MI SB1173

Department shall not license a nursing home unless it employs at least 1 registered nurse with specialized training or relevant experience in gerontology to serve as director of nursing responsible for planning and directing nursing care.

Nursing homes must maintain at least 1 licensed nurse on duty at all times and employ additional registered and licensed practical nurses and certified nurse aides sufficient to provide continuous 24-hour nursing care meeting each patient's needs.

Licensees must provide not less than 2.25 hours of nursing care per patient per day by employed nursing care personnel, with maximum patient-to-staff ratios of 8:1 morning shift, 12:1 afternoon shift, and 15:1 nighttime shift.

Licensees must provide not fewer than 2.25 hours of care per patient per day by certified nurse aides, with maximum ratios of 6:1 morning shift, 8:1 afternoon shift, and 12:1 nighttime shift.

Nursing staff designated as members of the nursing staff shall not provide basic services such as food preparation, housekeeping, laundry, or maintenance, except during natural disasters or other emergencies reported to and approved by the department; takes effect 90 days after enactment.