TX HHS Form 3766. Unit Staffing Report for ICF-IID Facilities

The TX HHS Form 3766, Unit Staffing Report for ICF-IID Facilities, is a practical tool designed to help facilities track and manage their staffing levels. This form helps solve the problem of ensuring adequate staff coverage during each shift, taking into account various positions (RN, LVN, DCS) and resident characteristics.

The report requires facility staff to enter the number of staff on duty in full-time equivalents for each day during a designated week, divided by shifts. Key features include tracking daily resident numbers across different characteristic categories, such as intellectual or physical disabilities. The form also includes space for calculating the ratio of staff to residents and average daily census.

This report is typically completed by survey staff and provides valuable insights into staffing levels and resident characteristics. By using this form, facilities can identify trends, optimize staffing, and ensure compliance with regulations. Key points include:

• Tracking staffing levels for each shift and position
• Categorizing residents based on their characteristics
• Calculating the ratio of staff to residents and average daily census