This page provides a one-stop access point to LTCCC’s staffing data, analyses, and practical tools.
Staffing is the most important indicator of a nursing home’s staffing and quality. Under federal law, facilities must have sufficient nursing staff with appropriate competencies and skill sets to ensure each resident attains or maintains the highest practicable well‑being based on […]
August 25, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting requirements). These data, accessible to the public at […]
June 4, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting […]
May 2, 2025 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs […]
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 […]
November 21, 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 […]
August 26, 2024 – Today, LTCCC is posting its latest report on staffing levels in U.S. nursing homes. LTCCC’s report is based on CMS’s Q1 2024 payroll-based journal data on nurse […]
August 23, 2024 – To support legislators and elected officials in their efforts to better assist their constituents during nursing home stays, LTCCC is releasing a new guide, Supporting Your Constituents During a Nursing Home Stay: A Guide for Legislators and Elected Officials. This comprehensive guide aims to equip officials with essential knowledge and resources […]
June 26, 2024 – The public’s attention to nursing home staffing generally focuses on nurse staff, which makes sense because those are the individuals who are providing direct care to residents. However, non-care staff play an essential role in the quality and safety of a nursing home and the services provided to residents. LTCCC […]
The following is an alert for the Q4 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
May 2, 2024 – Federal law requires all nursing homes to provide sufficient staffing so that residents attain and maintain their highest practicable physical, emotional, and psychosocial well-being. Unfortunately, in the […]
The following is an alert for the Q3 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
February 28, 2024 – Federal law requires all nursing homes to provide a sufficient level of staffing so that residents
President Biden has promised to reform nursing homes by setting a national minimum staffing standard. Unfortunately, the proposed rule is woefully inadequate to meet residents’ needs. To highlight these concerns, LTCCC has gathered comments from a wide […]
The following is an alert for the Q2 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
November 14, 2023 – Each day, more than one million people reside in roughly 15,000 nursing homes across the United States. Unfortunately, most of these individuals have no choice but to […]
September 27, 2023 – Every U.S. nursing home is required to provide skilled nursing care and monitoring 24-hours a day, seven days a week. Unfortunately, too many of our nursing homes provide substandard care and conditions that are demeaning and inhumane. As the country has witnessed in the COVID-19 pandemic, too many nursing homes are […]
The following is an alert for the Q1 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
September 22, 2023 – Nursing home residents need a minimum of 4.1 total care staff hours per resident day (HPRD) to receive sufficient clinical care and avoid unnecessary harm, according to […]
Essential Insights on Nursing Home Staffing and the Proposed Federal Standard, presented by: Center for Medicare Advocacy, Long Term Care Community Coalition, and National Consumer Voice for Quality Long-Term Care (September 2023).
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Toby Edelman (Center for Medicare Advocacy), Charlene Harrington (University of […]
The following is an alert for the Q4 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
July 13, 2023 – Sufficient staffing is attainable. In fact, one in four U.S. nursing homes (25.3%) provide at least 4.1 hours per resident day (HPRD), the minimum […]
Check out LTCCC’s Guide to State CNA Certification & Training Requirements.
March 17, 2023 – Certified Nurse Aides (CNAs) are considered the backbone of nursing home care.
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, […]
Presenter:
Richard Mollot (LTCCC)
PowerPoint Slides (PDF) Fact Sheet: Nurse Aide Training Requirements
The following is an alert for the Q1 2022 staffing report. To access the report, click here.
August 24, 2022 – Staff retention is essential for nursing homes to provide quality care for their residents. Unfortunately, turnover continues to be a major problem for many of the nation’s 15,000-plus facilities. The average nursing home […]
The following is an alert for the Q4 2021 staffing report. To access the report, click here.
June 9, 2022 – Registered nurses (RNs) serve a critical role in every nursing home staff. They provide expertise – infection control planning and management, resident assessment and care planning, and the identification and treatment of chronic […]
Concrete, clear, and appropriate minimum staffing standards are needed now to finally realize the promise of the Nursing Home Reform Law in the lives of residents and the vast majority of American families who will depend on nursing home services at some time or another. In April 2022, the Centers for Medicare & Medicaid Services […]
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)
PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)
Until recently, nursing homes have not been required to spend a set minimum percentage of the funds they receive on the care of their residents, nor have the public or policymakers had an effective tool to require accountability for these […]
The following is an alert for the Q3 2021 staffing report. To access the report, click here.
March 3, 2022 – Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies to meet the clinical, emotional, and psychosocial needs of every resident. Unfortunately, understaffing is a widespread and persistent problem that […]
The following is an alert for the Q2 2021 staffing report. To access the report, click here.
November 16, 2021 – Nursing homes with higher staffing levels are better equipped to meet their residents’ care needs. Unfortunately, understaffing has been a widespread and persistent problem, especially since the start of the COVID-19 pandemic.
Today, LTCCC […]
September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]
The following is an alert for the Q1 2021 staffing report. To access the report, click here.
The following is an alert for the Q4 2020 staffing report. To access the report, click here.
LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census […]
The following is an alert for LTCCC’s new nursing home data reports for 2021: Nursing Home Ratings & Info, and Problem Facilities. To access the report, click here.
The following is an alert for the Q3 2020 staffing report. To access the report, click here.
Each file includes information on: 1. Each facility’s RN, LPN, & CNA staffing levels; 2. Staffing levels for important non-nursing staff, including administrators and activities staff; and 3. […]
Note: Not all facilities reported staffing data for Q1 2020 because of suspended reporting requirements due to the COVID-19 pandemic. (11,735 facilities reported staffing data in Q1 2020 vs. 14,969 in Q4 2020). State and national staffing averages for Q1 2020 exclude facilities that did not report.
Each file includes information on:
Each file includes information on:
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q3. Please visit our Nursing Home Data & Information page for […]
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q2. Please visit our Nursing Home Data & Information page for […]
Each file includes information on:
To facilitate […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q1. Please visit our Nursing Home Data & Information page for […]
Each file includes information on:
To […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
Download File
This file includes, for every nursing home in compliance with federal reporting requirements, the average hours of RN, LPN, and CNA staff time per day for staff that are assigned to provide care (i.e., non-administrative). For each of these categories, the file provides the average total daily hours for the category as […]
Download File
This file contains information on nursing care staff for every licensed nursing home in the United States (that is in compliance with federal staff reporting requirements). It includes average hours per day for RNs, LPNs, and CNAs who the nursing home has designated as providing resident care (i.e., RNs and LPNs who […]
Download File
This file contains select non-nursing staff for every licensed nursing home in the United States (that is in compliance with federal staff reporting requirements). It includes average hours per day for administrators, medical directors, pharmacists, dieticians, activities staff, and social work staff for the quarter. In addition, we have calculated the amount […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Due to questions about the accuracy of the self-reported staffing data published in facility listings on Nursing Home Compare, the 2010 Affordable Care Act requires facilities to electronically submit staffing information (including agency and contract staff) based on payroll […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Due to questions about the accuracy of the self-reported staffing data published in facility listings on Nursing Home Compare, the 2010 Affordable Care Act requires facilities to electronically submit staffing information (including agency and contract staff) based on payroll […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Due to questions about the accuracy of the self-reported staffing data published in facility listings on Nursing Home Compare, the 2010 Affordable Care Act requires facilities to electronically submit direct care staffing information (including agency and contract staff) based […]
Toolkit for Consumer Action to Improve Nursing Home Staffing Levels
Those of us concerned about nursing home residents know that there are widespread problems. Too many residents in communities across the country do not receive appropriate care. For instance, far too many people are confined to their beds or a chair because there is insufficient staff […]
