Nursing Home Staffing Q3 2021

LTCCC’s Q3 2021 Staffing Report provides user-friendly files for every state that contain facility-level data on: 1) Nurse staff levels (RN, LPN, and CNA, including Admin & DON, NA in Training, Med Aide/Tech.); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. 4) Summary staffing data at the state, CMS region, and national levels.

Download your state’s file by clicking the state in the first column of the table below. Files can be modified to isolate locations and identify variables of interest. For example, a state file can be filtered and sorted to identify nursing homes in a selected county (or counties) with the highest or lowest RN staffing levels. See LTCCC’s staffing alert for Q3 2021 summary findings and other information.

Q3 2021 Staffing Summary
Total Nurse Staff HPRD	3.62
Total Direct Care Staff HPRD	3.34
Total RN HPRD	0.63
RN Care Staff HPRD (excl. Admin/DON)	0.43
Total MDS Census (Daily Avg.)	1,133,750

All U.S. Nursing Home Nurse Staff

All U.S. Nursing Home Non-Nurse Staffing

All U.S. Nursing Home Use of Contract Staff

Summary Data

State	Total Census	Total Nurse Staff HPRD	Rank: Total Nurse Staff HPRD	RN Staff HPRD	Rank: RN Staff HPRD
ALASKA	500	5.61	1	1.68	1
ALABAMA	19399	3.68	27	0.57	40
ARKANSAS	14870	3.86	18	0.37	49
ARIZONA	10305	3.99	12	0.66	31
CALIFORNIA	90442	4.17	7	0.56	41
COLORADO	14173	3.72	24	0.88	10
CONNECTICUT	18657	3.51	40	0.66	32
D.C.	1991	4.18	6	1.18	3
DELAWARE	3455	3.96	14	0.97	7
FLORIDA	65770	4.12	10	0.69	26
GEORGIA	27781	3.38	47	0.43	46
HAWAII	3191	4.48	3	1.48	2
IOWA	20204	3.6	33	0.71	23
IDAHO	3648	4.16	8	0.89	9
ILLINOIS	56360	2.98	51	0.68	29
INDIANA	33912	3.43	44	0.6	37
KANSAS	14768	3.84	20	0.69	28
KENTUCKY	20228	3.65	29	0.65	33
LOUISIANA	20988	3.53	39	0.25	51
MASSACHUSETTS	31567	3.61	32	0.65	34
MARYLAND	20844	3.72	23	0.78	17
MAINE	4935	4.3	5	1.03	6
MICHIGAN	31237	3.67	28	0.71	24
MINNESOTA	20245	4.15	9	1.06	5
MISSOURI	31431	2.99	50	0.42	47
MISSISSIPPI	13447	3.91	17	0.59	38
MONTANA	3239	3.71	25	0.82	15
NORTH CAROLINA	31208	3.46	42	0.54	44
NORTH DAKOTA	4519	4.45	4	0.85	12
NEBRASKA	9553	3.99	13	0.76	18
NEW HAMPSHIRE	5527	3.79	22	0.71	25
NEW JERSEY	36267	3.59	34	0.69	27
NEW MEXICO	4757	3.54	38	0.67	30
NEVADA	5173	3.85	19	0.78	16
NEW YORK	91180	3.38	46	0.64	35
OHIO	61588	3.41	45	0.58	39
OKLAHOMA	15251	3.69	26	0.36	50
OREGON	6107	4.72	2	0.75	20
PENNSYLVANIA	63469	3.5	41	0.71	22
RHODE ISLAND	6269	3.44	43	0.76	19
SOUTH CAROLINA	14918	3.54	37	0.54	43
SOUTH DAKOTA	4723	3.57	35	0.84	14
TENNESSEE	23313	3.62	30	0.55	42
TEXAS	79347	3.3	49	0.38	48
UTAH	5298	3.94	16	1.08	4
VIRGINIA	24258	3.32	48	0.52	45
VERMONT	2238	3.95	15	0.75	21
WASHINGTON	12190	4.07	11	0.88	11
WISCONSIN	18068	3.83	21	0.95	8
WEST VIRGINIA	8858	3.61	31	0.64	36
WYOMING	1950	3.55	36	0.85	13

Methodology Note

Starting in Q1 2021, LTCCC’s reporting of federal staffing data has been modified in two important ways.
1) Highlighting “Total Nurse Staff HPRD,” a more expansive metric that includes all PBJ nurse staffing categories; and 2) Expanding “Total Direct Care Staff HPRD” to include Med Aide/Tech and NA TR. Med Aide/Tech and NA TR were not included in previous LTCCC staffing reports.

National Staffing Data Summary

The national staffing averages for Q3 2021 are 3.62 total nurse staff HPRD, 0.63 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.

Note: Nationwide, total nurse staff HPRD has fallen 7.8% HPRD since Q1 2021 (from 3.92).

More notes on the information provided

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

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