LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census averages, and daily national census counts.
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 Q4 2020 summary findings and other information.
| Q4 2020 Staffing Summary | |
|---|---|
| Total Care Staff HPRD | 3.47 |
| RN HPRD | 0.47 |
| Avg. MDS Census | 74.30 |
| State | Abbreviation | Avg Census | Avg Total Care Staff HPRD | Total Care Rank | Avg RN Care Staff HPRD | RN Care Rank |
|---|---|---|---|---|---|---|
| ALASKA | AK | 50.16 | 5.80 | 1 | 1.36 | 1 |
| ALABAMA | AL | 86.55 | 3.58 | 23 | 0.38 | 42 |
| ARKANSAS | AR | 66.60 | 3.83 | 12 | 0.21 | 50 |
| ARIZONA | AZ | 70.34 | 3.84 | 11 | 0.53 | 26 |
| CALIFORNIA | CA | 75.91 | 4.05 | 5 | 0.46 | 34 |
| COLORADO | CO | 63.67 | 3.50 | 27 | 0.71 | 10 |
| CONNECTICUT | CT | 86.38 | 3.56 | 24 | 0.46 | 35 |
| D.C. | DC | 118.39 | 3.94 | 9 | 0.88 | 3 |
| DELAWARE | DE | 74.38 | 3.79 | 13 | 0.67 | 14 |
| FLORIDA | FL | 91.70 | 3.97 | 7 | 0.56 | 22 |
| GEORGIA | GA | 78.22 | 3.21 | 44 | 0.26 | 48 |
| HAWAII | HI | 79.58 | 4.09 | 4 | 1.16 | 2 |
| IOWA | IA | 46.47 | 3.35 | 37 | 0.54 | 24 |
| IDAHO | ID | 43.93 | 3.96 | 8 | 0.69 | 11 |
| ILLINOIS | IL | 78.93 | 3.08 | 48 | 0.57 | 21 |
| INDIANA | IN | 62.98 | 3.15 | 45 | 0.44 | 37 |
| KANSAS | KS | 45.95 | 3.25 | 43 | 0.50 | 31 |
| KENTUCKY | KY | 70.93 | 3.34 | 38 | 0.45 | 36 |
| LOUISIANA | LA | 81.64 | 3.35 | 36 | 0.11 | 51 |
| MASSACHUSETTS | MA | 82.18 | 3.58 | 22 | 0.51 | 30 |
| MARYLAND | MD | 92.03 | 3.54 | 26 | 0.59 | 19 |
| MAINE | ME | 56.63 | 3.92 | 10 | 0.79 | 6 |
| MICHIGAN | MI | 73.45 | 3.65 | 19 | 0.54 | 25 |
| MINNESOTA | MN | 56.90 | 3.77 | 15 | 0.82 | 5 |
| MISSOURI | MO | 61.98 | 2.77 | 51 | 0.31 | 46 |
| MISSISSIPPI | MS | 66.93 | 3.67 | 18 | 0.41 | 40 |
| MONTANA | MT | 46.12 | 3.49 | 29 | 0.69 | 12 |
| NORTH CAROLINA | NC | 73.77 | 3.33 | 39 | 0.35 | 44 |
| NORTH DAKOTA | ND | 57.75 | 4.13 | 2 | 0.61 | 18 |
| NEBRASKA | NE | 48.91 | 3.31 | 41 | 0.55 | 23 |
| NEW HAMPSHIRE | NH | 75.81 | 3.56 | 25 | 0.52 | 29 |
| NEW JERSEY | NJ | 96.53 | 3.49 | 28 | 0.53 | 28 |
| NEW MEXICO | NM | 67.70 | 3.10 | 46 | 0.49 | 33 |
| NEVADA | NV | 78.21 | 3.79 | 14 | 0.64 | 16 |
| NEW YORK | NY | 145.03 | 3.45 | 32 | 0.50 | 32 |
| OHIO | OH | 65.99 | 3.35 | 35 | 0.42 | 39 |
| OKLAHOMA | OK | 54.29 | 3.00 | 49 | 0.22 | 49 |
| OREGON | OR | 51.73 | 4.11 | 3 | 0.58 | 20 |
| PENNSYLVANIA | PA | 92.47 | 3.45 | 33 | 0.53 | 27 |
| RHODE ISLAND | RI | 79.47 | 3.32 | 40 | 0.67 | 13 |
| SOUTH CAROLINA | SC | 77.26 | 3.64 | 20 | 0.39 | 41 |
| SOUTH DAKOTA | SD | 46.78 | 3.08 | 47 | 0.62 | 17 |
| TENNESSEE | TN | 74.53 | 3.46 | 31 | 0.37 | 43 |
| TEXAS | TX | 65.26 | 2.96 | 50 | 0.27 | 47 |
| UTAH | UT | 53.01 | 3.62 | 21 | 0.84 | 4 |
| VIRGINIA | VA | 85.15 | 3.28 | 42 | 0.34 | 45 |
| VERMONT | VT | 61.74 | 3.98 | 6 | 0.64 | 15 |
| WASHINGTON | WA | 64.63 | 3.72 | 16 | 0.71 | 9 |
| WISCONSIN | WI | 52.82 | 3.68 | 17 | 0.74 | 8 |
| WEST VIRGINIA | WV | 69.84 | 3.48 | 30 | 0.42 | 38 |
| WYOMING | WY | 59.43 | 3.42 | 34 | 0.76 | 7 |
National Staffing Data Summary
The national staffing averages for Q4 2020 are 3.47 total care staff HPRD, 0.47 RN care 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: Facility census average for Q4 2020 (74.30) has decreased 14.2% from the average in Q4 2019 (86.59), prior to the coronavirus pandemic.
State and national staffing (Total and RN) averages for Q4 2020 were determined by dividing a given sample’s aggregate of facility staffing by its aggregate of facility MDS census, thus accounting for variations in facility size. LTCCC staffing reports prior to Q3 2019 used different methodology by averaging all facility HPRDs in a sample (without adjusting for facility size) to determine state and national staffing averages.
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.
- The state and national staffing averages 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. Though this report includes RN Admin and RN DON data, those data are excluded from state and national staffing averages.
- See the Notes and Glossary tabs in each file for more information about the data.
To access staffing reports from previous quarters, visit LTCCC’s Staffing Page.