For nursing and care homes
§ 113c SGB XI and your state ratio, checked shift by shift.
Nursing homes answer to two staffing rules at once — the federal benchmarks and the qualified-staff ratio set by their federal state. Nurvo plans against both, per living area, and flags a shortfall while the shift can still be changed.
What a care home gets out of it
The living area is the unit
A nursing home is not organised in wards. Rostering, staffing evidence and the price all work per living area (Wohnbereich), which is the unit the home is actually run in.
Two rules at once
§ 113c SGB XI sets staffing benchmarks per care level; the qualified-staff ratio comes from the care-home law of your federal state. Nurvo calculates against both and shows which of the two a shift is about to breach.
The ratio is yours to set
Because the qualified-staff ratio is state law and changes independently of the federal rules, it is configured per facility rather than hard-coded. Care assistants, trainees and support workers under § 43b SGB XI are counted in total staffing but not towards the ratio.
Checked per shift, not per month
State law varies on whether the ratio applies per shift or as a monthly average. Nurvo checks per shift, which is the stricter reading — meet it in every shift and the monthly average follows.
Staff across several areas
Someone working in more than one living area can be assigned to each, without double-booking and without a shift in one breaking the rest period owed from another.
Documented, not hidden
A shortfall the care inspectorate finds itself weighs heavier than one you recorded. Nurvo logs who was on each shift, why the ratio was missed and what was done to cover it — which is the record an application for a temporary exemption is built from.
The Tuesday problem
A single missed qualified-staff ratio is an incident: you document it, you explain it, you move on. The same gap every Tuesday late shift is something else entirely — it is structural understaffing, and it cannot be explained away, only staffed.
The difficulty is that nobody sees the pattern from inside a month. It shows up when someone lines up twelve weeks side by side, which is usually the inspectorate. Nurvo does that comparison every month and says which weekday and which shift keeps failing, which is the point at which it is still a rostering decision rather than a finding.
Questions from care homes
Does Nurvo work per living area rather than per ward?
Yes. In a nursing home the unit is the living area (Wohnbereich), and both the rostering and the price work per living area.
Which staffing rules apply to us?
§ 113c SGB XI (PeBeM) together with the qualified-staff ratio set by your federal state — not the PPBV, which is a hospital regulation. Nurvo calculates against both and produces the record as a PDF.
The qualified-staff ratio differs between states. Does Nurvo know ours?
The ratio is configured per facility, because it is state law and changes independently of the federal rules. Nurvo calculates against the value your organisation sets and shows a shortfall as it happens rather than at the end of the month.
What about staff who work across several living areas?
They can be assigned to more than one. The system will not double-book them, and it will not let a shift in one area break the rest period owed from another.
Something not answered here? German staffing rules explained
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