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Under what conditions may a director grant a variance to the RN rule for a nursing home (NH)?

  1. NH makes effort to recruit RN offering prevailing wage and satisfactory work conditions, RN requirement causes undue hardship on NH

  2. Whenever a nursing home requests it without conditions

  3. If the nursing home agrees to train unlicensed personnel as RNs

  4. Only if there is an RN available part-time

The correct answer is: NH makes effort to recruit RN offering prevailing wage and satisfactory work conditions, RN requirement causes undue hardship on NH

A director may grant a variance to the RN rule for a nursing home (NH) if the NH can demonstrate that they have made a genuine effort to recruit RNs, offering prevailing wages and satisfactory work conditions, but have been unable to find an RN to meet the requirement. This rule is in place to ensure that the NH has enough qualified staff to provide adequate care for patients. The other options are incorrect because B is too broad and would not require any valid reason for the variance, C would result in unqualified personnel providing care, and D would not meet the standard of having a full-time qualified RN on staff. Therefore, A is the most acceptable and logical option.