The Laureate Way

Articles to Help Families and Older Adults Manage the Challenges of Aging

Full Time RNs in Assisted Living: Why It Matters

Full Time RNs in Assisted Living Why It Matters

Staffing is not just about the number of people working in the facility at any given time. It’s about the credentials of the people who make up the staffing plan on a daily basis. Full time RNs in assisted living is a key element to consider when choosing a senior living facility. You want to have the assurance that quality care is directed and provided under the direct supervision of qualified professionals such as Registered Nurses.

What are the benefits of staffing full time RNs?

Continuity of Care: 
RN leadership can build a team with residents, their families, their physician and other professionals, which leads to improved health and wellness. By being present and working full time in the facility, the nurse is able to get to know each resident on an individual basis and determine the best approaches to health issues. They have the time to really listen and respond to each resident and their family members.
Coordination of Care:
An RN on staff can improve access to health care providers such as therapies, pharmacist, podiatry, psychology/psychiatry, hospice and other specialists.
Quality of Care:
Professional individual care plans prepared by an RN are designed to promote health, independence and quality of life. Anyone can write a service plan, but only a Registered Nurse can complete a comprehensive clinical assessment of a resident’s overall health status and devise a care plan specifically for that resident taking into account not only their individual needs but also their strengths and available resources.
Medication Management:
An RN has the training to monitor meds for unintended side effects and review new meds for potential interactions. An RN can work closely with pharmacists and physicians to assure that medications are most effective.
Comprehensive Care Coordination:
By working full time at the facility, the RN is able to directly monitor changes in resident’s health conditions. Observation and early intervention for even minor health concerns often means quicker recovery with fewer complications.

Do Assisted Living Facilities Have Nurses on Staff?

It’s essential to realize that not all assisted living communities have nurses on staff.  Some facilities choose to work with an RN consultant to provide services on an “as needed” basis for the facility or employ RNs that take calls and answer questions by phone without ever seeing the residents.

Some have nurses that cover several different locations which may be miles apart. Others may utilize Licensed Practical Nurses (LPNs) or caregivers on staff, but not necessarily RNs to make clinical decisions.

Questions To Ask When There is No Full Time RN on Staff

While you can find assisted living facilities without nurses on staff that provide good care, it is important to know that not all facilities have the same level of staffing. There is peace of mind in knowing that as health needs change, there are professional nurses on staff that are able to meet the needs of a loved one. When choosing an assisted living facility – important questions to ask about staffing with nurses:

  • Are the nurses employed by the facility or contracted as consultants?
  • Do they use RNs or LPNs for nurse coverage? How many hours of each are in the facility every day?
  • How many facilities do these nurses “cover” or work at one time?
  • What RN support is available when nurses aren’t on-site/in the building? Who’s “on-call” and makes clinical decisions?
  • Does this person just get called or do they go into the facility to see and assess the resident?