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Nursing Home Staffing Levels: National

The average CNA, LPN/LVN, and RN staffing levels at 14,342 skilled nursing facilities in the United States (not including SNFs located within hospitals) is 3.60 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
3.60 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 129 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 38 2.5 hrs 0.3 hrs 1.5 hrs 4.3 hrs
5. DE flagDelaware 44 2.3 hrs 0.9 hrs 1.1 hrs 4.3 hrs
6. ND flagNorth Dakota 67 2.8 hrs 0.6 hrs 0.8 hrs 4.3 hrs
7. ME flagMaine 78 2.7 hrs 0.5 hrs 0.9 hrs 4.1 hrs
8. CA flagCalifornia 1088 2.4 hrs 1.1 hrs 0.5 hrs 4.0 hrs
9. WA flagWashington 194 2.4 hrs 0.8 hrs 0.8 hrs 4.0 hrs
10. UT flagUtah 92 2.3 hrs 0.5 hrs 1.1 hrs 4.0 hrs
11. MN flagMinnesota 323 2.3 hrs 0.7 hrs 1.0 hrs 4.0 hrs
12. AZ flagArizona 140 2.2 hrs 1.0 hrs 0.7 hrs 4.0 hrs
13. VT flagVermont 32 2.3 hrs 1.0 hrs 0.7 hrs 3.9 hrs
14. NV flagNevada 58 2.1 hrs 1.0 hrs 0.8 hrs 3.9 hrs
15. NE flagNebraska 172 2.5 hrs 0.7 hrs 0.7 hrs 3.9 hrs
16. AR flagArkansas 225 2.5 hrs 1.0 hrs 0.4 hrs 3.8 hrs
17. FL flagFlorida 692 2.3 hrs 0.8 hrs 0.6 hrs 3.8 hrs
18. SC flagSouth Carolina 186 2.2 hrs 1.0 hrs 0.6 hrs 3.8 hrs
19. ID flagIdaho 73 2.2 hrs 0.8 hrs 0.8 hrs 3.8 hrs
20. MS flagMississippi 186 2.2 hrs 1.0 hrs 0.5 hrs 3.8 hrs
21. KS flagKansas 298 2.4 hrs 0.6 hrs 0.7 hrs 3.8 hrs
22. MI flagMichigan 411 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 264 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
25. TN flagTennessee 300 2.0 hrs 1.1 hrs 0.5 hrs 3.7 hrs
26. WI flagWisconsin 323 2.2 hrs 0.6 hrs 0.9 hrs 3.7 hrs
27. NJ flagNew Jersey 340 2.0 hrs 0.9 hrs 0.7 hrs 3.6 hrs
28. MD flagMaryland 220 2.0 hrs 0.8 hrs 0.8 hrs 3.6 hrs
29. MT flagMontana 55 2.3 hrs 0.5 hrs 0.8 hrs 3.6 hrs
30. CO flagColorado 214 2.1 hrs 0.7 hrs 0.8 hrs 3.6 hrs
31. WV flagWest Virginia 111 2.1 hrs 0.9 hrs 0.6 hrs 3.6 hrs
32. RI flagRhode Island 74 2.3 hrs 0.4 hrs 0.8 hrs 3.6 hrs
33. AL flagAlabama 215 2.2 hrs 0.8 hrs 0.5 hrs 3.6 hrs
34. MA flagMassachusetts 349 2.0 hrs 0.9 hrs 0.6 hrs 3.6 hrs
35. IA flagIowa 393 2.3 hrs 0.6 hrs 0.7 hrs 3.6 hrs
36. PA flagPennsylvania 650 2.0 hrs 0.8 hrs 0.7 hrs 3.5 hrs
37. CT flagConnecticut 191 2.1 hrs 0.8 hrs 0.7 hrs 3.5 hrs
38. NM flagNew Mexico 68 2.2 hrs 0.7 hrs 0.6 hrs 3.5 hrs
39. NC flagNorth Carolina 414 2.1 hrs 0.9 hrs 0.5 hrs 3.5 hrs
40. VA flagVirginia 284 1.9 hrs 1.0 hrs 0.6 hrs 3.5 hrs
41. IN flagIndiana 474 2.1 hrs 0.8 hrs 0.6 hrs 3.5 hrs
42. WY flagWyoming 27 2.1 hrs 0.5 hrs 0.8 hrs 3.4 hrs
43. OK flagOklahoma 286 2.2 hrs 0.9 hrs 0.3 hrs 3.4 hrs
44. SD flagSouth Dakota 89 2.2 hrs 0.4 hrs 0.7 hrs 3.4 hrs
45. NY flagNew York 557 2.0 hrs 0.8 hrs 0.6 hrs 3.4 hrs
46. OH flagOhio 934 1.9 hrs 0.9 hrs 0.6 hrs 3.4 hrs
47. LA flagLouisiana 261 2.1 hrs 1.1 hrs 0.2 hrs 3.4 hrs
48. IL flagIllinois 675 1.9 hrs 0.6 hrs 0.7 hrs 3.3 hrs
49. TX flagTexas 1116 1.9 hrs 1.0 hrs 0.3 hrs 3.2 hrs
50. GA flagGeorgia 329 1.8 hrs 1.0 hrs 0.4 hrs 3.2 hrs
51. MO flagMissouri 501 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