Skip to content
Skip to content
Open navigation

Nursing Staffing Requirements to Meet the Demands of Today’s Long Term Care Consumer

Recommendations from the Coalition of Geriatric Nursing Organizations (CGNO)

CGNO Position Statement Endorsed by ANA: November 12, 2014

The CGNO proposes that the following minimum staffing levels be adopted, funded, implemented, and publicly reported for nursing homes:

  • A registered nurse be present in the nursing home at all times for oversight of resident care, resident assessment, supervision of licensed nursing staff and delegation to certified nursing assistants.
  • The Director of Nursing be either prepared at the baccalaureate level or certified in nursing administration by one of the CGNO associations. 
  • The hours of direct nursing care for each resident be at least 4.1 hours per resident day with minimum 30% of that consisting of licensed nurses.
  • Administrative RN positions such as the Director of Nursing and Assistant Director of Nursing not be counted as direct nursing hours for resident care.
  • Skilled nursing facility residents have licensed staffing based on clinical acuity, which may necessitate more than the 4.1 hours per resident minimum.

ANA members: Please log in to access and download the full position statement. 


Not an ANA member yet?



Item(s) added to cart

Go to cart Continue Shopping