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Nursing Home Staffing Levels: National

The average CNA, LPN/LVN, and RN staffing levels at 14,468 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 37 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 69 2.8 hrs 0.6 hrs 0.8 hrs 4.3 hrs
7. ME flagMaine 83 2.7 hrs 0.5 hrs 1.0 hrs 4.2 hrs
8. CA flagCalifornia 1093 2.4 hrs 1.1 hrs 0.5 hrs 4.0 hrs
9. WA flagWashington 196 2.4 hrs 0.8 hrs 0.8 hrs 4.0 hrs
10. UT flagUtah 93 2.3 hrs 0.5 hrs 1.1 hrs 4.0 hrs
11. MN flagMinnesota 330 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 33 2.3 hrs 1.0 hrs 0.7 hrs 4.0 hrs
14. NE flagNebraska 176 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 225 2.5 hrs 1.0 hrs 0.4 hrs 3.8 hrs
17. FL flagFlorida 696 2.3 hrs 0.8 hrs 0.6 hrs 3.8 hrs
18. ID flagIdaho 73 2.2 hrs 0.8 hrs 0.8 hrs 3.8 hrs
19. SC flagSouth Carolina 188 2.2 hrs 1.0 hrs 0.6 hrs 3.8 hrs
20. MS flagMississippi 185 2.2 hrs 1.0 hrs 0.5 hrs 3.8 hrs
21. KS flagKansas 299 2.4 hrs 0.6 hrs 0.7 hrs 3.8 hrs
22. MI flagMichigan 417 2.1 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 267 2.2 hrs 0.8 hrs 0.7 hrs 3.7 hrs
25. TN flagTennessee 302 2.0 hrs 1.1 hrs 0.5 hrs 3.7 hrs
26. WI flagWisconsin 327 2.2 hrs 0.6 hrs 0.9 hrs 3.6 hrs
27. NJ flagNew Jersey 342 2.0 hrs 0.9 hrs 0.7 hrs 3.6 hrs
28. CO flagColorado 215 2.1 hrs 0.7 hrs 0.8 hrs 3.6 hrs
29. MD flagMaryland 220 2.0 hrs 0.8 hrs 0.8 hrs 3.6 hrs
30. RI flagRhode Island 75 2.3 hrs 0.4 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. AL flagAlabama 215 2.2 hrs 0.8 hrs 0.5 hrs 3.6 hrs
33. MA flagMassachusetts 352 2.0 hrs 0.9 hrs 0.6 hrs 3.6 hrs
34. IA flagIowa 403 2.3 hrs 0.6 hrs 0.7 hrs 3.6 hrs
35. MT flagMontana 55 2.2 hrs 0.5 hrs 0.8 hrs 3.6 hrs
36. PA flagPennsylvania 653 2.0 hrs 0.8 hrs 0.7 hrs 3.5 hrs
37. NM flagNew Mexico 68 2.2 hrs 0.7 hrs 0.6 hrs 3.5 hrs
38. CT flagConnecticut 198 2.0 hrs 0.8 hrs 0.7 hrs 3.5 hrs
39. NC flagNorth Carolina 413 2.1 hrs 0.9 hrs 0.5 hrs 3.5 hrs
40. VA flagVirginia 285 1.9 hrs 1.0 hrs 0.6 hrs 3.5 hrs
41. IN flagIndiana 481 2.1 hrs 0.8 hrs 0.6 hrs 3.4 hrs
42. WY flagWyoming 27 2.1 hrs 0.5 hrs 0.8 hrs 3.4 hrs
43. OK flagOklahoma 289 2.3 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 564 2.0 hrs 0.8 hrs 0.6 hrs 3.4 hrs
46. OH flagOhio 941 1.9 hrs 0.9 hrs 0.6 hrs 3.4 hrs
47. LA flagLouisiana 262 2.1 hrs 1.1 hrs 0.2 hrs 3.4 hrs
48. IL flagIllinois 687 1.9 hrs 0.6 hrs 0.7 hrs 3.3 hrs
49. TX flagTexas 1125 1.9 hrs 1.0 hrs 0.3 hrs 3.2 hrs
50. GA flagGeorgia 330 1.8 hrs 1.0 hrs 0.4 hrs 3.2 hrs
51. MO flagMissouri 505 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