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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
When choosing a nursing home, one of the most important details is the staff to patient ratio, but what staffing levels are required by law? Federal law requires Medicare and Medicaid certified nursing homes to have a registered nurse (RN) on duty at least 8 hours a day, 7 days a week; and a licensed nurse (RN or LPN) on duty 24 hours a day. However, there are no minimum staffing levels for nurse's aides, who provide most of the day-to-day care. Instead, nursing homes are required to provide sufficient staff and services to attain or maintain the highest possible level of physical, mental, and psychosocial well-being of each resident.. In addition, nursing homes must provide a minimum of 75 hours of training for the aides.