The following is an alert for the Q3 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.

March 9, 2023 – A nursing home administrator is responsible for overseeing their facility, including clinical and administrative affairs, to ensure that resident care needs are met. According to federal law, nursing homes must be administered “effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident.”

In a new staffing report by The Long Term Care Community Coalition, we find that nursing home administrators are providing less time in their facilities compared to before the COVID-19 pandemic. According to payroll-based journal data, nursing home administrators provided an average of 4.7 minutes per resident day (total of 6.17 hours per day) in the third quarter of 2022. This is a 20% decline from the 5.9-minute per resident day (total of 8.44 hours per day) in Q3 2019.

LTCCC’s new staffing report contains Q3 2022 data on nurse staff (RN, LPN, CNA, etc.) and non-nurse staff (Admin, Medical Director, Dietician, etc.) for every U.S. nursing home (in compliance with mandatory reporting requirements).

Visit the NursingHome411 staffing page for user-friendly data on nursing homes in your community or state, including nurse staff, non-nurse staff, contract workers, turnover rates, weekend staffing levels, staffing ratings, and state rankings (plus: an interactive staffing dashboard!). We hope this report can help the public, media, and policymakers identify and assess the extent to which nursing homes in their communities provide sufficient staffing to meet basic clinical and quality of life needs.

Staffing Facts for Q3 2022

  • Federal data show that a majority of nursing homes continue to provide insufficient staffing levels (3.61 Total Nurse Staff Hours Per Resident Day (HPRD), 0.59 RN Staff HPRD on average) to meet the basic care needs of the nation’s 1.16 million nursing home residents.
    • Important Note: Industry lobbyists are claiming that they need help to meet staffing standards. In fact, inadequate staffing has been a persistent problem for decades due to the fact that nursing homes are rarely held accountable when they put profits over the safety of their residents and staff.
  • Only one in four (25.8%) nursing homes met the total care staff threshold (4.10 HPRD), as determined by a landmark 2001 federal study.
  • Roughly half of nursing homes lost at least one administrator in the previous 12 months (among the 10,000 nursing homes with available administrative turnover data).
  • At least 2,100 nursing homes lost at least two administrators in the previous 12 months.
  • Nursing homes are increasingly reliant on contract staff, which accounted for 10.5% of all nurse staff hours in Q3 2022, up from 5.0% in Q1 2021.

Administrator Turnover by Nursing Home (Number who left within 12 months)

Source: CMS Provider Info

Note: The 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.