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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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%