State-by-state comparison of minimum staffing requirements for assisted living facilities (distinct from nursing homes/skilled nursing facilities, which run under a separate federal-plus-state regime). Assisted living regulation is entirely state-run — there is no federal minimum — and states take genuinely different regulatory approaches, not just different numbers on the same form: North Carolina sets a headcount rule that scales by facility census (13-20 residents requires an administrator or manager within 500 feet plus at least one awake staff member per shift, with specific carve-outs for when housekeeping duties may or may not be combined with care duties); Georgia sets a flat always-present rule (at least two trained staff present at all times any resident is present, with at least one per occupied floor), a 1:15 waking / 1:20 non-waking awake direct-care ratio, banded on-site nurse hours, and separate continuing-education hour requirements (24 hours in year one, 16 hours annually after); Florida runs a facility-size-banded staff-hours-per-week table (total weekly staff hours required scale with combined resident/day-care/respite census, with an incremental add-on above 95). One record per distinct rule, so a facility of a given size can be looked up directly. Answers 'how many caregivers are legally required to be on duty at my parent's assisted living facility', and 'what's the difference between assisted living staffing rules and nursing home staffing rules'.

Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees


**State:** Florida

**Which rule this is:** 0-5 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 168

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>

Florida — Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees


**State:** Florida

**Which rule this is:** 16-25 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 253

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 26-35 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 294

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 36-45 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 335

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 46-55 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 375

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 56-65 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 416

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 6-15 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 212

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 66-75 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 457

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 76-85 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 498

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** 86-95 total combined residents, day care participants and respite care residents — minimum staff hours per week

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** 539

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents | Staff Hours/Week | 0-5 | 168 | 6-15 | 212 | 16- 25 | 253 | 26-35 | 294 | 36-45 | 335 | 46-55 | 375 | 56- 65 | 416 | 66-75 | 457 | 76-85 | 498 | 86-95 | 539 |

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** a First Aid and CPR certified staff member must be in the facility at all times

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times

**Staff training or continuing education requirement:** completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 5. A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times. a. Documentation of attendance at First Aid or CPR courses pursuant to subsection <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-011> 59A-36.011(5) , F.A.C., satisfies this requirement.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** North Carolina

**Which rule this is:** all adult care homes — duty to staff to the resident census, and never to leave residents alone

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter

**Regulatory citation:** 10A NCAC 13F .0605

> (a) Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter. (b) At no time shall residents be left alone without a staff member in the facility.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf>

North Carolina — Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees


**State:** North Carolina

**Which rule this is:** all adult care homes — required supervisors and aides per shift must be posted where residents and visitors can see them

**Type of staffing rule:** staffing records and disclosure

**Minimum staffing requirement:** The facility shall post daily staffing information in a location accessible to residents and visitors in accordance with G.S. 131D-4.3(a)(5)

**Regulatory citation:** 10A NCAC 13F .0605

> (d) The facility shall post daily staffing information in a location accessible to residents and visitors in accordance with G.S. 131D-4.3(a)(5). The information shall include: (1) the name and contact information of the administrator and manager; (2) the number of required supervisors on each shift; and (3) the number of aides required on each shift.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf>


**State:** Georgia

**Which rule this is:** annual continuing education hours from the second year of employment onwards

**Type of staffing rule:** training requirement

**Staff training or continuing education requirement:** a minimum of sixteen (16) hours of job-related continuing education

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (6) Ongoing Staff Training. Beginning with the second year of employment, staff providing hands-on personal services must have a minimum of sixteen (16) hours of job-related continuing education as referenced in paragraph <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09> 111-8-63-.09 (5) above annually.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>

Georgia — Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees


**State:** Georgia

**Which rule this is:** at least two trained staff present at all times any residents are present, one per occupied floor

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** must be present in the assisted living community at all times any residents are present, with at least one staff person on each occupied floor

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (4) Trained Staff Present. At least two staff who have completed the minimum training requirements of Rule <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09> 111-8-63-.09 (2)(a) through (d) and (3)(a) through (e) above must be present in the assisted living community at all times any residents are present, with at least one staff person on each occupied floor, to provide necessary oversight and assistance to staff providing hands-on personal services who have not completed the training, to ensure that care and services are delivered safely and in accordance with these rules.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** average monthly minimum awake direct care staff-to-resident ratio, waking and non-waking hours

**Type of staffing rule:** staff-to-resident ratio

**Minimum staffing requirement:** an average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs

**Awake/awake-on-duty requirement:** one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (18) The community must maintain an average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs. Average monthly minimum staffing levels shall be calculated and documented by the community using methods and forms specified by the department. However, the assisted living community must staff above these minimum on-site staff ratios to meet the specific residents' ongoing health, safety and care needs.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** North Carolina

**Which rule this is:** census of greater than 12 but less than 21 residents — administrator or manager presence

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times

**Regulatory citation:** 10A NCAC 13F .0607

> (a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf>


**State:** North Carolina

**Which rule this is:** census of greater than 12 but less than 21 residents — one awake staff member on every shift when the administrator or manager is not on duty

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** there shall be at least one awake staff member on duty on the first, second, and third shifts

**Awake/awake-on-duty requirement:** there shall be at least one awake staff member on duty on the first, second, and third shifts

**Regulatory citation:** 10A NCAC 13F .0607

> (a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times. (b) When the administrator or manager is not on duty within the facility, there shall be at least one awake staff member on duty on the first, second, and third shifts.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf>


**State:** North Carolina

**Which rule this is:** census of greater than six but less than 13 residents — administrator or manager presence

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times

**Regulatory citation:** 10A NCAC 13F .0606

> (a) In a facility with a census of greater than six but less than 13 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>


**State:** North Carolina

**Which rule this is:** census of greater than six but less than 13 residents — staff on duty when the administrator or manager is not on duty

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** there shall be at least one staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift

**Awake/awake-on-duty requirement:** If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times

**Regulatory citation:** 10A NCAC 13F .0606

> (a) In a facility with a census of greater than six but less than 13 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times. (b) When the administrator or manager is not on-duty, there shall be at least one staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift. There shall be a call system connecting the bedroom of the available staff member, who may be asleep on the third shift, with each resident's bedroom. If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>


**State:** North Carolina

**Which rule this is:** cluster of adjacent facilities each with capacity or census of 12 or fewer residents

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** When there is a cluster of up to six licensed facilities located adjacently, there shall be at least one administrator or manager who lives within 500 feet of each of the facilities with a means of two- way telecommunication at all times

**Regulatory citation:** 10A NCAC 13F .0606

> (g) A cluster of facilities, each with capacity or census of 12 or fewer residents, shall comply with the following staffing: (1) When there is a cluster of up to six licensed facilities located adjacently, there shall be at least one administrator or manager who lives within 500 feet of each of the facilities with a means of two- way telecommunication at all times. (2) The administrator or manager on-duty shall be directly responsible for assuring that all required daily duties are carried out in each facility.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>


**State:** Georgia

**Which rule this is:** communities with 31 to 60 residents — on-site registered or licensed practical nurse hours

**Type of staffing rule:** banded professional coverage hours

**Minimum staffing requirement:** For communities with 31 to 60 residents, a minimum of 16 hours per week

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week;

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** communities with 61 to 90 residents — on-site registered or licensed practical nurse hours

**Type of staffing rule:** banded professional coverage hours

**Minimum staffing requirement:** For communities with 61 to 90 residents, a minimum of 24 hours per week

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week; (iii) For communities with 61 to 90 residents, a minimum of 24 hours per week;

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** communities with more than 90 residents — on-site registered or licensed practical nurse hours

**Type of staffing rule:** banded professional coverage hours

**Minimum staffing requirement:** For communities with more than 90 residents, a minimum of 40 hours per week

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week; (ii) For communities with 31 to 60 residents, a minimum of 16 hours per week; (iii) For communities with 61 to 90 residents, a minimum of 24 hours per week; (iv) For communities with more than 90 residents, a minimum of 40 hours per week;

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** communities with one to 30 residents — on-site registered or licensed practical nurse hours

**Type of staffing rule:** banded professional coverage hours

**Minimum staffing requirement:** For communities with one to 30 residents, a minimum of 8 hours per week

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (c) A registered professional nurse or licensed practical nurse must be on-site to support care and oversight of the residents, as follows: (i) For communities with one to 30 residents, a minimum of 8 hours per week;

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** continuing education hours required during the first year of employment as a direct care worker

**Type of staffing rule:** training requirement

**Staff training or continuing education requirement:** a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (5) Training Hours Required During First Year of Employment. All staff offering hands-on personal services to the residents, including the administrator or on-site manager, must satisfactorily complete a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** enough qualified staff regardless of the minimum hours table, including apartment-style facilities

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service needs, resident contracts, and resident care standards

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> (b) Notwithstanding the minimum staffing requirements specified in paragraph (a), all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service needs, resident contracts, and resident care standards as described in rule <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-007> 59A-36.007 , F.A.C.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** facilities co-located with a nursing home may share staff, but the hours count only once

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** Facilities that are co-located with a nursing home may use shared staffing provided that staff hours are only counted once for the purpose of meeting either assisted living facility or nursing home minimum staffing ratios

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> (e) Facilities that are co-located with a nursing home may use shared staffing provided that staff hours are only counted once for the purpose of meeting either assisted living facility or nursing home minimum staffing ratios.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** facilities with 17 or more residents — a staff member must be awake around the clock

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night

**Awake/awake-on-duty requirement:** In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 4. In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** independent living residents are excluded from the census used to compute minimum staff hours

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** are not counted as residents for purposes of computing minimum staff hours

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 2. Independent living residents, as referenced in subsection <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-015> 59A-36.015(3) , F.A.C., who occupy beds included within the licensed capacity of an assisted living facility but do not receive personal, limited nursing, or extended congregate care services, are not counted as residents for purposes of computing minimum staff hours.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Georgia

**Which rule this is:** initial training deadline for all staff, whatever their role

**Type of staffing rule:** training requirement

**Staff training or continuing education requirement:** receives training within the first 60 days of employment

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (2) Initial Training for All Staff. The administrator or on-site manager must ensure that any person working in the assisted living community as staff, receives training within the first 60 days of employment on the following: (a) residents' rights and identification of conduct constituting abuse, neglect or exploitation of a resident and reporting requirements to include the employee's receipt of a copy of the Long-Term Care Facility Resident Abuse Reporting Act as outlined in O.C.G.A. § 31-8-81 et seq.; (b) general infection control principles including importance of hand hygiene in all settings and attendance policies when ill; (c) training necessary to carry out assigned job duties; and (d) emergency preparedness.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Georgia

**Which rule this is:** initial training deadline for staff providing hands-on personal services, including first aid and CPR certification

**Type of staffing rule:** training requirement

**Staff training or continuing education requirement:** receive training within the first 60 days of employment

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (3) Initial Training for Staff Providing Hands-On Personal Services. In addition to the initial training required of all staff in paragraph (2) above, the administrator must ensure that staff hired to provide hands-on personal services to residents receive training within the first 60 days of employment which includes the following: (a) current certification in emergency first aid except where the staff person is a currently licensed health care professional; (b) current certification in cardiopulmonary resuscitation where the training course required return demonstration of competency;

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** limited mental health, extended congregate care and limited nursing services licences carry extra staffing rules

**Type of staffing rule:** additional rules for special licences

**Minimum staffing requirement:** Facilities holding a limited mental health, extended congregate care, or limited nursing services license must also comply with the staffing requirements of rules

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> (f) Facilities holding a limited mental health, extended congregate care, or limited nursing services license must also comply with the staffing requirements of rules <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-020> 59A-36.020 , <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-021> 59A-36.021 or <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-022> 59A-36.022 , F.A.C., respectively.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** maintenance, clerical and food preparation staff do not count towards the minimum staffing hours

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 7. Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Georgia

**Which rule this is:** minimum age of the on-site manager and responsible staff persons

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** The on-site manager and responsible staff persons must be at least 21 years of age and responsible for supervising the provision of care by all other staff

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (1) The on-site manager and responsible staff persons must be at least 21 years of age and responsible for supervising the provision of care by all other staff. No staff person under the age of 18 is permitted to work in the assisted living community unless there is direct line-of-sight supervision being provided by the administrator, on-site manager or a responsible staff person or the staff member is at least 17 years of age and has successfully completed a vocational technical training track as a nursing assistant through a Georgia high school.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** more than 95 total combined residents, day care participants and respite care residents — incremental staff hours above the table

**Type of staffing rule:** weekly staff-hours table

**Minimum staffing requirement:** For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 86-95 | 539 | For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** North Carolina

**Which rule this is:** one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (13 to 20 residents)

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents

**Regulatory citation:** 10A NCAC 13F .0607

> (d) Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents. The staff member so assigned shall not perform food service duties during the shift of rendering care services and supervision. The staff member so assigned shall not perform housekeeping duties during the shift of rendering care services and supervision, except; (1) between the hours of 7:00 a.m. and 9:00 p.m., and then only when the housekeeping duties are incidental to the rendering of care services; and (2) between the hours of 9:00 p.m. and 7:00 a.m., and then only to the extent that the housekeeping duties do not hinder the assigned staff's duties of care or immediate response to residents, nor impede the assigned staff member's ability to monitor the residents. (e) There shall be additional staff to provide daily housekeeping and food service duties.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf>


**State:** North Carolina

**Which rule this is:** one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (7 to 12 residents)

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents

**Regulatory citation:** 10A NCAC 13F .0606

> (e) Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents. The staff member so assigned shall not perform food service duties during the shift of rendering care services and supervision. The staff member so assigned shall not perform housekeeping duties during the shift of rendering care services and supervision, except: (1) between the hours of 7:00 a.m. and 9:00 p.m., and then only when the housekeeping duties are incidental to the rendering of care services; and (2) between the hours of 9:00 p.m. and 7:00 a.m. and then only to the extent that the housekeeping duties do not hinder the assigned staff's duties of care or immediate response to residents, nor impede the assigned staff member's ability to monitor the residents. (f) There shall be additional staff to provide daily housekeeping and food service duties.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>


**State:** Florida

**Which rule this is:** one staff member with access to facility and resident records must be present whenever residents are in the facility

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 3. At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility. Residents serving as paid or volunteer staff may not be left solely in charge of other residents while the facility administrator, manager or other staff are absent from the facility.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** only staff actually on the job count towards the minimum staffing hours

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 9. Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** North Carolina

**Which rule this is:** second staff member required when the administrator or manager is on duty on the first or second shifts

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** another staff member (i.e., co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times

**Regulatory citation:** 10A NCAC 13F .0606

> (c) When the administrator or manager is on duty on the first or second shifts and available within the facility on third shift, another staff member (i.e., co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>


**State:** North Carolina

**Which rule this is:** second staff member required when the administrator or manager is on duty within the facility

**Type of staffing rule:** census-banded minimum staff on duty

**Minimum staffing requirement:** another staff member (i.e. co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times and available to assist if needed

**Regulatory citation:** 10A NCAC 13F .0607

> (c) When the administrator or manager is on duty within the facility, another staff member (i.e. co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times and available to assist if needed.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf>


**State:** Georgia

**Which rule this is:** staff who may not be counted towards the minimum staffing ratios

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** Staff, such as cooks and maintenance staff, who do not receive on-going direct care training and whose job duties do not routinely involve the oversight or delivery of direct personal care to the residents, must not be counted towards these minimum staffing ratios

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (a) Staff, such as cooks and maintenance staff, who do not receive on-going direct care training and whose job duties do not routinely involve the oversight or delivery of direct personal care to the residents, must not be counted towards these minimum staffing ratios. Personnel who work for another entity, such as a private home care provider, hospice, etc. or private sitters cannot be counted in the staff ratios for the assisted living community.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** staffing above the minimum when the agency finds supervision or care inadequate

**Type of staffing rule:** agency-directed increase

**Minimum staffing requirement:** The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residents

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> (d) The facility must provide staff immediately when the agency determines that the requirements of paragraph (a) are not met. The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residents, resident care standards described in rule <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-007> 59A-36.007 , F.A.C., are not being met, or that the facility is failing to meet the terms of residents' contracts.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Georgia

**Which rule this is:** staffing plans and monthly work schedules showing planned and actual coverage

**Type of staffing rule:** staffing records and disclosure

**Minimum staffing requirement:** must develop and maintain accurate staffing plans that take into account the specific needs of the residents and monthly work schedules for all employees, including relief workers, showing planned and actual coverage for each day and night

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (21) All assisted living communities must develop and maintain accurate staffing plans that take into account the specific needs of the residents and monthly work schedules for all employees, including relief workers, showing planned and actual coverage for each day and night. The assisted living community must retain the completed staff schedules for a minimum of one year.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** temporary absence of the administrator or manager of more than 48 hours

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 6. During periods of temporary absence of the administrator or manager of more than 48 hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. No staff member shall be in charge of a facility for a consecutive period of 21 days or more, or for a total of 60 days within a calendar year, without being an administrator or manager.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Georgia

**Which rule this is:** two on-site direct care staff on the premises 24 hours per day whenever residents are present

**Type of staffing rule:** flat presence requirement

**Minimum staffing requirement:** At least two on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one staff person on each occupied floor

**Regulatory citation:** Ga. Comp. R. & Regs. R. 111-8-63-.09

> (b) At least two on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one staff person on each occupied floor.

Source: <https://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09>


**State:** Florida

**Which rule this is:** when the administrator or manager's own hours count towards the required staffing hours

**Type of staffing rule:** counting rule

**Minimum staffing requirement:** The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> 8. The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility, including making decisions and providing supervision for all aspects of resident care, and is listed on the facility's staffing schedule.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** Florida

**Which rule this is:** written 24-hour work schedule the facility must keep and show to residents on request

**Type of staffing rule:** staffing records and disclosure

**Minimum staffing requirement:** The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period

**Regulatory citation:** Fla. Admin. Code Ann. R. 59A-36.010

> (c) The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period. Upon request, the facility must make the daily work schedules of direct care staff available to residents or their representatives.

Source: <https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010>


**State:** North Carolina

**Which rule this is:** written plan of operation naming the staff involved and the time estimated for each duty

**Type of staffing rule:** staffing records and disclosure

**Minimum staffing requirement:** The administrator shall prepare a plan of operation for each licensed facility specifying the staff involved, their regularly assigned duties and the amount of time estimated to be spent for each duty

**Regulatory citation:** 10A NCAC 13F .0606

> (d) The administrator shall prepare a plan of operation for each licensed facility specifying the staff involved, their regularly assigned duties and the amount of time estimated to be spent for each duty. There shall be a current plan of operation on file in the facility, available for review by the Division of Health Service Regulation and the county department of social services.

Source: <http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf>