How well is your nursing home
actually staffed?

Search any of 14,487 nursing homes nationwide. See staffing grades, trend data, and honest comparisons — powered by CMS federal data.

3.90National Avg HPRD
65.8%Meet CMS Benchmark
15.65%Weekend Drop-off
5.19%Agency Staff

National Staffing Snapshot — 2025Q3

Based on daily staffing data reported by 14,487 nursing homes to CMS

3.90
National Avg HPRD
Hours per resident per day (all nurses)
0.68
Avg RN HPRD
Recommended: 0.75
65.8%
Meet CMS Benchmark
9,532 of 14,487 facilities ≥ 3.48
34.2%
Below CMS Benchmark
4,955 facilities fall short

Staffing Across America

Hover over any state to see its average HPRD, RN staffing, and benchmark compliance

ME4.35
AK6.80
WI4.20
VT4.36NH3.96
WA4.28MT3.98ND4.43MN4.24IL3.50MI4.03
NY3.65MA3.87RI3.72CT3.84
OR4.97ID4.10SD3.83IA3.82IN3.72OH3.73PA3.90NJ3.87
DE4.38MD3.92DC4.80NV4.36WY3.87NE4.14MO3.48KY4.05WV3.70VA3.83
CA4.52UT4.06CO3.75KS4.08TN3.87NC3.77SC3.86
AZ4.13NM3.57OK3.86AR4.09MS4.21AL3.92GA3.59
HI4.71
TX3.40LA3.84
FL3.88
Hover over a state to see its staffing data
Understaffed
Well-staffed
< 3.0 HPRD3.48 benchmark ↑4.1+ research rec.
View all state rankings →

How Do Nursing Homes Grade?

Distribution of 14,487 facilities by our staffing grade

← Better StaffedUnderstaffed →

Key Insights This Quarter

📊
More than a third fall below the benchmark
34.2% of nursing homes (4,955 facilities) don't meet the CMS staffing benchmark of 3.48 HPRD.
🩺
RN staffing is the bigger gap
The national average RN HPRD is 0.68 — below the 0.75 research recommendation. Only about 1 in 4 facilities meet this threshold.
📅
Weekends are understaffed everywhere
Facilities average 15.65% fewer staff on weekends. That means if your loved one falls on a Saturday, there are fewer people to help.
🏥
941 facilities are critically understaffed
These F-rated facilities have less than 2.5 HPRD — meaning each resident gets less than 2.5 hours of total nursing care in an entire day.

▲ Best Staffed States

Highest average total nurse HPRD

1
Guam7.43 HPRD
RN: 2.57 HPRD100% meet benchmark
2
Alaska6.80 HPRD
RN: 2.20 HPRD100% meet benchmark
3
Oregon4.97 HPRD
RN: 0.68 HPRD98.37% meet benchmark
4
District of Columbia4.80 HPRD
RN: 1.70 HPRD88.24% meet benchmark
5
Hawaii4.71 HPRD
RN: 1.63 HPRD90.24% meet benchmark
View all state rankings →

▼ Most Understaffed States

Lowest average total nurse HPRD

53
Texas3.40 HPRD
RN: 0.44 HPRD29.83% meet benchmark
52
Missouri3.48 HPRD
RN: 0.46 HPRD42.89% meet benchmark
51
Illinois3.50 HPRD
RN: 0.73 HPRD43.77% meet benchmark
50
New Mexico3.57 HPRD
RN: 0.63 HPRD34.33% meet benchmark
49
Georgia3.59 HPRD
RN: 0.49 HPRD48.43% meet benchmark
View all state rankings →

🏆 Best Staffed Facilities

Highest HPRD nationally (min 10 residents)

A+
WILLIS-KNIGHTON EXTENDED CARE CENTER
SHREVEPORT, LA
12.2975 HPRD
★★★★★
A+
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF
ORANGE, CA
11.5542 HPRD
★★★★
A+
ELIZABETH SETON CHILDREN'S CENTER
YONKERS, NY
11.4191 HPRD
★★★★★
A+
EXCEPTIONAL CARE FOR CHILDREN
NEWARK, DE
11.3037 HPRD
★★★★★
A+
Kulana Malama
EWA BEACH, HI
11.1127 HPRD
★★★★★
A+
HIRAM W DAVIS MEDICAL CTR
PETERSBURG, VA
10.9528 HPRD
★★★★★
A+
WEST ANAHEIM MEDICAL CENTER D/P SNF
ANAHEIM, CA
10.6493 HPRD
★★★★★
A+
PRESBYTERIAN INTERCOMM HOSP DP/SNF
WHITTIER, CA
10.611 HPRD
★★★★★
A+
THE METHODIST HOSPITAL SNF
HOUSTON, TX
10.5502 HPRD
★★★★★
A+
MEADVILLE MEDICAL CTR TCU
MEADVILLE, PA
10.5164 HPRD
★★★★★

⚠️ Most Understaffed Facilities

Lowest HPRD nationally (min 10 residents)

F
ST LUKE LIVING CENTER
MARION, KS
0.007 HPRD
★★★
F
MAISON TECHE NURSING CENTER
JEANERETTE, LA
0.0108 HPRD
★★
F
Avoyelles Manor Nursing Home
DUPONT, LA
0.0813 HPRD
★★★
F
HERITAGE GARDENS HEALTH CARE CENTER
LOMA LINDA, CA
0.1614 HPRD
★★★
F
Delmar Gardens Of Lenexa
LENEXA, KS
0.1661 HPRD
★★★★
F
Madison Healthcare Services
MADISON, MN
0.3148 HPRD
★★★
F
Santa Fe Care Center
Santa Fe, NM
0.3345 HPRD
★
F
SAMARITAN KEEP NURSING HOME INC
WATERTOWN, NY
0.3625 HPRD
★
F
La Bella of Morrison
MORRISON, IL
0.4494 HPRD
★★
F
SAMARITAN SENIOR VILLAGE, INC
WATERTOWN, NY
0.4905 HPRD
★
⚖️

Comparing Nursing Homes?

Put any two facilities side by side — see grades, staffing levels, weekend coverage, and more in one view

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How We Grade Nursing Homes

Our grades are based on publicly available federal staffing data — not advertising dollars

📥
1

CMS Reports the Data

Every nursing home in the US must report daily staffing hours to CMS. This data is public — published quarterly by the Centers for Medicare & Medicaid Services.

⚙️
2

We Crunch the Numbers

We compute Hours Per Resident Day (HPRD), weekend staffing patterns, agency staff ratios, and consistency scores for every facility, every quarter.

📊
3

You See the Results

Each facility gets a letter grade anchored to the CMS staffing benchmark (3.48 HPRD) and research recommendations (4.10 HPRD). No ads, no referral fees.

🔒
No referral fees. No sponsored rankings.
Our ratings are based solely on federal staffing data. We don't accept money from facilities.

Look Up a Facility

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