Nursing Home Staffing Tracker
Understaffing is the strongest predictor of poor care outcomes in nursing homes. CMS recommends a minimum of 4.1 total nurse hours per resident per day and 0.5 RN hours per resident per day. This tracker identifies facilities that fall below these thresholds, using monthly CMS data.
9,850
Below 4.1 hrs/day
1,016
Below 3.0 hrs/day (severe)
2,607
RN turnover >60%
13,982
Total facilities tracked
Most Understaffed Facilities
Facilities with the lowest total nurse hours per resident per day. CMS minimum: 4.1 hrs/day.
MAISON TECHE NURSING CENTER
JEANERETTE, LA
0.01
hrs/resident/day
Avoyelles Manor Nursing Home
DUPONT, LA
0.08
hrs/resident/day
HERITAGE GARDENS HEALTH CARE CENTER
LOMA LINDA, CA
0.16
hrs/resident/day
Delmar Gardens Of Lenexa
LENEXA, KS
0.17
hrs/resident/day
Madison Healthcare Services
MADISON, MN
0.32
hrs/resident/day
Santa Fe Care Center
Santa Fe, NM
0.33
hrs/resident/day
SAMARITAN KEEP NURSING HOME INC
WATERTOWN, NY
0.36
hrs/resident/day
La Bella of Morrison
MORRISON, IL
0.45
hrs/resident/day
SAMARITAN SENIOR VILLAGE, INC
WATERTOWN, NY
0.49
hrs/resident/day
REHABILITATION CENTER AT JEFFERSON HILLS, THE
JEFFERSON HILLS, PA
0.66
hrs/resident/day
LAWRENCE COUNTY MANOR
MOUNT VERNON, MO
0.86
hrs/resident/day
PARKVIEW HEALTHCARE CENTER
ANAHEIM, CA
0.88
hrs/resident/day
Bayou Vista Nursing and Rehab Center
BUNKIE, LA
0.92
hrs/resident/day
EAST CASCADE RETIREMENT COMMUNITY
MADRAS, OR
0.94
hrs/resident/day
TJ Samson Community Hospital
Glasgow, KY
0.94
hrs/resident/day
Mahoning Operating LLC
LEHIGHTON, PA
0.96
hrs/resident/day
LATIMER NURSING HOME
WILBURTON, OK
0.96
hrs/resident/day
Beaconshire Nursing Centre
Detroit, MI
1.17
hrs/resident/day
EAMC LANIER NURSING HOME
VALLEY, AL
1.24
hrs/resident/day
AICOTA HEALTH CARE CENTER
AITKIN, MN
1.27
hrs/resident/day
ROSE LINN CARE CENTER
WEST LINN, OR
1.28
hrs/resident/day
FOUR SEASONS LIVING CENTER
SEDALIA, MO
1.36
hrs/resident/day
BHM Carrollton OpCo Inc
CARROLLTON, GA
1.40
hrs/resident/day
SOUTH COUNTY HEALTH CARE CENTER
ARNOLD, MO
1.45
hrs/resident/day
BROOKDALE SKYLINE
COLORADO SPRINGS, CO
1.46
hrs/resident/day
MIDWAY NEUROLOGICAL / REHAB CENTER
BRIDGEVIEW, IL
1.51
hrs/resident/day
KAUAI VETERANS MEMORIAL HOSPITAL
WAIMEA, HI
1.51
hrs/resident/day
HAVEN MANOR HEALTH CARE CENTER, L L C
FAR ROCKAWAY, NY
1.53
hrs/resident/day
Avir at Houston
HOUSTON, TX
1.55
hrs/resident/day
BHM Pine Knoll OpCo Inc
CARROLLTON, GA
1.57
hrs/resident/day
Highest RN Turnover Rates
RN turnover above 40% is a warning sign; above 60% indicates a serious staffing crisis. High turnover means residents regularly encounter unfamiliar staff, which directly impacts care quality.
RIDGEVIEW HEALTH SERVICES, INC
JASPER, AL
100%
RN turnover
RIDGEWOOD HEALTH SERVICES, INC.
JASPER, AL
100%
RN turnover
ARABELLA HEALTH & WELLNESS OF GRAND BAY
GRAND BAY, AL
100%
RN turnover
Citrus Heights Respiratory and Rehabilitation
MESA, AZ
100%
RN turnover
Springdale Village Post Acute
MESA, AZ
100%
RN turnover
WINSLOW CAMPUS OF CARE
WINSLOW, AZ
100%
RN turnover
LAKEWOOD HEALTH AND REHAB, LLC
NORTH LITTLE ROCK, AR
100%
RN turnover
WHITE RIVER HEALTHCARE
CALICO ROCK, AR
100%
RN turnover
THE SPRINGS OF RED OAK
HOT SPRINGS, AR
100%
RN turnover
CLAREMONT HEIGHTS POST ACUTE
CLAREMONT, CA
100%
RN turnover
SHASTA VIEW CARE CENTER
RED BLUFF, CA
100%
RN turnover
THE ROYAL HOME
EL CAJON, CA
100%
RN turnover
PENN MAR HEALTHCARE CENTER
EL MONTE, CA
100%
RN turnover
BELL MINOR HOME, THE
GAINESVILLE, GA
100%
RN turnover
FOLKSTON PARK CARE AND REHABILITATION CENTER
FOLKSTON, GA
100%
RN turnover
PRUITTHEALTH - WARNER ROBINS LLC
WARNER ROBINS, GA
100%
RN turnover
HEARDMONT HEALTH AND REHABILITATION
ELBERTON, GA
100%
RN turnover
YUKIO OKUTSU STATE VETERANS HOME
HILO, HI
100%
RN turnover
Randolph County Care Center
SPARTA, IL
100%
RN turnover
HEARTLAND NURSING & REHAB
CASEY, IL
100%
RN turnover
States With Most Understaffed Facilities
Number of facilities below 4.1 total nurse hrs/resident/day.
Texas
1015
87% of facilities
Ohio
711
79% of facilities
Florida
523
77% of facilities
Illinois
520
79% of facilities
New York
464
82% of facilities
Pennsylvania
449
70% of facilities
Indiana
406
81% of facilities
California
401
35% of facilities
Missouri
381
83% of facilities
North Carolina
319
76% of facilities
Georgia
294
83% of facilities
Iowa
261
68% of facilities
Massachusetts
258
77% of facilities
Michigan
257
62% of facilities
New Jersey
250
74% of facilities
Tennessee
232
77% of facilities
Virginia
221
76% of facilities
Kentucky
189
71% of facilities
Louisiana
189
75% of facilities
Oklahoma
189
67% of facilities
About This Data
Staffing hours are sourced from the CMS Provider Data Catalog (provider_info dataset), updated the first Wednesday of each month. CMS collects staffing data via Payroll-Based Journal (PBJ), which requires facilities to submit actual payroll records — making this more reliable than self-reported data. Turnover rates are calculated by CMS from rolling 12-month PBJ data.
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