Florida Senate - 2005 COMMITTEE AMENDMENT
Bill No. CS for SB 838
Barcode 655578
CHAMBER ACTION
Senate House
.
.
1 .
.
2 .
.
3 .
.
4 ______________________________________________________________
5
6
7
8
9
10 ______________________________________________________________
11 The Committee on Ways and Means (Campbell) recommended the
12 following amendment:
13
14 Senate Amendment (with title amendment)
15 On page 17, between lines 21 and 22,
16
17 insert:
18 (d) In the two areas selected by the agency and
19 department to begin implementation of the integrated system,
20 the agency shall adopt rules providing for minimum staffing
21 requirements for nursing homes, which include, for each
22 nursing home facility, a minimum certified nursing assistant
23 staffing of 2.9 hours of direct care per resident per day,
24 effective December 1, 2005. No facility shall staff below one
25 certified nursing assistant per 20 residents, and a minimum
26 licensed nursing staffing of 1.0 hour of direct resident care
27 per resident per day but not below one licensed nurse per 40
28 residents. Nursing assistants employed under s. 400.211(2) may
29 be included in computing the staffing ratio for certified
30 nursing assistants only if they provide nursing assistance
31 services on a full-time basis. Each nursing home must document
1
10:15 AM 04/20/05 s0838c1c-wm32-c8c
Florida Senate - 2005 COMMITTEE AMENDMENT
Bill No. CS for SB 838
Barcode 655578
1 compliance with staffing standards as required under this
2 paragraph and post daily the names of staff on duty for the
3 benefit of facility residents and the public. The agency shall
4 recognize the use of licensed nurses for compliance with
5 minimum staffing requirements for certified nursing assistants
6 if the facility otherwise meets the minimum staffing
7 requirements for licensed nurses and the licensed nurses are
8 performing the duties of certified nursing assistants. Unless
9 otherwise approved by the agency, licensed nurses counted
10 toward the minimum staffing requirements for certified nursing
11 assistants must exclusively perform the duties of certified
12 nursing assistants for the entire shift and not also be
13 counted toward the minimum staffing requirements for licensed
14 nurses. If the agency has approved the facility's request to
15 use a licensed nurse to perform licensed nursing and certified
16 nursing assistant duties, the facility must allocate the
17 amount of staff time specifically spent on certified nursing
18 assistant duties for the purpose of documenting compliance
19 with minimum staffing requirements for certified and licensed
20 nursing staff. The hours of a licensed nurse with dual job
21 responsibilities may not be counted twice.
22
23 (Redesignate subsequent sections.)
24
25
26 ================ T I T L E A M E N D M E N T ===============
27 And the title is amended as follows:
28 On page 1, line 22, after the semicolon,
29
30 insert:
31 providing for the adoption of rules relating to
2
10:15 AM 04/20/05 s0838c1c-wm32-c8c
Florida Senate - 2005 COMMITTEE AMENDMENT
Bill No. CS for SB 838
Barcode 655578
1 minimum staffing requirements for nursing
2 homes; establishing guidelines for such
3 requirements;
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
3
10:15 AM 04/20/05 s0838c1c-wm32-c8c