Minn. R. agency 144, ch. 4659, pt. 4659.0180

Current through Register Vol. 49, No. 20, November 12, 2024

Part 4659.0180 - STAFFING

Subpart 1.Definition. For purposes of this part "direct-care staff¹ means staff who provide services for residents that include assistance with activities of daily living, medication administration, resident-focused activities, supervision, and support.

Subp. 2.Clinical nurse supervisor. The facility's clinical nurse supervisor may also fulfill any of the responsibilities that a registered nurse is required to perform at the facility under Minnesota Statutes, chapter 144G

Subp. 3.Direct-care staffing; plan required. A clinical nurse supervisor must develop and implement a written staffing plan that provides an adequate number of qualified direct-care staff to meet the residents needs 24-hours a day, seven-days a week. When developing a direct-care staffing plan, the clinical nurse supervisor must ensure that staffing levels are adequate to address the following:

A. each residents needs, as identified in the residents service plan and assisted living contract;

B. each residents acuity level, as determined by the most recent assessment or individualized review;

C. the ability of staff to timely meet the residents scheduled and reasonably foreseeable unscheduled needs given the physical layout of the facility premises;

D. whether the facility has a secured dementia care unit; and

E. staff experience, training, and competency.

Subp. 4.Daily staffing schedule.

A. The clinical nurse supervisor must develop a 24-hour daily staffing schedule. The schedule must:

(1) include direct-care staff work schedules for each direct-care staff member showing all work shifts, including days and hours worked; and

(2) identify the direct-care staff members resident assignments or work location.

B. The daily work schedule in item A must be posted at the beginning of each work shift in a central location on each floor of the facility, accessible to staff, residents, volunteers, and the public.

Subp. 5.Direct-care staff availability. A minimum of two direct-care staff must be scheduled and available at all times whenever a resident requires the assistance of two direct-care staff for scheduled and unscheduled needs.

Subp. 6.Direct-care staff availability; night supervision. During the hours of 10:00 p.m. to 6:00 a.m., direct-care staff shall respond to a residents request for assistance with health or safety needs as soon as possible, but no later than ten minutes after the request is made.

Minn. R. agency 144, ch. 4659, pt. 4659.0180

46 SR 33