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 |
Ontario, Long-Term Care Homes Act
Manitoba, Personal Care Homes Standards Regulation
British Columbia, Community Care and Assisted Living Act
Germany, Social Code (SGB) - Eleventh Book (XI)
Norway, Ministry of Health, Law on Municipal Health Care
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
Charlene Harrington et al, “Nursing Home Staffing Standards and Staffing Levels in Six Countries,” 93.
Charlene Harrington et al, “Nursing Home Staffing Standards and Staffing Levels in Six Countries,” 93.