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13                       SECTION 46
14
15     TO AMEND THE 1976 CODE BY ADDING SECTION 44-7-262 SO AS TO ESTABLISH MINIMUM PATIENT-STAFF
16     RATIOS FOR STAFF PROVIDING NURSING CARE IN NURSING HOMES AND MAKING THOSE MINIMUM STAFFING
17     RATIOS A CONDITION OF LICENSURE.
18
19     A.  The 1976 Code is amended by adding:
20
21           "Section 44-7-262.   (A) As a condition of licensure, in addition to the number of licensed nursing personnel required by R61-17, or any
22     other regulation, a nursing home must provide at a minimum these resident-staff ratios for staff who provide nursing care:
23                 (1)  9 to 1 for shift 1;
24                 (2)  13 to 1 for shift 2;
25                 (3)  22 to 1 for shift 3.
26           In those facilities utilizing two twelve-hour shifts, the staffing ratios for shift one apply to the twelve-hour shift occurring primarily during
27     the day, and the staffing ratios for shift three apply to the twelve-hour shift occurring primarily during the night.
28           (B)  For purposes of this section:
29                  (1)   Shift 1'  means a work shift that occurs primarily during the daytime hours including, but not limited to, a 7:00 a.m. to 3:00 p.m.
30     shift;
31                  (2)   Shift 2' means a work shift that generally includes both daytime and evening hours including, but not limited to, a 3:00 p.m. to
32     11:00 p.m. shift;
33                  (3)   Shift 3' means a work shift that occurs primarily during the nighttime hours including, but not limited to, an 11:00 p.m. to 7:00
34     a.m. shift."



PART II                                                                            PAGE 568

 1     B.   This section takes effect January 1, 1999.
 2