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 homes fail to allocate the resources necessary to maintain sufficient staffing.

To help the public find out about nursing home staffing in our communities, LTCCC publishes, on a quarterly basis, information on staffing for every nursing home in the country (that is in compliance with federal staff reporting requirements).

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

Each file includes information on:

  1. The facility’s resident census (population);
  2. Its direct care RN, LPN, and CNA staffing levels;
  3. The amount of care staff hours per resident per day for both all care staff and for RNs specifically;
  4. Select non-nursing staff hours per day, including administrators, social workers, and activities staff.

To facilitate ease of use, the individual state files are easily sortable. For example, a state file can be sorted to identify which facilities have the highest reported levels of RN care and which have the lowest.

Notes on the Information Provided:

  1. MDS census and all staffing hours 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. CMS is now using payroll-based data on Nursing Home Compare. However, they are including nurses assigned to non-care functions in their computations of staffing levels. The nursing staff data provided on our website do not include staff time designated for administrative or non-care functions. They only include the staff that nursing homes have designated as providing resident care.
  4. See the Notes tab in each file for more information about the data.

National Data Files:

All U.S. Nursing Home Daily Care Staff
All U.S. Nursing Home Non-Care Staffing
All U.S. Nursing Home Use of Contract Staff