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Nursing Home Staffing Levels: National

The average CNA, LPN/LVN, and RN staffing levels at 14,396 skilled nursing facilities in the United States (not including SNFs located within hospitals) is 3.59 hours per resident per day.

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
3.59 hours / resident / day
nurses and nursing assistants are needed for every 1,000 nursing home residents per day to maintain the current staffing levels in the United States.

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Average CNA, LPN/LVN, and RN hours per resident per day: National
Source: medicare.gov

Nursing Home Staffing Levels by State (higher is better)

Rank Region Skilled Nursing Facilities CNA LPN/LVN RN Total CMS Staffing Rating
1. AK flagAlaska 9 3.1 hrs 0.5 hrs 1.5 hrs 5.0 hrs
2. OR flagOregon 127 3.1 hrs 0.9 hrs 0.7 hrs 4.7 hrs
3. DC flagDistrict of Columbia 15 2.6 hrs 0.6 hrs 1.4 hrs 4.6 hrs
4. HI flagHawaii 36 2.6 hrs 0.3 hrs 1.6 hrs 4.5 hrs
5. DE flagDelaware 44 2.3 hrs 0.9 hrs 1.1 hrs 4.3 hrs
6. ND flagNorth Dakota 66 2.8 hrs 0.6 hrs 0.8 hrs 4.3 hrs
7. ME flagMaine 77 2.7 hrs 0.5 hrs 0.9 hrs 4.1 hrs
8. CA flagCalifornia 1092 2.4 hrs 1.1 hrs 0.5 hrs 4.0 hrs
9. VT flagVermont 34 2.3 hrs 1.0 hrs 0.7 hrs 4.0 hrs
10. WA flagWashington 192 2.4 hrs 0.8 hrs 0.8 hrs 4.0 hrs
11. AZ flagArizona 140 2.2 hrs 1.0 hrs 0.7 hrs 4.0 hrs
12. MN flagMinnesota 316 2.3 hrs 0.7 hrs 1.0 hrs 3.9 hrs
13. UT flagUtah 92 2.3 hrs 0.5 hrs 1.1 hrs 3.9 hrs
14. NE flagNebraska 175 2.5 hrs 0.7 hrs 0.7 hrs 3.9 hrs
15. NV flagNevada 59 2.1 hrs 1.0 hrs 0.8 hrs 3.8 hrs
16. AR flagArkansas 217 2.5 hrs 1.0 hrs 0.4 hrs 3.8 hrs
17. FL flagFlorida 693 2.3 hrs 0.8 hrs 0.6 hrs 3.8 hrs
18. MS flagMississippi 186 2.2 hrs 1.0 hrs 0.5 hrs 3.8 hrs
19. SC flagSouth Carolina 186 2.2 hrs 1.0 hrs 0.6 hrs 3.8 hrs
20. KS flagKansas 291 2.4 hrs 0.6 hrs 0.7 hrs 3.7 hrs
21. ID flagIdaho 71 2.2 hrs 0.8 hrs 0.8 hrs 3.7 hrs
22. MI flagMichigan 409 2.2 hrs 0.9 hrs 0.7 hrs 3.7 hrs
23. NH flagNew Hampshire 73 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
24. KY flagKentucky 263 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
25. TN flagTennessee 301 2.0 hrs 1.1 hrs 0.5 hrs 3.7 hrs
26. WI flagWisconsin 320 2.2 hrs 0.6 hrs 0.9 hrs 3.6 hrs
27. NJ flagNew Jersey 339 2.0 hrs 0.9 hrs 0.7 hrs 3.6 hrs
28. CO flagColorado 212 2.1 hrs 0.7 hrs 0.8 hrs 3.6 hrs
29. WV flagWest Virginia 110 2.1 hrs 0.9 hrs 0.6 hrs 3.6 hrs
30. RI flagRhode Island 74 2.3 hrs 0.4 hrs 0.8 hrs 3.6 hrs
31. AL flagAlabama 215 2.2 hrs 0.8 hrs 0.5 hrs 3.6 hrs
32. MD flagMaryland 218 2.0 hrs 0.8 hrs 0.7 hrs 3.6 hrs
33. IA flagIowa 392 2.3 hrs 0.6 hrs 0.7 hrs 3.6 hrs
34. MA flagMassachusetts 351 2.0 hrs 0.9 hrs 0.6 hrs 3.6 hrs
35. NM flagNew Mexico 68 2.2 hrs 0.7 hrs 0.6 hrs 3.6 hrs
36. PA flagPennsylvania 650 2.0 hrs 0.8 hrs 0.7 hrs 3.5 hrs
37. CT flagConnecticut 194 2.1 hrs 0.8 hrs 0.7 hrs 3.5 hrs
38. MT flagMontana 50 2.2 hrs 0.5 hrs 0.8 hrs 3.5 hrs
39. NC flagNorth Carolina 408 2.1 hrs 0.8 hrs 0.5 hrs 3.5 hrs
40. VA flagVirginia 281 1.9 hrs 1.0 hrs 0.6 hrs 3.5 hrs
41. IN flagIndiana 508 2.1 hrs 0.8 hrs 0.6 hrs 3.4 hrs
42. OK flagOklahoma 289 2.3 hrs 0.9 hrs 0.3 hrs 3.4 hrs
43. NY flagNew York 558 2.0 hrs 0.8 hrs 0.6 hrs 3.4 hrs
44. WY flagWyoming 26 2.1 hrs 0.6 hrs 0.7 hrs 3.4 hrs
45. OH flagOhio 929 1.9 hrs 0.9 hrs 0.6 hrs 3.4 hrs
46. LA flagLouisiana 261 2.1 hrs 1.1 hrs 0.2 hrs 3.4 hrs
47. SD flagSouth Dakota 85 2.2 hrs 0.4 hrs 0.7 hrs 3.4 hrs
48. IL flagIllinois 687 1.9 hrs 0.6 hrs 0.7 hrs 3.3 hrs
49. TX flagTexas 1179 1.9 hrs 1.0 hrs 0.3 hrs 3.2 hrs
50. GA flagGeorgia 328 1.8 hrs 1.0 hrs 0.4 hrs 3.2 hrs
51. MO flagMissouri 497 2.0 hrs 0.7 hrs 0.4 hrs 3.1 hrs

Nursing Home Staffing Levels 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