From Les Sparks:
In general the references used in your analysis are no longer applicable as HUD has issued new guidance specific to 232 entities. I have included below a portion of that guidance. It comes from Handbook 4232.1, Section II, Chapter 8 page 8. As far as I can tell this is the only guidance in the Handbook.
Now there might be some question as to whether the nursing supervisor is front-line or not. However, it may be harder to convince anyone of the front-line nature of the marketing person. I wish there was more clarity on this matter, but there is not. It appears some judgment is in order. The only definitive answer
I. Staffing Levels: The Lender must provide a listing of the staff whose salaries will be paid from the project’s operating account. The list must include:
1. job titles and approximate salary, including hourly rates; and
2. a statement of each position’s duties, if not obvious by title and whether the position is full or part-time; and
3. if the employee will be working for more than one project and/or working part-time for the agent in a non-supervisory capacity, a statement of how that person’s time and salary will be allocated.
Note: Salaries of Management Agent supervisory staff not assigned to the project must be paid from the management fee. Only full-time, front-line supervisors may be paid from the project account.
The Lender must review job-titles, duties, and salaries of all employees to be working for the project to determine if the number, salaries, and duties of the proposed staff are reasonable for the size and type of the proposed project. The Lender must identify whether the proposed staffing levels are reasonable based on patient acuity, economies of scale of operations, state regulatory requirements, etc.