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Nursing Home Staff Turnover: National

The average nursing staff turnover rate at 12,553 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 37 39.7%
2. CT flagConnecticut 163 43.7%
3. NY flagNew York 542 45.0%
4. DC flagDistrict of Columbia 15 46.3%
5. DE flagDelaware 39 46.9%
6. MA flagMassachusetts 316 47.1%
7. CA flagCalifornia 1017 47.8%
8. NJ flagNew Jersey 309 49.0%
9. MD flagMaryland 189 49.6%
10. RI flagRhode Island 67 49.7%
11. MN flagMinnesota 271 50.8%
12. PA flagPennsylvania 572 50.9%
13. IL flagIllinois 599 52.0%
14. NH flagNew Hampshire 62 52.0%
15. AL flagAlabama 159 52.3%
16. MS flagMississippi 165 52.4%
17. ND flagNorth Dakota 65 52.7%
18. WV flagWest Virginia 114 52.8%
19. WI flagWisconsin 273 52.9%
20. MI flagMichigan 362 53.2%
21. NV flagNevada 52 53.7%
22. SD flagSouth Dakota 82 53.9%
23. GA flagGeorgia 303 54.0%
24. FL flagFlorida 562 54.0%
25. OR flagOregon 109 54.6%
26. AK flagAlaska 16 54.7%
27. AZ flagArizona 122 54.8%
28. WA flagWashington 169 55.0%
29. TN flagTennessee 256 55.1%
30. ME flagMaine 72 55.3%
31. LA flagLouisiana 224 55.5%
32. IA flagIowa 339 55.7%
33. NE flagNebraska 158 56.1%
34. ID flagIdaho 68 56.3%
35. AR flagArkansas 197 56.3%
36. VA flagVirginia 218 56.6%
37. KY flagKentucky 245 56.8%
38. NC flagNorth Carolina 350 57.3%
39. KS flagKansas 276 57.4%
40. IN flagIndiana 467 57.5%
41. SC flagSouth Carolina 160 57.6%
42. WY flagWyoming 33 57.9%
43. OH flagOhio 791 58.0%
44. CO flagColorado 169 58.5%
45. TX flagTexas 911 59.7%
46. UT flagUtah 89 60.5%
47. MO flagMissouri 410 60.6%
48. OK flagOklahoma 220 61.0%
49. NM flagNew Mexico 63 61.2%
50. MT flagMontana 51 61.9%
51. VT flagVermont 29 62.0%

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