LTCCC’s Q2 2024 Staffing Report provides user-friendly files containing data on: 1) Nurse staff levels (RN, LPN, and CNA, including Admin & DON, NA in Training, Med Aide/Tech.), including contract staff ratios; 2) Important non-nursing staff levels, including administrators and activities staff; 3) Summary nurse and non-nurse staffing data at the state, CMS region, and national levels; 4) Turnover rates, weekend staffing levels, staffing ratings, and other data. 5) A staffing alert with our key findings from Q2 2024.

Download US nursing home staffing datasets by clicking the purple buttons below. Files can be modified to isolate locations and identify variables of interest. For example, a file can be filtered and sorted to identify nursing homes in a selected state and/or county with the highest or lowest RN staffing levels.

See table below for state summary data on total nurse staff HPRD (hours per resident day), RN HPRD, and % Contract Staff Hours.

Source: CMS payroll-based journal data.

Q2 2024 Staffing Summary US Avg. (Previous quarter)
Total Nurse Staff HPRD3.71 (3.68)
Total Nurse Care Staff HPRD (excl. Admin/DON)3.45 (3.41)
Total RN HPRD0.60 (0.60)
RN Care Staff HPRD (excl. Admin/DON)0.42 (0.41)
% Providers ≥ 4.1 HPRD27.3% (26.2%)
% Providers ≥ 3.48 HPRD62.6% (59.7%)
MDS Census (Daily Avg.)1.21M (1.22M)
NHs Reporting PBJ Data14,564 (14,626)
StateTotal CensusTotal Nurse Staff HPRDRank: Total Nurse Staff HPRD% Providers ≥ 4.1 HPRD% NHs ≥ 3.48 HPRD% NHs ≥ 0.75 Total RNRN Staff HPRDRank: RN Staff HPRD
AK6376.011100.0%100.0%100.0%1.782
AL21,2833.862135.1%73.9%19.8%0.5740
AR16,1044.081336.6%87.5%4.2%0.3948
AZ11,3833.991738.1%73.4%30.9%0.6332
CA98,8864.23952.6%96.0%16.8%0.5146
CO14,5883.673528.4%52.9%49.5%0.7915
CT19,5563.663718.4%64.8%30.6%0.6234
DC2,0364.24864.7%88.2%88.2%1.134
DE3,7904.141141.9%97.7%67.4%0.8512
FL73,3233.802321.7%77.6%34.9%0.6923
GA30,5933.494713.1%46.0%10.5%0.4347
HI3,2704.45567.5%92.5%97.5%1.433
IA19,7633.772627.2%59.5%41.7%0.7221
ID4,1783.911926.6%83.5%48.1%0.7617
IL60,8053.255117.7%38.2%34.5%0.6628
IN35,6093.604415.1%56.0%25.5%0.5838
KS14,7713.961839.6%75.2%37.2%0.6727
KY20,9123.772823.9%67.4%29.9%0.6530
LA23,0473.614313.7%60.0%3.5%0.2552
MA32,4483.723219.4%72.1%26.4%0.6037
MD22,5883.772727.1%66.8%43.9%0.7418
ME5,0924.30750.6%93.8%77.8%0.987
MI34,2223.842230.2%72.0%43.9%0.6825
MN19,6734.201051.3%84.3%75.1%1.006
MO33,8353.245212.2%38.7%6.3%0.3849
MS14,5994.001539.4%81.3%16.2%0.5641
MT3,2863.782535.0%58.3%48.3%0.8113
NC34,1163.624220.3%58.4%16.6%0.5145
ND4,1404.65464.7%95.6%77.9%0.889
NE9,4874.101240.9%76.7%33.5%0.7022
NH5,8253.743033.3%56.9%31.9%0.6924
NJ40,4423.643824.1%58.6%33.0%0.6431
NM5,3043.394916.7%37.9%25.8%0.6135
NV5,8553.762937.9%72.7%43.9%0.7319
NY97,5853.594519.8%55.6%26.1%0.6529
OH66,3943.634118.3%55.2%22.6%0.5839
OK16,3423.713326.1%58.7%1.8%0.3351
OR6,3775.01298.3%99.2%31.4%0.6333
PA66,2263.634027.5%55.4%41.5%0.6726
PR1294.79366.7%100.0%100.0%3.561
RI6,9303.633916.4%63.0%50.7%0.7220
SC16,3083.663625.0%59.8%21.7%0.5344
SD4,7923.792424.5%62.8%51.1%0.8014
TN24,6013.683420.7%62.3%15.0%0.5442
TX85,8063.305010.5%29.3%6.2%0.3850
UT5,6223.872030.6%65.3%78.6%1.055
VA27,9483.514622.3%42.9%23.3%0.5343
VT2,2944.071442.4%81.8%42.4%0.7816
WA13,4554.34655.9%96.8%61.7%0.8510
WI17,2253.991641.1%72.4%67.1%0.918
WV9,5103.454817.2%39.3%24.6%0.6136
WY1,8893.743121.2%63.6%63.6%0.8511

National Staffing Data Summary

The national staffing averages for Q2 2024 are 3.71 total nurse staff HPRD, including 0.60 RN staff HPRD. This falls short of the amount of time needed to ensure that residents receive clinical care (4.10 hours total care staff HPRD and 0.75 RN HPRD), according to a landmark 2001 federal study.

More notes on the information provided

  1. Data provided are the averages for the quarter (three month period).
  2. If a facility is not listed, it has not provided appropriate staffing data to CMS.
  3. This report includes nurse Admin and DON, NA in Training, and Med Aide/Tech. in the total nurse staff hours.
  4. See the Notes & Glossary tabs in each file for more information about the data.

On April 22, 2024, the federal Centers for Medicare & Medicaid Services (CMS) issued a rule mandating, for the first time, quantitative nurse staffing requirements. These include the presence of a registered nurse 24/7 and 3.48 hours per resident per day (HPRD) of total nursing staff time. Learn more.

To access staffing reports from previous quarters, visit LTCCC’s Staffing Page.