Nurse Staffing Hours per Resident by State
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Across the 13,891 nursing homes that reported nurse staffing in both the Oct 2023 and the Sep 2026 data files, the average reported total nurse staffing was 3.77 hours per resident per day in the Oct 2023 file (staffing from April 1 to June 30, 2023) and 3.85 hours in the Sep 2026 file (January 1 to March 31, 2026), a change of +0.07 hours (calculated before rounding). This is a simple average: each home counts once, whatever its size.
- Homes in both files13,891
- Hours, Oct 2023 file (Apr–Jun 2023)3.77
- Hours, Sep 2026 file (Jan–Mar 2026)3.85
- Change, hours+0.07
These figures describe the homes in each state as a group, not any one home. To look at one home, search by name, city or ZIP code.
By state
Select a column heading to sort the table.
| Alabama | 215 | 3.76 | 3.88 | +0.12 |
|---|---|---|---|---|
| Alaska | 15 | 7.25 | 6.63 | −0.62 |
| Arizona | 134 | 3.98 | 3.95 | −0.03 |
| Arkansas | 209 | 3.91 | 4.01 | +0.09 |
| California | 1,105 | 4.31 | 4.49 | +0.18 |
| Colorado | 202 | 3.77 | 3.70 | −0.06 |
| Connecticut | 182 | 3.72 | 3.75 | +0.02 |
| Delaware | 43 | 4.18 | 4.35 | +0.17 |
| District of Columbia | 13 | 4.53 | 4.72 | +0.19 |
| Florida | 659 | 3.85 | 3.81 | −0.04 |
| Georgia | 338 | 3.48 | 3.56 | +0.08 |
| Guam | 0 | – | – | – |
| Hawaii | 39 | 4.74 | 4.98 | +0.25 |
| Idaho | 76 | 4.05 | 4.04 | −0.01 |
| Illinois | 644 | 3.41 | 3.45 | +0.03 |
| Indiana | 498 | 3.64 | 3.68 | +0.04 |
| Iowa | 371 | 3.70 | 3.81 | +0.12 |
| Kansas | 271 | 3.94 | 4.05 | +0.12 |
| Kentucky | 253 | 3.79 | 3.94 | +0.15 |
| Louisiana | 243 | 3.66 | 3.73 | +0.07 |
| Maine | 76 | 4.46 | 4.35 | −0.11 |
| Maryland | 211 | 3.82 | 3.86 | +0.04 |
| Massachusetts | 330 | 3.76 | 3.82 | +0.06 |
| Michigan | 403 | 3.92 | 3.97 | +0.05 |
| Minnesota | 313 | 4.15 | 4.21 | +0.07 |
| Mississippi | 193 | 3.97 | 4.18 | +0.21 |
| Missouri | 440 | 3.32 | 3.42 | +0.09 |
| Montana | 53 | 3.57 | 4.02 | +0.45 |
| Nebraska | 166 | 3.99 | 3.94 | −0.05 |
| Nevada | 62 | 4.27 | 4.25 | −0.02 |
| New Hampshire | 69 | 3.85 | 3.88 | +0.03 |
| New Jersey | 333 | 3.76 | 3.83 | +0.06 |
| New Mexico | 64 | 3.50 | 3.53 | +0.03 |
| New York | 581 | 3.57 | 3.62 | +0.05 |
| North Carolina | 393 | 3.74 | 3.80 | +0.06 |
| North Dakota | 68 | 4.39 | 4.43 | +0.03 |
| Ohio | 870 | 3.60 | 3.67 | +0.07 |
| Oklahoma | 243 | 3.77 | 3.80 | +0.03 |
| Oregon | 116 | 4.80 | 4.99 | +0.19 |
| Pennsylvania | 632 | 3.76 | 3.88 | +0.13 |
| Puerto Rico | 6 | 4.92 | 4.21 | −0.71 |
| Rhode Island | 68 | 3.68 | 3.72 | +0.03 |
| South Carolina | 178 | 3.91 | 3.83 | −0.08 |
| South Dakota | 87 | 3.61 | 3.79 | +0.18 |
| Tennessee | 295 | 3.71 | 3.79 | +0.08 |
| Texas | 1,110 | 3.31 | 3.37 | +0.06 |
| Utah | 91 | 4.14 | 4.06 | −0.08 |
| Vermont | 31 | 4.20 | 4.22 | +0.02 |
| Virginia | 277 | 3.58 | 3.74 | +0.15 |
| Washington | 181 | 4.23 | 4.29 | +0.06 |
| West Virginia | 117 | 3.59 | 3.63 | +0.04 |
| Wisconsin | 292 | 3.95 | 4.20 | +0.25 |
| Wyoming | 32 | 3.68 | 3.64 | −0.03 |
| United States | 13,891 | 3.77 | 3.85 | +0.07 |
Hours of nurse staffing per resident per day (registered nurses, licensed practical nurses and nurse aides). The change is calculated before rounding. The "United States" row covers the homes in all the rows above.
Download this table (CSV). Each column comes twice: as shown on this page and as a plain value. Please credit Nursing Home Checker and CMS.
How we calculated this
- Field: "Reported Total Nurse Staffing Hours per Resident per Day", which CMS's data dictionary describes as "Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)". These are the hours as reported, not the case-mix adjusted hours CMS uses for the staffing rating.
- How CMS calculates it: nurse staffing hours from the Payroll-Based Journal system and the daily resident census are each summed over a quarter, and the hours are divided by the census.
- Months compared: the Oct 2023 Provider Information file (from CMS's archive) and the Sep 2026 file (the latest one this site uses). Each monthly file carries CMS's figure for a recent quarter, not for that calendar month: CMS's data collection interval files give April 1 to June 30, 2023 for the Oct 2023 file and January 1 to March 31, 2026 for the Sep 2026 file.
- Homes included: the 13,891 homes with a value in both files, so both averages describe the same homes. Left out: 799 of the 14,690 homes in the Sep 2026 file, because one of the two files has no value for them (the home is not in the Oct 2023 file, or CMS reported no staffing hours for it in one of the two months).
- Average: a simple average across homes, not weighted by the number of residents.
- Each home is counted in the state listed for it in the Sep 2026 Provider Information file. The table has a row for each place where that file lists homes: 50 states, the District of Columbia, Guam and Puerto Rico.
More data reports
- Star rating changes29.7% of the homes compared had a higher overall rating in Sep 2026 than in Sep 2025; 24.6% had a lower one.
- Weekend staffingAverage reported nurse staffing: 3.86 hours per resident per day overall, 3.42 on weekends (Sep 2026 file: January–March 2026).
- Nursing staff turnoverAverage total nursing staff turnover: 45.8% across the 13,538 homes CMS reports it for (Sep 2026 file: January–December 2025).
- Changes of ownershipCMS's September 29, 2026 file lists a change of ownership effective from September 30, 2023 to September 29, 2026 for 1,452 homes (10.1%). The file lists no change effective after May 8, 2026.
- Changes since last month544 homes had a higher overall rating in the Sep 2026 file than in the Aug 2026 file; 404 had a lower one.
- Fines and payment denialsCMS lists 2,689 fines totaling $105,022,269 at 2,147 homes with a penalty date from September 2, 2025 to September 1, 2026.
- Special Focus FacilitiesThe Sep 2026 CMS file lists 87 Special Focus Facilities and 440 candidates.
Source: CMS Provider Data Catalog, Nursing homes including rehab services: Provider Information files processed Oct 2023 (from CMS's archive) and Sep 2026, with the Nursing Home Data Collection Intervals files for the same months.
Updated each time CMS publishes new data. Calculated by Nursing Home Checker; these are not CMS's own figures. Report an error