ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

Staffing at Smoky Hill Rehabilitation Center

Hours of nursing care each resident receives per day, from payroll data submitted to CMS, not from figures the facility chose to publish. The marker on each bar is the national average.

Hours per resident per day

Total nurse staffing3.25 hrs
National average 3.86 hrsBelow average
Certified nurse aide (CNA) hours2.25 hrs
National average 2.32 hrsBelow average

Aides do the hands-on work, bathing, dressing, toileting, transfers, feeding.

Licensed practical nurse (LPN) hours0.68 hrs
Registered nurse (RN) hours0.32 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Physical therapist hours0.02 hrs

The weekend shift

Residents are no less frail on a Saturday. This is also the shift most families visit, so it is often the thinnest one they see.

Weekday total nurse hours3.25 hrs
Weekend total nurse hours2.89 hrs
National average 3.42 hrsBelow average
Weekend RN hours0.24 hrs
National average 0.48 hrsBelow average

Staffing falls 11% at weekends compared with weekdays. That is a modest change, which suggests weekend cover is genuinely staffed.

Adjusted for how sick the residents are

A home caring for very frail residents needs more nursing time than one caring for largely independent residents. CMS publishes an expected level based on this home's actual resident mix.

Expected hours for this resident mix3.65 hrs
Case-mix adjusted actual hours3.41 hrs

This home staffs at 89% of what its resident mix would be expected to need.

Staff turnover

Continuity is care. A caregiver who has worked with someone for a year knows when they are not themselves.

Nursing staff turnover94.10%
National average 45.80%Below average
Registered nurse turnover92.90%
National average 42.90%Below average

2 administrators left this home in the reporting period. Repeated turnover in the top job usually means the problems below it are not being fixed.