Meeting your total care minutes is not the same as meeting your RN minutes — and the RN target is the one most homes miss.

Skill mix matters more than headcount. A roster can look full and still leave you exposed if:

  • RN hours are absorbed by paperwork, admissions and meetings
  • Nights and weekends run thin while weekdays carry the average
  • Nobody owns the weekly minutes position — it surfaces at quarter end, when it is too late to fix

The fix is a roster designed backwards from the targets, reviewed weekly by the DON. Small adjustments, made early, beat a recruitment scramble every time.