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Nursing Home Staff Turnover: National

The average nursing staff turnover rate at 12,449 skilled nursing facilities in the United States (not including SNFs with no turnover data reported) is 53.9% per year.

Based on nursing home data from the Centers for Medicare & Medicaid Services (CMS) as of March 24, 2023.
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Nurse Turnover
Staffing Levels
53.9% / year
Average CNA, LPN/LVN, and RN turnover at skilled nursing facilities in the United States. At this rate, out of every 1,000 nursing staff members will leave in the next year at this rate.

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Average CNA, LPN/LVN, and RN Turnover at Skilled Nursing Facilities: National
Source: medicare.gov

Skilled Nursing Facility (SNF) Staff Turnover Rates by State (Lower is better)

Rank Region Skilled Nursing Facilities Nurse Turnover % CMS Staffing Rating
1. HI flagHawaii 36 39.7%
2. CT flagConnecticut 163 43.8%
3. NY flagNew York 548 44.9%
4. DC flagDistrict of Columbia 15 46.3%
5. DE flagDelaware 39 46.9%
6. MA flagMassachusetts 306 47.0%
7. CA flagCalifornia 1005 47.8%
8. NJ flagNew Jersey 307 49.0%
9. MD flagMaryland 189 49.5%
10. RI flagRhode Island 66 49.7%
11. MN flagMinnesota 270 50.8%
12. PA flagPennsylvania 571 50.8%
13. NH flagNew Hampshire 63 51.7%
14. IL flagIllinois 600 52.0%
15. AL flagAlabama 159 52.3%
16. MS flagMississippi 163 52.4%
17. WV flagWest Virginia 114 52.8%
18. ND flagNorth Dakota 67 52.9%
19. WI flagWisconsin 271 53.0%
20. MI flagMichigan 361 53.1%
21. SD flagSouth Dakota 82 53.5%
22. NV flagNevada 52 53.7%
23. FL flagFlorida 559 54.0%
24. GA flagGeorgia 302 54.0%
25. OR flagOregon 108 54.6%
26. AK flagAlaska 16 54.7%
27. AZ flagArizona 123 54.8%
28. WA flagWashington 167 54.8%
29. TN flagTennessee 254 55.1%
30. ME flagMaine 72 55.4%
31. LA flagLouisiana 222 55.5%
32. NE flagNebraska 156 55.8%
33. IA flagIowa 339 55.9%
34. ID flagIdaho 68 56.3%
35. AR flagArkansas 189 56.3%
36. KY flagKentucky 241 56.6%
37. VA flagVirginia 218 56.6%
38. NC flagNorth Carolina 346 57.2%
39. KS flagKansas 268 57.4%
40. SC flagSouth Carolina 158 57.5%
41. IN flagIndiana 466 57.5%
42. WY flagWyoming 31 57.9%
43. OH flagOhio 783 58.0%
44. CO flagColorado 165 58.5%
45. TX flagTexas 898 59.6%
46. MO flagMissouri 400 60.3%
47. UT flagUtah 90 60.4%
48. NM flagNew Mexico 62 61.1%
49. OK flagOklahoma 219 61.1%
50. VT flagVermont 30 61.5%
51. MT flagMontana 49 62.1%

Nursing Home Staff Turnover by State

Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming