Job satisfaction correlates with measures of recruitment, retention, and performance (Lin et al., 2022). Determinations regarding staffing patterns must be made based on patient flow, acuity, skill mix, and performance expectations and should be reviewed regularly. Appropriate staffing patterns support optimal patient outcomes. Nursing documentation is one measurable area that correlates with patient outcomes. Deficiencies in nursing documentation can result in missed opportunities for treatment and further impair the quality of life for individuals with serious mental illness. Furthermore, external evaluators such as The Joint Commission (TJC), and insurance payers rely on documentation measures to determine whether the organization is meeting accreditation standards and standards for specific reimbursement rates.