February 4, 2003, Introduced by Senators GEORGE, PATTERSON, GOSCHKA, BIRKHOLZ, TOY and CHERRY and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending section 21720a (MCL 333.21720a).
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 Sec. 21720a. (1) A
The department shall not license a
2 nursing home shall
not be licensed under this part unless that
3 nursing home has on its staff at least 1 registered professional
4 nurse with specialized training or relevant experience in the
5 area of gerontology.
, who shall The nursing home shall have a
6 registered professional nurse serve as the director of nursing.
7 and who shall be The director of nursing is responsible for
8 planning and directing nursing care. The nursing home shall have
9 at least 1 registered professional nurse or licensed practical
10 nurse on duty at all times and shall employ additional registered
11 professional nurses and licensed practical nurses in accordance
1 with subsection (2). This
subsection shall not take effect
2 until January 1, 1980.
3 (2) A As
required by subsection (1), a nursing home shall
4 employ nursing personnel sufficient to provide continuous 24-hour
5 nursing care and services sufficient to meet the needs of each
6 patient in the nursing home. Nursing personnel employed in the
7 nursing home shall be
are under the supervision of the director
8 of nursing. A licensee shall maintain a nursing home staff
9 sufficient to provide not less than 2.25 hours of nursing care by
10 employed nursing care
personnel per patient per day. The ratio
11 of patients to nursing care
personnel during shall not exceed
12 the following:
13 (a) During a morning
shift, shall not exceed 8 patients to
14 1 nursing care personnel.
; the ratio of patients to nursing
15 care personnel during
16 (b) During an
afternoon shift, shall not exceed 12 patients
17 to 1 nursing care personnel.
; and the ratio of patients to
18 nursing care personnel
during
19 (c) During a
nighttime shift, shall not exceed 15 patients
20 to 1 nursing care personnel.
and there shall be
21 (3) A nursing home
shall keep sufficient nursing care
22 personnel available on duty to assure coverage for patients at
23 all times during the shift. An employee designated as a member
24 of the nursing staff shall not be engaged in providing basic
25 services such as food preparation, housekeeping, laundry, or
26 maintenance services, except in an instance of natural disaster
27 or other emergency reported to and concurred in by the
1 department. In a nursing home having 30 or more beds, the
2 director of nursing shall not be included in counting the minimum
3 ratios of nursing
personnel required by this subsection (2).
4 In no case shall an employee who is not designated as a member of
5 the nursing staff be included in counting the minimum ratios of
6 nursing personnel to patients required by subsection (2).
7 (4) (3) In
administering this section, the department shall
8 take into consideration a natural disaster or other emergency.