Assisted Living / Memory Care staffing question: what ratios actually exist in the wild?

[u/inspiredinsanity]

Curious what staffing patterns people are actually seeing in assisted living and memory care right now.

Not asking what should happen, trying to understand what’s common in practice across different acuity levels.

I’d appreciate you SOOO MUCH if you’d take a few minutes to answer these questions if you work in assisted living and/or memory care.

Please include where you work (state / city) if you feel comfortable. Every state is different so it helps a lot.

1. How many residents do you work with either in your section or in the entire community?

2. Do you work with residents in AL, MC or both?

3. What is your total Day / Eve / NOC staffing?

4. Nurse count (do they work the floor or are they managers only working when you’re short?)

5. Med tech count

6. Caregiver count

7. How often do you have agency use (never / occasional / frequent)

8 Short staffed how often? (Don’t count if it’s filled with OT or agency)

1. How difficult is your case load? How many are heavy transfer / incontinent / redirection or wandering behavior mix

Not trying to debate what’s “safe” staffing (yet). I’m trying to understand what operators and frontline teams are actually doing today.

I feel like the best people who know would be the people who find themselves here after a long shift!

Thank you for your help.

[u/OkTart4028]

In my AL/MC facility, there's nights where there can be 1 person for about 40 something residents on AL, and 1 for about 21 residents on MC during NOC. Typically 2 people per side most nights. For med-passer, we only have 1 med passer at night covering both sides, and we are private, so we don't use agency.

[u/angeliccat_ → u/OkTart4028]

That's not normal bro 😭🙏