In regard to nursing services in a long-term care facility, OBRA regulations include
a. a director of nursing that holds at least a master's degree in health administration.
b. availability of vocational nurses on each unit 24 hours a day, 7 days a week.
c. the presence of at least four direct caregivers on duty per unit for each shift, re-gardless of census.
d. the provision of nursing personnel consistent with the level of care and needs of residents.
D
OBRA mandated that long-term care facilities provide nursing personnel consistent with the res-idents' level of care and needs. The requirement for a director of nursing is that there is a full-time director if the facility has more than 60 beds. There are no specific staffing guidelines other than a registered nurse on duty for at least 8 consecutive hours a day, 7 days a week.
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