Download Q2 2024 staffing data at NursingHome411 and check out our interactive staffing map.
November 26, 2024 – Federal law mandates that all nursing homes provide sufficient staff to meet the care and quality of life needs of their residents every day. However, new data show that hundreds of thousands of residents live in facilities that are staffed far below the minimum needed to provide basic clinical care, as identified in a landmark 2001 federal study.
According to LTCCC’s latest nursing home staffing report, based on CMS’s Q2 2024 payroll-based journal data, over 70% of US nursing homes are failing to provide the 4.1 hours per resident day (HPRD) of nursing staff identified as necessary to provide basic care in the 2001 study.
In addition to information on nurse staffing levels, LTCCC’s staffing report also provides detailed data on various non-nurse staffing categories, including the presence of medical directors, therapists, and activities staff, and the extent to which facilities are using contract staff. It also includes summary national, regional, and state findings.
New York Staffing Facts for Q2 2024
Nurse Staffing
- NY nursing homes reported an average of 3.59 total nurse staff hours per resident day (HPRD). This puts NY in the bottom ten states in respect to average nurse staffing.
- 80% of NY nursing homes provide less nursing staff time than the minimum necessary to keep residents safe (4.1 HPRD, as determined by the landmark 2001 federal study.)
- Top five nursing homes: Henry J Carter Skilled Nursing Facility (Manhattan), Queen of Peace Residence (Queens), Woodland Pond at New Paltz (New Paltz), Northwell Health Orzac Center for Rehabilitation (Valley Stream), and Kendal at Ithaca (Ithaca).
- Bottom five nursing homes: Haven Manor (Queens), Ocean Garden (Queens), Livingston Hills (Livingston), Renaissance (Staatsburg), and Newfane Rehab & Healthcare Center (Newfane).
- Note: These nursing home rankings exclude outliers, such as pediatric facilities and one reporting no nurse aide time.
- The use of contract staffing dropped slightly from 12.7% to 12.2%, reflecting a continued decrease in the use of contract staff since the end of the public health emergency.
Non-Nurse Staffing
- NY ranked worst in the country in respect to average administrator time per resident. Nursing home administrators are responsible for overseeing operations, ensuring compliance with regulatory standards of care, supporting residents’ rights, and maintaining financial accountability.
- Medical Director. NY nursing homes ranked in the top 20% of states in respect to average medical director time per resident. However, 255 (42.7%) NY nursing homes report an average of zero hours of medical director time for the quarter.
- Note: LTCCC’s recent study published in the Journal of the American Geriatrics Society, found alarming gaps in medical director presence in U.S. nursing homes.
Source: CMS Payroll-Based Journal Data (Q2 2024, Q4 2023).
Notes: (1) This report is based on the most recent payroll-based journal (PBJ) data reported by the federal Centers for Medicare & Medicaid Services (CMS). (Sources: PBJ Daily Nurse Staffing, PBJ Daily Non-Nurse Staffing, Provider Information). Visit the NursingHome411 Data Center for more information on staffing, five-star ratings, and other important nursing home data. (2) The new federal staffing requirements will not go into effect for several years. For more information, see LTCCC’s brief, The New Federal Nursing Home Staffing Standard: What You Need to Know.