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Nursing Home Staffing Levels: National

The average CNA, LPN/LVN, and RN staffing levels at 14,291 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 65 2.8 hrs 0.6 hrs 0.8 hrs 4.3 hrs
7. ME flagMaine 75 2.7 hrs 0.4 hrs 1.0 hrs 4.1 hrs
8. CA flagCalifornia 1087 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 189 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 314 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 174 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 218 2.5 hrs 1.0 hrs 0.4 hrs 3.8 hrs
17. FL flagFlorida 691 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 184 2.2 hrs 1.0 hrs 0.6 hrs 3.8 hrs
20. KS flagKansas 283 2.5 hrs 0.7 hrs 0.7 hrs 3.8 hrs
21. MI flagMichigan 407 2.2 hrs 0.9 hrs 0.7 hrs 3.7 hrs
22. ID flagIdaho 71 2.2 hrs 0.8 hrs 0.8 hrs 3.7 hrs
23. NH flagNew Hampshire 73 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
24. TN flagTennessee 296 2.0 hrs 1.1 hrs 0.5 hrs 3.7 hrs
25. KY flagKentucky 258 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
26. NJ flagNew Jersey 337 2.0 hrs 0.9 hrs 0.7 hrs 3.6 hrs
27. WI flagWisconsin 316 2.2 hrs 0.6 hrs 0.9 hrs 3.6 hrs
28. WV flagWest Virginia 110 2.1 hrs 0.9 hrs 0.6 hrs 3.6 hrs
29. RI flagRhode Island 74 2.3 hrs 0.4 hrs 0.8 hrs 3.6 hrs
30. CO flagColorado 209 2.1 hrs 0.7 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. MA flagMassachusetts 342 2.0 hrs 0.9 hrs 0.6 hrs 3.6 hrs
34. IA flagIowa 390 2.3 hrs 0.6 hrs 0.7 hrs 3.6 hrs
35. NM flagNew Mexico 67 2.2 hrs 0.7 hrs 0.6 hrs 3.6 hrs
36. PA flagPennsylvania 647 2.0 hrs 0.9 hrs 0.7 hrs 3.5 hrs
37. CT flagConnecticut 193 2.1 hrs 0.8 hrs 0.7 hrs 3.5 hrs
38. MT flagMontana 49 2.2 hrs 0.5 hrs 0.8 hrs 3.5 hrs
39. NC flagNorth Carolina 404 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 507 2.1 hrs 0.8 hrs 0.6 hrs 3.5 hrs
42. OK flagOklahoma 287 2.2 hrs 0.9 hrs 0.3 hrs 3.4 hrs
43. NY flagNew York 557 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 925 1.9 hrs 0.9 hrs 0.6 hrs 3.4 hrs
46. LA flagLouisiana 259 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 682 1.9 hrs 0.6 hrs 0.7 hrs 3.3 hrs
49. TX flagTexas 1167 1.9 hrs 1.0 hrs 0.3 hrs 3.2 hrs
50. GA flagGeorgia 327 1.8 hrs 1.0 hrs 0.4 hrs 3.2 hrs
51. MO flagMissouri 487 2.1 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