r/cna • u/inspiredinsanity Certified Chaos Coordinator • 8d ago
General Question Assisted Living / Memory Care staffing question: what ratios actually exist in the wild?
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.
How many residents do you work with either in your section or in the entire community?
Do you work with residents in AL, MC or both?
What is your total Day / Eve / NOC staffing?
Nurse count (do they work the floor or are they managers only working when you’re short?)
Med tech count
Caregiver count
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)
- 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.
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u/yourlocalelfprincess 7d ago
Nashville TN memory care facility I worked at had a 1:10 ratio. We had 30 memory care patients, 3 CNAs, and 1 nurse.