Table II. Staffing Mix Regulations.
| Canada | Germany | Norway | |||
|---|---|---|---|---|---|
| Ontario1 | Manitoba2 | British Columbia3 | North Rhine/Westphalia4 | Oslo & Bergen5 | |
| Professional Staff Minimums | Director of Nursing (RN) from 4 hours for 19 or fewer beds ranging to 35 hours for 65 or more beds RN 24 hours per day | Director of Nursing (Nurse in charge of care): Registered Nurse or Registered Psychiatric Director of Nursing (Nurse in charge of care): Registered Nurse or Registered Psychiatric Nurse full-time with 60 or more beds; with additional responsibilities with fewer than 60 beds. Registered Nurses in charge of nursing services. Registered Dietician available for consultation as necessary. Sufficient to meet the needs of residents | Director of Nursing is not required. The legislation stipulates that: “[e]mployees on duty are sufficient in numbers, training and experience” Food services manager must be in facilities >50 | Nurses (Qualified Care Workers): must be 50% of all care staff + 24 hr nurse staffing with MIN of 1 nurse on night shift.6 | Director of Nursing (RN) and Charge Nurse is informally required per home irrespective of size. Registered Nurse at ward level per 8 to 10 residents. |
| Non-professional Staff Minimums | Personal Support Workers: No minimum number Food Service Workers: % occupancy of the home x 0.45 = # food service workers | Health Care Aides: No minimum number | Health Care Assistants: No minimum number | Care Aides (Schwesternhelfer/in): No minimum number | Skilled Care Workers No formal staffing standards, though some municipalities have unofficial standards. |
Ontario, Ontario Regulation 79/10 Long-Term Care Homes Act (2007, S.O. 2007, c. 8), accessed 22 February 2015, http://www.e-laws.gov.on.ca/html/source/regs/english/2010/elaws_src_regs_r10079_e.htm#BK37
Manitoba, Personal Care Homes Standards Regulation, Man Reg 30/2005, accessed 7 March 2015, http://canlii.ca/t/k8q4
British Columbia, Community Care and Assisted Living Act (2009, Reg 96/2009 O.C 225/2009) Residential Care Regulation, accessed 22 February 2015, http://www.bclaws.ca/Recon/document/ID/freeside/96_2009#division_d2e2506
Germany, Social Code (SGB) - Eleventh Book (XI) - Social Insurance (Article 1 of the Law Of 26 May 1994, I, P 1014). Section 11. Rights And Duties Of Care Facilities, accessed 2 February 2015, http://www.gesetze-im-internet.de/sgb_11/__11.html
Norway, Ministry of Health, Law on Municipal Health Care
Charlene Harrington et al, “Nursing Home Staffing Standards and Staffing Levels in Six Countries,” 93.