Our SNF got the memo today: 3.48 HPRD with 0.55 RN and RN 24/7 phased in, so we taped a dry-erase HPRD tracker by the med room door to keep shifts honest until payroll tools catch up. Anyone else using quick workarounds or have clearer dates on the phase‑in for small facilities?
We spun up a Google Sheet that pulls daily census and PBJ hours to auto‑calc ‘3.48 HPRD’ by unit and ping the supervisor if RN dips under 0.55 — a staffing FitBit… CMS’s fact sheet has the dates: most facilities have about 2 years; rural get roughly 3 plus hardship options: https://www.cms.gov/newsroom/fact-sheets/minimum-staffing-standards-long-term-care-ltc-facilities-and-medicaid-institutional-payment-transparency. Are you rural, and can your PBJ vendor push hourly feeds yet?
Quick workaround: we write “RN 33 min/res/day” on the board and each morning dump yesterday’s Kronos punches, filter RN job codes, and divide by midnight census so charge can see if we cleared 0.55 — beats napkin math. Watch weekend census dips; one discharge swung our RN HPRD more than expected. CMS’s fact sheet has the phase‑in details by rural vs non‑rural: https://www.cms.gov/newsroom/fact-sheets/nursing-home-staffing-standards-final-rule — anyone at a small rural SNF get an official date confirmation yet?
We laminated a tiny “minutes per resident” card on each WOW that lists RN and total minutes by census band, and during report the charge circles today’s target so if we’re shy we can float a supervisor before lunch instead of scrambling at 2200; just make sure you exclude education/meeting punches from RN time.