Hello Diane,

My company will be opening 3-4 RCFE within about a 1-3 mile radius
of each other.
My questions are:

1. If the Administrator's duties were to be focused on managing the
care givers (2-3 per 6 bed facility), providing daily care for
residents to include medication management and ensuring the
facilities are in compliance with all California regulations, would
you say that the Administrator could manage 4 facilities located
within the 1-3 mile radius? My partners and I would be handling all
other aspects of the business like marketing, food purchase, general
administration etc.

Answer to Question 1: I know of some Administrators supervising four
6-bed facilities. A lot will depend on the levels of care needed by
your residents, and the level of trained staff you have. We have
two helpful documents at http://www.providersweb.com; one is
called "Staffing" and one called "Staffing Chart". You can find
them using the search engine on the left hand side of the website.
They contain suggestions on normal staffing standards.

2. What is your recommendation for the number of caregivers (on
average) per 6-bed facility including covering a night shift? Is it
customary to have caregivers live on premises to cover the night
shift? I know that this also depends on the kinds of services we
will be providing like dementia care etc. We would just like to
know what in general is customary and reasonable.

Answer to question 2: Yes, a lot depends on the needs of your
residents. You are required to have someone on duty, if they are
sleeping and they have to wake up to respond to a resident you have
to pay them properly. We have a document called "Live-in Employee
Wages" that explains the requirements. I know one provider ended up
paying over $100,000 in back wages to a live-in employee she did not
pay properly. It is essential to understand the pay requirements.

You have to have a person "on call" and capable of responding within
10 to 15 minutes depending on your state's laws.

If you are taking persons with dementia, you may need someone "on
call", someone else asleep at the facility and "on call as needed",
and another "on call" in case of emergency.

3. In your experience what were your average monthly food costs per
person?

Kim

That can depend on how picky your residents are and how many special
diets you have to accommodate. At my facility we spent $11.00 per
resident per day. However, 1/3 of my residents were diabetic. It
can range between a low of $7.00 a day on up. A lot will depend on
your resident's needs.

Thanks Diane!

You are welcome. Sorry for the delay in answering, my email was
delayed.

--- In AskDianeProvidersWeb@yahoogroups.com, "kimmaticon" <kimm@...>
wrote:
>
> Hello Diane
>
> My company will be opening 3-4 RCFE within about a 1-3 mile radius
of
> each other. My questions are:
>
> 1. If the Administrator's duties were to be focused on managing
the
> care givers (2-3 per 6 bed facility), providing daily care for
> residents to include medication management and ensuring the
> facilities are in compliance with all California regs, would you
say
> that the Administrator could manage 4 facilities located within
the 1-
> 3 mile radius? I and my partners would be handling all other
aspects
> of the business like marketing, food purchase, general
administration
> etc.
>
> 2. What is your recommendation for the number of caregivers (on
> average) per 6 bed facility including covering a night shift. Is
it
> customary to have caregivers live on premises to cover the night
> shift? I know that this also depends on the kinds of services we
will
> be providing like dementia care etc. We would just like to know
what
> in general is customary and reasonable.
>
> 3. In your experience what were your average monthly food costs
per
> person?
>
> Thanks Diane!
>
> Kim
>