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. Author manuscript; available in PMC: 2018 Feb 19.
Published in final edited form as: Labour. 2016 Spring;77:37–71. doi: 10.1353/llt.2016.0029

Table III. Staffing Intensity Regulations.

Canada Germany Norway
Ontario1 Manitoba2 British Columbia3 North Rhine/Westphalia4 Oslo & Bergen5
Ratios /or/ hours per resident per day (hprd) Standards No minimum. Based on Case Mix Index. Non-profits and Public institutions may supplement No minimum, but a target: 3.6 hprd (funded)6 No minimum (in general) but newly constructed facilities: 2.8 hprd. “The act stipulates that: the employees on duty are sufficient in numbers, training and experience, and organized in an appropriate staffing pattern” Minimum of 3.0 hprd. 1 FTE for 4 residents (level I); 1 FTE for 2.5 residents (Level II); 1 FTE for 1.8 residents (Level III)7 No minimum but Bergen ratio is 0.95 FTE direct (RNs, licensed vocational nurses, and nursing assistants) and indirect care workers (managers, and housekeeping staff) per resident. Informally, there is a 4.2 to 5.1 hprd 8
1

Ontario, Long-Term Care Homes Act

2

Manitoba, Personal Care Homes Standards Regulation

3

British Columbia, Community Care and Assisted Living Act

4

Germany, Social Code (SGB) - Eleventh Book (XI)

5

Norway, Ministry of Health, Law on Municipal Health Care

6

Office of the Auditor General of Manitoba, Report to the Legislative Assembly – Audits of Givernment Operations (Novermber 2009) 51. accessed on April 1, 2015. www.oag.mb/ca

7

Charlene Harrington et al, “Nursing Home Staffing Standards and Staffing Levels in Six Countries,” 93.

8

Charlene Harrington et al, “Nursing Home Staffing Standards and Staffing Levels in Six Countries,” 93.