Its 2026-2027 clinical staffing plan
Adirondack Medical Center - Saranac Lake Site: nurse-to-patient ratios by unit
The staffing plan Adirondack Medical Center - Saranac Lake Site (Franklin County) filed with New York's Department of Health: for each of its 29 units and each shift, the planned number of RNs and the planned patients one RN cares for, set by a committee at least half made of frontline staff.
Every unit, every shift
Planned patients per RN by shift, the planned RNs and aides on the day shift, and whether the committee reached consensus.
| Unit | Day | Evening | Night | RNs (day) | Aides (day) | Consensus |
|---|---|---|---|---|---|---|
| This is a combined ASU/Endo unit with shared staff that rotate both areas based on the day and volumAmbulatory Surgery | 6.0 | 5.0 | None | 11 | 2 | Yes |
| Outpatient dialysis unit located on the 2nd floor of the hospital. Also will do an occasional acute.Dialysis O/P | 4.5 | None | None | 2.5 | 0 | Yes |
| Evaluates and treats typical ED patients. Located on the second floor of the Saranac Lake campus.Emergency Department | 10.0 | 8.0 | 5.0 | 2.5 | 1 | Yes |
| Our infusion center also serves as a small Oncology outpatient clinic.Infusion Services | 6.0 | None | None | 3 | 1 | Yes |
| ICU-8 bed ICU for cardiac, resp. and surgical pt's requiring intensive care. 2nd floor of hospitalIntensive Care | 2.0 | None | None | 2 | 0 | Yes |
| Med/Surg 2-Typical community hospital level Med/surg patientsMedical/Surgical | 5.0 | None | None | 3 | 1 | Yes |
| Med/Surg 3-Typical care for community level hospital Med/surg patient. 3rd floor of hospitalMedical/Surgical | 5.0 | 5.0 | None | 4 | 2 | Yes |
| Maternity care including labor and delivery, postpartum care and nursery. 2nd floor of main hospitalObstetrics/Gynecology | 2.0 | None | None | 2 | 0 | Yes |
| 6 suite operating room. Located on the 2nd floor of the hospitalOther | 6.0 | None | None | 8 | 3 | Yes |
| General Medical Imaging to include MRI, Interventional radiology, Nuclear Med. and CT scanning.Other | 10.0 | None | None | 2 | 0 | Yes |
| Post-Anesthesia Care Unit (PACU)-located on the 2nd floor of the hospital.Other | 4.0 | 4.0 | None | 3.5 | 0 | Yes |
| Bariatric clinic/medical wt lossOutpatient Clinics | 10.0 | None | None | 1 | 0.5 | Yes |
| Chronic Kidney Disease (CKD) clinic. 2 days/weekOutpatient Clinics | None | None | None | 0 | 1 | Yes |
| Medical GI clinic located on second floor of hospitalOutpatient Clinics | None | None | None | 0 | 1 | Yes |
| Outpatient cardiology office located 2nd floor of the hospital.Outpatient Clinics | 10.0 | None | None | 1.6 | 2 | Yes |
| Pain clinic-located 2nd floor of the hospitalOutpatient Clinics | None | None | None | 0 | 1 | Yes |
| Rheumatology clinicOutpatient Clinics | 5.0 | None | None | 1 | 1 | Yes |
| Urology clinicOutpatient Clinics | 6.0 | None | None | 1 | 2 | Yes |
| Women's Health Clinic (OB/GYN outpatient clinic)Outpatient Clinics | None | None | None | 0 | 2 | Yes |
| Geriatric Psychiatry-Serves adult population greater than age 50. On the 3rd floor of hospitalPsychiatry | 10.0 | None | None | 1 | 2 | Yes |
| ICU-8 bed ICU for cardiac, resp. and surgical pt's requiring intensive care. 2nd floor of hospital.Intensive Care | None | 2.0 | None | None | None | Yes |
| Med/Surg 2-Typical community hospital level Med/Surg patients (largely ortho and bari post-ops)Medical/Surgical | None | 5.0 | None | None | None | Yes |
| Maternity care- including labor and delivery, postpartum care and nursery. 2nd floor of main hospitalObstetrics/Gynecology | None | 2.0 | None | None | None | Yes |
| Geriatric Psychiatry-Serves adult population greater than age 50. Onn the 3rd floor of hospitalPsychiatry | None | 10.0 | None | None | None | Yes |
| ICU-8 bed ICU for cardiac, resp, and surgical patients requiring community level intensive care. 2nd floor.Intensive Care | None | None | 2.0 | None | None | Yes |
| Med/Surg 2-Typical community level Med/Surg patientsMedical/Surgical | None | None | 5.0 | None | None | Yes |
| Med/Surg 3-Typical care for community level med/Surg patients. 3rd floor of hospital.Medical/Surgical | None | None | 5.0 | None | None | Yes |
| Maternity-Including labor and delivery, post-partum care and nursery. 2nd floor of hospital.Obstetrics/Gynecology | None | None | 2.0 | None | None | Yes |
| Geriatric Psychiatry-serves adult population greater than age 50. On the 3rd floor of hospitalPsychiatry | None | None | 10.0 | None | None | Yes |
Adirondack Medical Center - Saranac Lake Site nurse-to-patient ratios by unit: common questions
What is the nurse-to-patient ratio at Adirondack Medical Center - Saranac Lake Site?
By its 2026-2027 clinical staffing plan, on the day shift: medical/surgical units 5.0 patients per RN (New York's median hospital 5.0), intensive care units 2.0 patients per RN (New York's median hospital 2.0), emergency department units 10.0 patients per RN (New York's median hospital 4.5), obstetrics/gynecology units 2.0 patients per RN (New York's median hospital 2.6), psychiatry units 10.0 patients per RN (New York's median hospital 6.0) and ambulatory surgery units 6.0 patients per RN (New York's median hospital 3.0). These are planned averages for each unit; the table lists every unit and the evening and night shifts.
Is Adirondack Medical Center - Saranac Lake Site a union hospital?
Its plan reports a collective bargaining agreement covering clinical staff: New York State Nurses Association (213 employees, contract to 31 Jul 2026) and UFCW-United Food and Commercial Workers (379 employees).
Did Adirondack Medical Center - Saranac Lake Site's staffing committee agree on the plan?
Yes, on every unit and shift of the plan, by the plan's own answers.
Sources and method
The plan as the Department publishes it in its normalized form, read table by table. "Patients per RN" is the plan's planned average number of patients one RN cares for on the unit and shift; procedural units (a cath lab, endoscopy) plan few by their nature. Read 9 Nov 2026. Every New York hospital.
- New York State Department of Health, hospital clinical staffing plans 2026-2027, Adirondack Medical Center - Saranac Lake Site (PFI 0324)
Cite this page
CareJobs.Now. (2026). Adirondack Medical Center - Saranac Lake Site nurse-to-patient ratios by unit. Data as of 9 Nov 2026. https://carejobs.now/new-york-hospital-staffing-plans/adirondack-medical-center-saranac-lake-site