regulations/california/22-CCR-87411
Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.
counting rule
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/office-kitchen-housekeeping-laundry-and-maintenance-work-staff-who-must-be-emplo-california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
one-awake-direct-care-staff-member-per-building-whenever-any-resident-is-present-virginia
At least one direct care staff member shall be awake and on duty at all times in each building when at least one resident is present.
22VAC40-73-280
one awake direct care staff member per building, whenever any resident is present
https://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
D. At least one direct care staff member shall be awake and on duty at all times in each building when at least one resident is present.
flat presence requirement
Virginia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/one-awake-direct-care-staff-member-per-building-whenever-any-resident-is-present-virginia/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
At least one direct care staff member shall be awake and on duty at all times in each building when at least one resident is present.
[ "rule_scope", "staffing_rule_type", "state" ]
one-caregiver-aged-18-or-over-cpr-and-first-aid-certified-present-whenever-resid-washington
Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times
WAC 388-78A-2450
one caregiver aged 18 or over, CPR and first-aid certified, present whenever residents are on the premises and on off-site activities
https://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450
(f) Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times: (i) When one or more residents are present on the assisted living facility premises; and (ii) During assisted living facility a...
flat presence requirement
Washington
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/one-caregiver-aged-18-or-over-cpr-and-first-aid-certified-present-whenever-resid-washington/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
one-staff-member-per-shift-assigned-to-personal-care-barred-from-food-service-an-north-carolina
Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents
10A NCAC 13F .0606
one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (7 to 12 residents)
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(e) Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents. The staff member so assigned shall not perform food service duties during the shift of rendering care services and supervision. The staff member so assigned shall...
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/one-staff-member-per-shift-assigned-to-personal-care-barred-from-food-service-an-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
one-staff-member-per-shift-assigned-to-personal-care-barred-from-food-service-an-north-carolina-2
Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents
10A NCAC 13F .0607
one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (13 to 20 residents)
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf
(d) Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents. The staff member so assigned shall not perform food service duties during the shift of rendering care services and supervision. The staff member so assigned shall...
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/one-staff-member-per-shift-assigned-to-personal-care-barred-from-food-service-an-north-carolina-2/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
one-staff-member-with-access-to-facility-and-resident-records-must-be-present-wh-florida
At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility
Fla. Admin. Code Ann. R. 59A-36.010
one staff member with access to facility and resident records must be present whenever residents are in the facility
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
3. At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility. Residents serving as paid or volunteer staff may not be left solely in charge of other residents while the facility administrator, manager or othe...
flat presence requirement
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/one-staff-member-with-access-to-facility-and-resident-records-must-be-present-wh-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
only-staff-actually-on-the-job-count-towards-the-minimum-staffing-hours-florida
Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted
Fla. Admin. Code Ann. R. 59A-36.010
only staff actually on the job count towards the minimum staffing hours
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
9. Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted.
counting rule
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/only-staff-actually-on-the-job-count-towards-the-minimum-staffing-hours-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
orientation-every-staff-member-must-complete-before-taking-on-any-job-responsibi-texas
All staff members must complete four hours of orientation before assuming any job responsibilities.
26 Tex. Admin. Code § 553.253
orientation every staff member must complete before taking on any job responsibilities
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(1) All staff members must complete four hours of orientation before assuming any job responsibilities.
training requirement
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/orientation-every-staff-member-must-complete-before-taking-on-any-job-responsibi-texas/
[ "minimum_staffing_requirement", "regulatory_citation", "training_or_ce_requirement" ]
four hours of orientation before assuming any job responsibilities
null
[ "rule_scope", "staffing_rule_type", "state" ]
residential-care-facilities-for-the-elderly-personnel-sufficient-in-numbers-and--california
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.
Cal. Code Regs. Tit. 22, § 87411
residential care facilities for the elderly — personnel sufficient in numbers and competent, with no minimum number stated
https://www.law.cornell.edu/regulations/california/22-CCR-87411
(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.
acuity-based sufficiency standard
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/residential-care-facilities-for-the-elderly-personnel-sufficient-in-numbers-and--california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
second-staff-member-required-when-the-administrator-or-manager-is-on-duty-on-the-north-carolina
another staff member (i.e., co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times
10A NCAC 13F .0606
second staff member required when the administrator or manager is on duty on the first or second shifts
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(c) When the administrator or manager is on duty on the first or second shifts and available within the facility on third shift, another staff member (i.e., co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times.
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/second-staff-member-required-when-the-administrator-or-manager-is-on-duty-on-the-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
second-staff-member-required-when-the-administrator-or-manager-is-on-duty-within-north-carolina
another staff member (i.e. co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times and available to assist if needed
10A NCAC 13F .0607
second staff member required when the administrator or manager is on duty within the facility
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf
(c) When the administrator or manager is on duty within the facility, another staff member (i.e. co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times and available to assist if needed.
census-banded minimum staff on duty
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/second-staff-member-required-when-the-administrator-or-manager-is-on-duty-within-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
staff-who-may-not-be-counted-towards-the-minimum-staffing-ratios-georgia
Staff, such as cooks and maintenance staff, who do not receive on-going direct care training and whose job duties do not routinely involve the oversight or delivery of direct personal care to the residents, must not be counted towards these minimum staffing ratios
Ga. Comp. R. & Regs. R. 111-8-63-.09
staff who may not be counted towards the minimum staffing ratios
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(a) Staff, such as cooks and maintenance staff, who do not receive on-going direct care training and whose job duties do not routinely involve the oversight or delivery of direct personal care to the residents, must not be counted towards these minimum staffing ratios. Personnel who work for another entity, such as a p...
counting rule
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/staff-who-may-not-be-counted-towards-the-minimum-staffing-ratios-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
staff-who-must-be-on-the-premises-at-all-times-to-carry-out-the-fire-and-emergen-virginia
An adequate number of staff persons shall be on the premises at all times to implement the approved fire and emergency evacuation plan.
22VAC40-73-280
staff who must be on the premises at all times to carry out the fire and emergency evacuation plan
https://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
C. An adequate number of staff persons shall be on the premises at all times to implement the approved fire and emergency evacuation plan.
flat presence requirement
Virginia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/staff-who-must-be-on-the-premises-at-all-times-to-carry-out-the-fire-and-emergen-virginia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
staffing-above-the-minimum-when-the-agency-finds-supervision-or-care-inadequate-florida
The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residents
Fla. Admin. Code Ann. R. 59A-36.010
staffing above the minimum when the agency finds supervision or care inadequate
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
(d) The facility must provide staff immediately when the agency determines that the requirements of paragraph (a) are not met. The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residen...
agency-directed increase
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/staffing-above-the-minimum-when-the-agency-finds-supervision-or-care-inadequate-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
staffing-plans-and-monthly-work-schedules-showing-planned-and-actual-coverage-georgia
must develop and maintain accurate staffing plans that take into account the specific needs of the residents and monthly work schedules for all employees, including relief workers, showing planned and actual coverage for each day and night
Ga. Comp. R. & Regs. R. 111-8-63-.09
staffing plans and monthly work schedules showing planned and actual coverage
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(21) All assisted living communities must develop and maintain accurate staffing plans that take into account the specific needs of the residents and monthly work schedules for all employees, including relief workers, showing planned and actual coverage for each day and night. The assisted living community must retain ...
staffing records and disclosure
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/staffing-plans-and-monthly-work-schedules-showing-planned-and-actual-coverage-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
supervised-on-the-job-training-an-attendant-must-complete-after-orientation-texas
Attendants must complete 16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation.
26 Tex. Admin. Code § 553.253
supervised on-the-job training an attendant must complete after orientation
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
Attendants must complete 16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation.
training requirement
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/supervised-on-the-job-training-an-attendant-must-complete-after-orientation-texas/
[ "minimum_staffing_requirement", "regulatory_citation", "training_or_ce_requirement" ]
16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation
null
[ "rule_scope", "staffing_rule_type", "state" ]
temporary-absence-of-the-administrator-or-manager-of-more-than-48-hours-florida
a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility
Fla. Admin. Code Ann. R. 59A-36.010
temporary absence of the administrator or manager of more than 48 hours
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
6. During periods of temporary absence of the administrator or manager of more than 48 hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. No staff member shall be in charge of a facility for a con...
flat presence requirement
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/temporary-absence-of-the-administrator-or-manager-of-more-than-48-hours-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
the-24-hour-staffing-pattern-a-facility-must-disclose-before-admission-and-post--texas
Prior to admission, a facility must disclose, to prospective residents and their families, the facility's normal 24-hour staffing pattern
26 Tex. Admin. Code § 553.253
the 24-hour staffing pattern a facility must disclose before admission and post monthly
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(2) Prior to admission, a facility must disclose, to prospective residents and their families, the facility's normal 24-hour staffing pattern
staffing records and disclosure
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-24-hour-staffing-pattern-a-facility-must-disclose-before-admission-and-post--texas/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
the-awake-person-who-must-be-available-24-hours-a-day-to-answer-resident-request-minnesota
ensure that one or more persons are available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs
144G.41
the awake person who must be available 24 hours a day to answer resident requests, and how far away they may be
https://www.revisor.mn.gov/statutes/cite/144G.41
(12) ensure that one or more persons are available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs. Such persons must be: (i) awake; (ii) located in the same building, in an attached building, or on a contiguous campus wit...
flat presence requirement
Minnesota
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-awake-person-who-must-be-available-24-hours-a-day-to-answer-resident-request-minnesota/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
Such persons must be: (i) awake; (ii) located in the same building, in an attached building, or on a contiguous campus with the facility in order to respond within a reasonable amount of time
[ "rule_scope", "staffing_rule_type", "state" ]
the-hours-that-count-as-night-supervision-and-what-the-staff-providing-it-must-k-california
The following persons providing night supervision from 10:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures
Cal. Code Regs. Tit. 22, § 87415
the hours that count as night supervision, and what the staff providing it must know
https://www.law.cornell.edu/regulations/california/22-CCR-87415
(a) The following persons providing night supervision from 10:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures
flat presence requirement
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-hours-that-count-as-night-supervision-and-what-the-staff-providing-it-must-k-california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
the-manager-s-own-hours-and-how-many-facilities-or-residents-one-manager-may-cov-texas
The manager must be on duty 40 hours per week and may manage only one facility, except for managers of small Type A facilities, who may have responsibility for no more than 16 residents in no more than four facilities.
26 Tex. Admin. Code § 553.253
the manager's own hours, and how many facilities or residents one manager may cover
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
The manager must be on duty 40 hours per week and may manage only one facility, except for managers of small Type A facilities, who may have responsibility for no more than 16 residents in no more than four facilities.
counting rule
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-manager-s-own-hours-and-how-many-facilities-or-residents-one-manager-may-cov-texas/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
the-staffing-plan-every-assisted-living-facility-must-develop-and-how-often-it-m-minnesota
develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility
144G.41
the staffing plan every assisted living facility must develop, and how often it must be re-evaluated
https://www.revisor.mn.gov/statutes/cite/144G.41
(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to meet the scheduled and reasonably foreseeable unscheduled nee...
acuity-based sufficiency standard
Minnesota
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-staffing-plan-every-assisted-living-facility-must-develop-and-how-often-it-m-minnesota/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
the-written-staffing-plan-every-facility-must-maintain-tied-to-actual-resident-a-virginia
a written plan that specifies the number and type of direct care staff required to meet the day-to-day, routine direct care needs and any identified special needs for the residents in care
22VAC40-73-280
the written staffing plan every facility must maintain, tied to actual resident acuity
https://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
B. The assisted living facility shall maintain a written plan that specifies the number and type of direct care staff required to meet the day-to-day, routine direct care needs and any identified special needs for the residents in care. This plan shall be directly related to actual resident acuity levels and individual...
staffing records and disclosure
Virginia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/the-written-staffing-plan-every-facility-must-maintain-tied-to-actual-resident-a-virginia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
two-on-site-direct-care-staff-on-the-premises-24-hours-per-day-whenever-resident-georgia
At least two on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one staff person on each occupied floor
Ga. Comp. R. & Regs. R. 111-8-63-.09
two on-site direct care staff on the premises 24 hours per day whenever residents are present
https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
(b) At least two on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one staff person on each occupied floor.
flat presence requirement
Georgia
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/two-on-site-direct-care-staff-on-the-premises-24-hours-per-day-whenever-resident-georgia/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
type-a-facilities-night-shift-and-whether-staff-must-be-awake-depends-on-facilit-texas
Type A facility: Night shift staff in a small facility must be immediately available. In a large facility, the staff must be immediately available and awake.
26 Tex. Admin. Code § 553.253
Type A facilities — night shift, and whether staff must be awake depends on facility size
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(A) Type A facility: Night shift staff in a small facility must be immediately available. In a large facility, the staff must be immediately available and awake.
census-banded minimum staff on duty
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/type-a-facilities-night-shift-and-whether-staff-must-be-awake-depends-on-facilit-texas/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
In a large facility, the staff must be immediately available and awake.
[ "rule_scope", "staffing_rule_type", "state" ]
type-b-facilities-night-shift-staff-must-be-awake-whatever-the-size-of-the-facil-texas
Type B facility: Night shift staff must be immediately available and awake, regardless of the number of licensed beds.
26 Tex. Admin. Code § 553.253
Type B facilities — night shift staff must be awake whatever the size of the facility
https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
(B) Type B facility: Night shift staff must be immediately available and awake, regardless of the number of licensed beds.
flat presence requirement
Texas
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/type-b-facilities-night-shift-staff-must-be-awake-whatever-the-size-of-the-facil-texas/
[ "awake_staff_requirement", "minimum_staffing_requirement", "regulatory_citation" ]
null
Night shift staff must be immediately available and awake, regardless of the number of licensed beds.
[ "rule_scope", "staffing_rule_type", "state" ]
weekly-staffing-schedules-the-facility-must-document-and-keep-washington
Document and retain for 12 weeks, weekly staffing schedules, as planned and worked
WAC 388-78A-2450
weekly staffing schedules the facility must document and keep
https://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450
(d) Document and retain for 12 weeks, weekly staffing schedules, as planned and worked;
staffing records and disclosure
Washington
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/weekly-staffing-schedules-the-facility-must-document-and-keep-washington/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
when-the-administrator-or-manager-s-own-hours-count-towards-the-required-staffin-florida
The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility
Fla. Admin. Code Ann. R. 59A-36.010
when the administrator or manager's own hours count towards the required staffing hours
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
8. The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility, including making decisions and providing supervision for all aspects of resident care, and is listed on th...
counting rule
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/when-the-administrator-or-manager-s-own-hours-count-towards-the-required-staffin-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
when-the-licensing-agency-may-require-staffing-above-the-level-the-facility-has--california
The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.
Cal. Code Regs. Tit. 22, § 87411
when the licensing agency may require staffing above the level the facility has set
https://www.law.cornell.edu/regulations/california/22-CCR-87411
The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.
agency-directed increase
California
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/when-the-licensing-agency-may-require-staffing-above-the-level-the-facility-has--california/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
who-may-provide-resident-care-and-services-at-all-washington
Ensure all resident care and services are provided only by staff persons who have the training, credentials, experience, and other qualifications necessary to provide the care and services
WAC 388-78A-2450
who may provide resident care and services at all
https://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450
(e) Ensure all resident care and services are provided only by staff persons who have the training, credentials, experience, and other qualifications necessary to provide the care and services;
counting rule
Washington
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/who-may-provide-resident-care-and-services-at-all-washington/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
written-24-hour-work-schedule-the-facility-must-keep-and-show-to-residents-on-re-florida
The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period
Fla. Admin. Code Ann. R. 59A-36.010
written 24-hour work schedule the facility must keep and show to residents on request
https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
(c) The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period. Upon request, the facility must make the daily work schedules of direct care staff available to residents or their representatives.
staffing records and disclosure
Florida
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/written-24-hour-work-schedule-the-facility-must-keep-and-show-to-residents-on-re-florida/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null
[ "rule_scope", "staffing_rule_type", "state" ]
written-plan-of-operation-naming-the-staff-involved-and-the-time-estimated-for-e-north-carolina
The administrator shall prepare a plan of operation for each licensed facility specifying the staff involved, their regularly assigned duties and the amount of time estimated to be spent for each duty
10A NCAC 13F .0606
written plan of operation naming the staff involved and the time estimated for each duty
http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
(d) The administrator shall prepare a plan of operation for each licensed facility specifying the staff involved, their regularly assigned duties and the amount of time estimated to be spent for each duty. There shall be a current plan of operation on file in the facility, available for review by the Division of Health...
staffing records and disclosure
North Carolina
https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/written-plan-of-operation-naming-the-staff-involved-and-the-time-estimated-for-e-north-carolina/
[ "minimum_staffing_requirement", "regulatory_citation" ]
null
null

Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees

Canonical, always-current version: https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/ Machine-readable: https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/data.json — this mirror is a point-in-time copy.

  • Last verified: 2026-08-19
  • Stale after: 2027-08-19 (past this date, prefer the canonical copy — it re-verifies on a cadence this snapshot does not)
  • Records: 85

State-by-state comparison of minimum staffing requirements for assisted living facilities (distinct from nursing homes/skilled nursing facilities, which run under a separate federal-plus-state regime). Assisted living regulation is entirely state-run — there is no federal minimum — and states take genuinely different regulatory approaches, not just different numbers on the same form: North Carolina sets a headcount rule that scales by facility census (13-20 residents requires an administrator or manager within 500 feet plus at least one awake staff member per shift, with specific carve-outs for when housekeeping duties may or may not be combined with care duties); Georgia sets a flat always-present rule (at least two trained staff present at all times any resident is present, with at least one per occupied floor), a 1:15 waking / 1:20 non-waking awake direct-care ratio, banded on-site nurse hours, and separate continuing-education hour requirements (24 hours in year one, 16 hours annually after); Florida runs a facility-size-banded staff-hours-per-week table (total weekly staff hours required scale with combined resident/day-care/respite census, with an incremental add-on above 95); Pennsylvania sets hours per resident per day rather than a facility total (1 hour for a mobile resident, 2 hours for a resident with mobility needs, at least 75% of it in waking hours); California's only real number is at night, banded by census from 'a qualified person on call on the premises' under 16 residents up to one extra awake staff member per further 100; Texas splits the night rule by licence type rather than size (Type B night staff must be awake whatever the bed count, Type A only in a large facility); and Virginia, Washington and Minnesota state no number at all, requiring staffing 'sufficient' or 'adequate' against each resident's own assessment or service agreement, with a single awake or available responder as the floor. One record per distinct rule, so a facility of a given size can be looked up directly. Answers 'how many caregivers are legally required to be on duty at my parent's assisted living facility', and 'what's the difference between assisted living staffing rules and nursing home staffing rules'.

Provenance — what every record carries

Every record carries source (the URL the value was read from) and source_quote (a verbatim quote from that page stating it). A value you cannot check against its page is indistinguishable from an invented one; these can all be checked. Each record is also individually addressable on the canonical site at its url.

Licence position

unknown

Facts are not copyrightable; what this dataset takes from each source is a fact plus a short attributed quote linking back to the page that states it.

Sources

Fields

See any record in data/records.jsonl — field names are self-describing, and the canonical page for each record renders them with labels: https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/

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