Virginia

Nursing Home Staffing Profile — 2025Q3

289 facilities28,395 residents3.83 avg HPRD

vs National Average

-0.07 HPRD

National avg: 3.90 · Virginia: 3.83

📋

Virginia ranks among the lower-performing states for nursing home staffing, with an average of 3.83 HPRD — 0.07 hours below the national average. Only 50.9% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.69 HPRD, with 22.1% of facilities meeting the 0.75 research recommendation.

3.83

Average Total HPRD

All nursing staff combined

▼ 0.07 vs national

0.69

Average RN HPRD

Recommended: 0.75

▲ 0.01 vs national

50.9%

Meet CMS Benchmark

147 of 289 facilities

17.2%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

5.6%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.49

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Virginia's 289 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.50

avg HPRD

217 facilities (75%)

Non-Profit

4.82

avg HPRD

62 facilities (21%)

Government

4.89

avg HPRD

10 facilities (3%)

💡 Non-profit facilities in Virginia average 1.32 more HPRD than for-profit ones — about 38% higher staffing.

▲ Best Staffed in Virginia

Top 5 by total nurse HPRD

A+

WYTHE CNTY COMMUNITY HOSP ECU

HIRAM W DAVIS MEDICAL CTR

NORTON COMMUNITY HOSPITAL SNF UNIT

VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD

▼ Most Understaffed in Virginia

Bottom 5 by total nurse HPRD

289

LAWRENCEVILLE HEALTH & REHABILITATION

Woodstock Valley Health and Rehabilitation

SKYVIEW SPRINGS REHAB AND NURSING CENTER

Windsor Grove Health and Rehabilitation

GREENE ACRES REHABILITATION AND NURSING

STANARDSVILLE

2.66 HPRD

RN: 0.27

⚖️

Compare Two Facilities Side by Side

Pick any two Virginia nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Virginia — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Henrico	14	4.01	0.70	78.6%	Mixed D/B
▸Virginia Beach City	14	3.74	0.57	50.0%	Mixed C/B
▸Fairfax	13	4.31	0.71	69.2%	Mostly C
▸Roanoke City	9	3.52	0.48	66.7%	Mostly C
▸Lynchburg City	8	3.68	0.58	50.0%	Mostly C
▸Norfolk City	8	3.88	0.64	37.5%	Mixed C/D
▸Albemarle	7	4.31	0.87	57.1%	Mixed A+/C
▸Newport News City	6	3.77	0.60	50.0%	Mostly C
▸Chesterfield	6	3.82	0.61	83.3%	Mixed C/A
▸Richmond City	6	4.68	1.19	66.7%	Mixed D/A+
▸Loudoun	5	4.22	0.81	100.0%	Mostly B
▸James City	5	4.21	0.99	60.0%	Mixed A/C
▸Arlington	4	3.89	0.79	50.0%	Mixed C/A+
▸Danville City	4	3.49	0.47	25.0%	Mixed C/B
▸Chesapeake City	4	3.35	0.43	50.0%	Mostly D
▸Petersburg City	4	5.33	1.13	50.0%	Mostly C
▸Suffolk City	4	3.95	0.54	25.0%	Mixed D/A
▸Hampton City	4	3.63	0.51	75.0%	Mixed C/B
▸Hanover	4	3.65	0.47	75.0%	Mixed D/B
▸Prince William	4	3.88	0.87	50.0%	Mixed C/A
▸Mecklenburg	3	3.24	0.38	0.0%	Mixed C/D
▸Frederick	3	4.24	0.87	66.7%	Mixed A/C
▸Martinsville City	3	4.28	0.70	100.0%	Mixed A+/B
▸Botetourt	3	4.63	1.04	100.0%	Mixed A+/A
▸Alexandria City	3	4.29	0.92	100.0%	Mostly B
▸Harrisonburg City	3	3.45	0.42	33.3%	Mostly D
▸Stafford	3	3.54	0.47	66.7%	Mixed B/C
▸Smyth	3	3.98	1.25	66.7%	Mixed A+/B
▸Shenandoah	3	3.20	0.29	33.3%	Mostly D
▸Salem City	3	3.91	0.64	66.7%	Mostly C
▸Alleghany	3	3.55	0.77	66.7%	Mostly B
▸Wythe	3	6.03	2.99	66.7%	Mixed A+/C
▸Roanoke	3	4.21	0.55	66.7%	Mostly B
▸Wise	3	5.33	1.84	66.7%	Mixed A+/C
▸Portsmouth City	3	3.20	0.34	0.0%	Mixed C/D
▸Augusta	3	4.23	1.22	33.3%	Mixed A+/C
▸Tazewell	3	4.78	2.03	33.3%	Mostly D
▸York	2	3.38	0.48	50.0%	Mixed B/D
▸Bedford	2	3.57	0.61	50.0%	Mostly C
▸Bristol City	2	3.80	0.72	100.0%	Mostly B
▸Campbell	2	3.13	0.47	0.0%	Mixed C/D
▸Carroll	2	3.22	0.67	0.0%	Mostly C
▸Culpeper	2	4.28	0.66	50.0%	Mixed A+/F
▸Emporia City	2	3.01	0.40	0.0%	Mostly D
▸Fairfax City	2	3.94	0.80	100.0%	Mixed A/B
▸Fauquier	2	3.31	0.55	50.0%	Mixed C/D
▸Franklin	2	3.26	0.46	0.0%	Mixed C/D
▸Galax City	2	3.37	0.36	0.0%	Mostly D
▸Gloucester	2	4.16	0.67	100.0%	Mixed A/C
▸Goochland	2	3.93	0.60	50.0%	Mixed B/C
▸Halifax	2	3.53	0.73	50.0%	Mixed B/C
▸Hopewell City	2	3.38	0.25	0.0%	Mixed D/F
▸Isle Of Wight	2	3.53	0.50	50.0%	Mixed B/D
▸Lancaster	2	3.90	0.97	50.0%	Mixed A/D
▸Lexington City	2	3.70	0.77	50.0%	Mixed A/C
▸Madison	2	3.97	0.57	50.0%	Mixed B/C
▸Manassas City	2	3.60	0.57	50.0%	Mixed B/C
▸Middlesex	2	3.27	0.71	0.0%	Mostly C
▸Montgomery	2	3.74	0.86	50.0%	Mixed B/D
▸Pittsylvania	2	3.50	0.51	50.0%	Mixed B/C
▸Prince Edward	2	3.26	0.51	0.0%	Mixed C/D
▸Pulaski	2	3.61	0.52	50.0%	Mostly C
▸Rockingham	2	5.23	0.62	100.0%	Mostly B
▸Scott	2	3.41	0.57	50.0%	Mostly C
▸Spotsylvania	2	3.60	0.46	50.0%	Mostly C
▸Staunton City	2	3.12	0.35	0.0%	Mixed C/F
▸Warren	2	3.78	0.55	100.0%	Mixed B/D
▸Washington	2	3.43	0.47	50.0%	Mixed B/F
▸Waynesboro City	2	5.70	1.39	50.0%	Mixed A+/D
▸Fluvanna	1	3.03	0.74	0.0%	Mostly C
▸Floyd	1	3.43	0.57	0.0%	Mostly C
▸Northampton	1	2.98	0.33	0.0%	Mostly D
▸Nottoway	1	3.53	0.41	100.0%	Mostly C
▸Orange	1	3.92	0.28	100.0%	Mostly D
▸Page	1	2.59	0.30	0.0%	Mostly D
▸Patrick	1	3.32	0.63	0.0%	Mostly C
▸Essex	1	3.34	0.32	0.0%	Mostly D
▸Bath	1	3.51	0.70	100.0%	Mostly B
▸Dickenson	1	3.56	0.30	100.0%	Mostly D
▸Poquoson	1	3.45	0.43	0.0%	Mostly C
▸Appomattox	1	3.11	0.55	0.0%	Mostly C
▸Clarke	1	3.30	0.41	0.0%	Mostly C
▸Amherst	1	3.17	0.54	0.0%	Mostly C
▸Radford City	1	3.64	0.51	100.0%	Mostly C
▸Richmond	1	3.36	0.41	0.0%	Mostly C
▸Charlottesville City	1	3.15	0.41	0.0%	Mostly C
▸Charlotte	1	3.15	0.65	0.0%	Mostly C
▸Caroline	1	3.06	0.44	0.0%	Mostly C
▸Amelia	1	2.97	0.25	0.0%	Mostly D
▸Russell	1	4.05	1.00	100.0%	Mostly B
▸Buena Vista City	1	3.40	0.45	0.0%	Mostly C
▸Accomack	1	3.25	0.46	0.0%	Mostly C
▸Buckingham	1	2.98	0.54	0.0%	Mostly D
▸Buchanan	1	3.06	0.55	0.0%	Mostly C
▸Henry	1	3.64	0.45	100.0%	Mostly C
▸King George	1	2.93	0.29	0.0%	Mostly D
▸King William	1	3.42	0.53	0.0%	Mostly C
▸Southampton	1	3.11	0.41	0.0%	Mostly C
▸Lee	1	3.44	0.49	0.0%	Mostly C
▸Westmoreland	1	3.22	0.48	0.0%	Mostly C
▸Greene	1	2.66	0.27	0.0%	Mostly D
▸Louisa	1	3.37	0.50	0.0%	Mostly C
▸Grayson	1	2.69	0.60	0.0%	Mostly D
▸Brunswick	1	2.54	0.36	0.0%	Mostly D
▸Giles	1	3.56	0.45	100.0%	Mostly C
▸Winchester City	1	3.29	0.77	0.0%	Mostly C
▸Mathews	1	2.88	0.67	0.0%	Mostly D
▸Franklin City	1	3.93	1.03	100.0%	Mostly B
▸Bland	1	4.02	0.85	100.0%	Mostly B
▸Sussex	1	2.86	0.23	0.0%	Mostly F

HPRD Range in Virginia

The spread between best and worst staffed facilities

3.23

25th pctile

3.49

Median

3.93

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.