Staffing

LTCCC Alert: Nursing Homes Severely Understaffed in Q3 2023

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

Advocates’ Comments to CMS on Proposed Minimum Staffing Standards

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 […]

LTCCC Alert: Four in Five Residents Live in Understaffed Nursing Homes

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 […]

24-Hour Registered Nurses in Nursing Homes: Affordable, Attainable, & Necessary

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 […]

LTCCC Alert: A 3.0 Staffing Minimum Is Not Enough

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 […]

Congressional Briefing: Essential Insights on Nursing Home Staffing & Standards

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 […]

LTCCC Alert: Most U.S. Nursing Homes Understaffed, Federal Data Finds

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 […]

LTCCC Alert: A Guide to State CNA Certification & Training Requirements

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.

LTCCC Alert: Nursing Home Administrator Hours Down 20% Since Pandemic

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, […]

LTCCC Alert: Nursing Home Staff Turnover Above 50%

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 […]

LTCCC Alert: RN Staffing Levels Drop 12% in 2021

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 […]

LTCCC Comments to CMS on Minimum Staffing Standard

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 […]

Webinar: It Starts With Staffing: Requirements and Recommendations for Providing Safe and Quality Nursing Home Care

Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)

PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)

LTCCC Policy Brief: Direct Care Minimum Spending Laws

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 […]

Staffing Levels Fall 8% in Six Months

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 […]

LTCCC Alert: Nursing Home Staffing Levels Drop in Q2 2021

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 […]

LTCCC Alert: New Data Report Finds One in Six U.S. Nursing Homes is a “Problem Facility”

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 […]

LTCCC Alert: Most U.S. Nursing Homes Fell Short of Federal Staffing Threshold in Q1 2021

The following is an alert for the Q1 2021 staffing report. To access the report, click here.

LTCCC Alert: Three in Four U.S. Nursing Homes Understaffed in Second Wave

The following is an alert for the Q4 2020 staffing report. To access the report, click here.

Nursing Home Staffing 2020 Q4

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 […]

Nursing Home Staffing 2020 Q3

Click on the links in the first column of the table below to download easy-to-use files for each state.

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. […]

Nursing Home Staffing 2020 Q1

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.

Click on the links in […]

Nursing Home Staffing 2020 Q2

Click on the links in the first column of the table below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers […]

Nursing Home Staffing 2019 Q4

Click on the links in the first column of the table below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers […]

Nursing Home Staffing 2019 Q3

Click on the links below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers to provide resident care.

To facilitate ease of […]

Nursing Home Staffing 2019 Q2

Click on the links below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers to provide resident care.

To facilitate ease of […]

Nursing Home Staffing 2019 Q1

Click on the links below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers to provide resident care.

To facilitate […]

Nursing Home Staffing 2018 Q4

Click on the links below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers to provide resident care.

To […]

Nursing Home Staffing 2018 Q3

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 […]

Nursing Home Staffing 2018 Q2

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 […]

Nursing Home Staffing 2018 Q1

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 […]

US Nursing Homes Use of Contract Care Staff 2018 Q1

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 […]

2023-08-01T12:55:00-04:00Staffing|

US Nursing Homes Daily Care Staff 2018 Q1

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 […]

2023-08-01T12:54:53-04:00Staffing|

US Nursing Homes Non-Nursing Staff 2018Q1

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 […]

2023-08-01T12:54:53-04:00Staffing|

Nursing Home Staffing 2017 Q4

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 […]

Nursing Home Staffing 2017 Q3

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 […]

Nursing Home Staffing 2017 Q2

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 […]

Free Toolkit: Speak Out to Support Safe Nursing Home Staffing Standards

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 […]

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