Here is another article explaining how staffing at nursing homes affect the quality of care. See Maine Sunday Herald. The article discusses one facility in which the staff of 130 full- and part-time workers often do double duty, but they don't get paid overtime. Many of them do not have health benefits either. The facility provides care 24 hours a day, seven days a week for 90 people. It is one of 107 nursing homes in Maine.
The facilities argue that Medicare and Medicaid reimbursement is insufficient. More likely, fiscal mismangement causes budget issues. The Administrators complain tha tthey cannot provide their staff benefits or competitive wages. Statewide, nursing homes employ nearly 10,000 people full-time, according to the health care association.