New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 16 - REQUIREMENTS FOR LONG TERM CARE FACILITIES › Section 8.370.16.51 - NURSING STAFF

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the requirements of 8.370.16.50 NMAC, the
				  following conditions shall be met:
A.
				Assignments: There shall be sufficient nursing service personnel assigned to
				care for the specific needs of each resident on each tour of duty. Those
				personnel shall be briefed on the condition and appropriate care of each
				resident prior to beginning hands-on care of residents.
B. Relief personnel: Facilities shall obtain
				qualified relief personnel.
C.
				Records, weekly schedules: Weekly time schedules shall be planned at least one
				week in advance, shall be posted and dated, shall indicate the names and
				classifications of nursing personnel and relief personnel assigned on each
				nursing unit for each tour of duty, and shall be updated as changes
				occur.
D. Staff meetings: Meetings
				shall be held at least quarterly for the nursing personnel to brief them on new
				developments, raise issues relevant to the service, and for such other purposes
				as are pertinent.
E. Twenty-four
				(24) hour coverage: All facilities shall have at least one nursing staff person
				on duty at all times.
F. Staffing
				patterns: The assignment of the nursing personnel required by this subsection
				to each tour of duty shall be sufficient to meet each resident's needs and
				implement each resident's comprehensive care plan.
(1) Nursing department personnel means, the
				director of nursing, the assistant director of nursing, nursing department
				directors, licensed nursing personnel, certified nursing assistants, nursing
				assistants who have completed 16 hours or more of orientation and demonstrated
				competency and restorative nursing assistants.
(2) The director of nursing, the assistant
				director of nursing, and nursing department directors may be counted towards
				the minimum staffing requirements only for the time spent on the shift
				providing direct resident care services.
(a) A
				skilled nursing facility or facility that offers intermediate and skilled
				nursing shall maintain a nursing department minimum staffing level of two and a
				half hours per patient day calculated on a seven day average.
(b) An intermediate care facility shall
				maintain a nursing department minimum staffing level of two and three-tenths
				(2.3) hours per patient day calculated on a seven day average.
(c) Within one hour of shift change,
				facilities shall post the number of nursing personnel on duty in a conspicuous
				and consistent location for public review. Shifts are informally defined as the
				day shift, evening shift, and night shift. Employees working variations of
				these shifts shall be included within the shift count where a majority of the
				hours fall. Example: For a facility with 100 patients, two and three-tenths
				(2.3) hours per patient day averages one nursing department employee on duty
				for approximately every 10 to 11 patients. For a facility with 100 patients,
				two and five tenths (2.5) hours per patient day averages one nursing department
				employee for every nine to 10 patients. These are daily averages that will vary
				from shift to shift so that actual staffing might approximate: 2.3 Hours per
				patient day 2.5 Hours per patient day Day Shift One staff for eight patients
				One staff for seven patients Evening Shift One staff for 10 patients One staff
				for 10 patients Night Shift One staff for 13 patients One staff for 12
				patients