Michigan Nursing Home Administrator (NHA) Practice Exam

What is the maximum number of beds in a home that allows the director of nursing to serve as charge nurse during a full shift?

1. 20 beds

2. 25 beds

3. 30 beds

4. 35 beds

The correct answer is: 30 beds

In Michigan, regulations stipulate that a nursing home must meet certain staffing requirements based on its size, specifically regarding the roles of the director of nursing. The correct answer indicates that for a nursing home with a capacity of up to 30 beds, the director of nursing can take on the responsibilities of charge nurse for a full shift. This regulation is designed to ensure that smaller facilities can maintain adequate oversight and care within their staffing structure. When a home has a smaller number of beds, it becomes more feasible for the director of nursing to manage both the administrative and direct care responsibilities without compromising the quality of both. This arrangement allows for the efficient use of leadership resources while still ensuring that residents receive appropriate nursing care. For facilities that exceed this number of beds, alternative staffing mechanisms are typically required. This is to ensure there is sufficient nurse staffing to provide extensive coverage and meet the complex needs of a larger resident population. Adhering to these regulations helps maintain high standards of care and protects the health and safety of residents.