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 on payroll and other auditable data. Though this requirement came into law in 2010, it was not implemented in the federal rules for nursing homes until August 2015. The first mandatory reporting period began July 2016. The first publication of these data (to the general public) began fall of 2017.

To make this information more accessible, LTCCC has compiled these data into easy-to-use files for each state, as well as a single national file. These files include the following information:

  1. Name of State
  2. Name of Nursing Home
  3. MDS Census (number of residents in the facility)
  4. RN Hours
  5. LPN Hours
  6. CNA Hours
  7. Total Direct Care Staff Time
  8. Average Staffing Hours Per Resident Per Day
  9. Average RN Hours Per Resident Per Day

Note: Resident census and staffing hours are the averages for the quarter (three month period).  See the Notes tab in each file for more information about the data.

Below are the files for each state.  Please note that they may be slow to open.  Each file can be quickly downloaded by clicking on ‘Download’ at the bottom of each box.

We have also compiled a single file with combined information for all states. It is available for download here:

US SNF PBJ Direct Care Staff 2017Q2