Where did you get the 13 RN number again? RN makes ~$35/hr right now. So a full month of RN care is $25k/month. Add in the cost of their employee benefits, it should be closer to $35-40k/month? I’m not sure about nursing home, but at hospital, they need a RN every minute of the day. So a patient will have a total of 60 RN shifts every 30 days. That’s where I got the $25k-$40k/month in RN cost alone. Add in CNA/LVN cost and you’re probably looking at around $55-60k/month. That’s not counting in the overtime pay, if the RN works beyond their 12/hrs/day shift (that’s double time, $70/hr). If you have 13 dedicated nurse per patient, you’re looking at nursing cost of $105k/month.