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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
One registered nurse (RN) is required to be on duty for a minimum of eight hours a day, seven days a week. Additionally, either an RN or licensed practical or vocational nurse (LPN/LVN) should be on duty 24 hours a day. Some states have additional requirements for nursing home staffing.