For the ARCSU, it is concerning that the expectation will be 24/7 RN coverage or LPN with RN on site.   Our adult CSU currently utilizes LPNs on night shift only and they have access to an RN via phone throughout their shift.   LPNs were hired due to our inability to obtain RNs at the point in time of hire.   If we were unable to utilize those LPNs with RN available via phone, I feel certain that we would not be able to provide 24/7 nursing care in that facility.