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Nursing Home Staff Turnover: National

The average nursing staff turnover rate at 12,657 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 168 43.9%
3. NY flagNew York 551 45.0%
4. DC flagDistrict of Columbia 15 46.3%
5. DE flagDelaware 39 46.9%
6. MA flagMassachusetts 318 47.1%
7. CA flagCalifornia 1018 47.8%
8. NJ flagNew Jersey 311 49.0%
9. MD flagMaryland 190 49.3%
10. RI flagRhode Island 67 49.7%
11. PA flagPennsylvania 576 50.8%
12. MN flagMinnesota 276 50.9%
13. NH flagNew Hampshire 63 51.7%
14. IL flagIllinois 608 52.1%
15. AL flagAlabama 160 52.2%
16. MS flagMississippi 164 52.4%
17. WV flagWest Virginia 114 52.8%
18. WI flagWisconsin 276 52.9%
19. ND flagNorth Dakota 69 53.1%
20. MI flagMichigan 365 53.1%
21. SD flagSouth Dakota 82 53.5%
22. NV flagNevada 52 53.7%
23. FL flagFlorida 566 54.0%
24. GA flagGeorgia 304 54.0%
25. OR flagOregon 108 54.6%
26. AK flagAlaska 16 54.7%
27. AZ flagArizona 123 54.8%
28. WA flagWashington 172 54.9%
29. TN flagTennessee 257 55.3%
30. LA flagLouisiana 225 55.5%
31. ME flagMaine 77 55.7%
32. IA flagIowa 349 56.0%
33. NE flagNebraska 160 56.1%
34. ID flagIdaho 68 56.3%
35. AR flagArkansas 197 56.3%
36. VA flagVirginia 219 56.5%
37. KY flagKentucky 249 56.7%
38. NC flagNorth Carolina 350 57.2%
39. IN flagIndiana 473 57.4%
40. KS flagKansas 276 57.6%
41. SC flagSouth Carolina 161 57.7%
42. WY flagWyoming 33 57.9%
43. OH flagOhio 798 58.1%
44. CO flagColorado 170 58.6%
45. TX flagTexas 915 59.8%
46. MO flagMissouri 412 60.4%
47. UT flagUtah 90 60.4%
48. OK flagOklahoma 221 61.2%
49. NM flagNew Mexico 63 61.2%
50. VT flagVermont 30 61.5%
51. MT flagMontana 51 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