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 and other auditable data. Since fall 2017, these data have been published on a quarterly basis on the federal database, data.cms.gov.
Below are links to individual files with information on direct care staffing for nursing homes in every state.Each file can be quickly downloaded by clicking on the name of the state.
We have also compiled a single file with combined information for all states. It is available for download here:
To make this information as useful as possible, LTCCC has compiled the federal data into easy-to-use files for each state that are searchable and sortable. These files include the following information:
Name of Nursing Home
MDS Census (number of residents in the facility)
Total Direct Care Staff Time
Average Staffing Hours Per Resident Per Day
Average RN Hours Per Resident Per Day
Notes: MDS census and staffing hours are the averages for the quarter (three month period). If a facility is not listed, it has not provided appropriate staffing data to CMS. See the Notes tab in each file for more information about the data. Please note that since we published these data, CMS began using these payroll-based data on Nursing Home Compare. However, they are including nurses assigned to non-care functions in their computation. To our knowledge, the files posted here are the only publicly accessible information on the care staff that facilities are typically providing.