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Moms AL had 39 rooms. An RN was in charge an LPN backed her up. There were Med techs and CNAs.
theconsumervoice.org/uploads/files/issues/Harrington-state-staffing-table-2010.pdf
In both places, meds were given by LPNs (Ohio). The LPNs in both places, for the most part, were great people. The difference was the first AL place was a for-profit chain. They hired young women fresh out of school and were always short-staffed. These poor girls burned out quickly and moved on. Hard to get continuity of care for Dad in those circumstances.
The second AL was a not-for-profit (non-chain) retirement community. They had LPNs who had been there for years, they had adequate staffing. They also had aides who had made the place their career, some had gone to nursing school and came back to the AL as LPNs.
The LPNs in both ALs that Dad was in did not do most of the caregiving, that fell to the aides (PCAs). After the bad choice I made with the first AL place, I asked more questions about staffing when I interviewed other places. I also did an internet search of job postings at each place I considered. That gave me important info about the experience and training requirements the AL asked for in potential employees.
The for-profit chain AL did not require their PCAs have any prior experience or training, at least for the location my Dad had been at. Supposedly, they provided on-the-job training. What that meant was you saw them in front of a computer wearing earphones during their shift, getting “training”. Their aides had the same qualifications to get a job at a fast food restaurant. The aides are the ones to focus on, they will interact with your loved one more than the nursing staff throughout the day.
Good luck in your search.
Debbie1955