Why staffing is national
One ruler for the whole country — only inspections are judged per-state.
The hook
#🫙 Jellybeans vs. a drawing contest
Counting jellybeans has one right answer everywhere — 412 is 412 in any state. Judging "best drawing" depends on the judge, so each town picks its own winners.
#The real idea
Staffing is the jellybean count: hours and turnover are numbers, scored against one national, frozen lane set — identical in Maine or Texas. Health Inspection is the drawing contest: surveyors judge, and homes are ranked within their own state, so inspection stars are relative to state peers. (QM is national like staffing.)
#🍁 Maple Grove example
Move states, same staffing score
Move it to a different state with the exact same nurses and turnover and its staffing score is unchanged; only its inspection ranking could shift, because it’s now compared to different in-state peers.
#Remember this
Staffing = one national ruler, frozen. Only inspections are per-state.
#Try it 👉
A facility keeps identical staffing but moves states. Staffing score? Inspection rank?