Our SNF posted new targets for the CMS rule today: 3.48 HPRD and 24/7 RN. How are you all covering nights without stretching everyone thin?
We built a small night RN pool by splitting one FTE into three 0.6s and added a real on-call stipend, then ran an 8-hour anchor RN with a 2–3 hr evening overlap to handle admits/meds — made hitting “24/7 RN” feel less like Tetris at 3 a.m. The caveat: cap on-call to once a week per RN or burnout hits fast. @JulesL, have you tried shifting a sliver of day HPRD to nights to fund the overlap?