State Rankings

All 53 states ranked by average nursing home staffing levels. Click any state to see individual facility rankings.

Rank	State	Avg HPRD	RN HPRD	Meet CMS 3.48	Facilities
1	Guam	7.43	2.57	100.0%	1
2	Alaska	6.80	2.20	100.0%	20
3	Oregon	4.97	0.68	98.4%	128
4	District of Columbia	4.80	1.70	88.2%	17
5	Hawaii	4.71	1.63	90.2%	42
6	California	4.52	0.65	97.1%	1,162
7	North Dakota	4.43	0.92	90.4%	73
8	Delaware	4.38	1.00	100.0%	44
9	Nevada	4.36	1.08	65.6%	66
10	Vermont	4.36	0.83	100.0%	34
11	Maine	4.35	1.04	98.7%	78
12	Washington	4.28	0.88	98.4%	194
13	Minnesota	4.24	1.06	86.8%	339
14	Mississippi	4.21	0.63	86.5%	202
15	Wisconsin	4.20	0.96	82.9%	323
16	Nebraska	4.14	0.71	79.1%	179
17	Arizona	4.13	0.72	73.4%	140
18	Idaho	4.10	0.84	83.1%	80
19	Arkansas	4.09	0.41	84.8%	221
20	Kansas	4.08	0.71	79.6%	297
21	Utah	4.06	1.19	69.1%	97
22	Puerto Rico	4.05	3.13	57.1%	9
23	Kentucky	4.05	0.79	72.3%	269
24	Michigan	4.03	0.78	78.5%	423
25	Montana	3.98	0.94	55.2%	61
26	New Hampshire	3.96	0.78	60.3%	74
27	Maryland	3.92	0.84	69.0%	220
28	Alabama	3.92	0.64	73.5%	224
29	Pennsylvania	3.90	0.79	65.0%	658
30	Florida	3.88	0.75	72.8%	694
31	Massachusetts	3.87	0.65	76.4%	341
32	Tennessee	3.87	0.62	74.4%	304
33	Wyoming	3.87	0.92	64.7%	36
34	New Jersey	3.87	0.69	63.8%	348
35	Oklahoma	3.86	0.34	73.3%	284
36	South Carolina	3.86	0.63	56.3%	187
37	Connecticut	3.84	0.70	69.1%	191
38	Louisiana	3.84	0.33	71.1%	266
39	South Dakota	3.83	0.77	61.3%	97
40	Virginia	3.83	0.69	50.9%	289
41	Iowa	3.82	0.73	66.0%	391
42	North Carolina	3.77	0.58	58.9%	419
43	Colorado	3.75	0.83	49.0%	210
44	Ohio	3.73	0.63	59.6%	922
45	Indiana	3.72	0.66	58.6%	507
46	Rhode Island	3.72	0.77	69.0%	73
47	West Virginia	3.70	0.71	50.4%	123
48	New York	3.65	0.70	52.1%	596
49	Georgia	3.59	0.49	48.4%	356
50	New Mexico	3.57	0.63	34.3%	68
51	Illinois	3.50	0.73	43.8%	669
52	Missouri	3.48	0.46	42.9%	487
53	Texas	3.40	0.44	29.8%	1,177