Home›National Trends

National Staffing Trends

Tracking 4 quarters of data across 14,487 facilities

3.90
Avg HPRD
All nursing staff combined
0.68
Avg RN HPRD
Recommended: 0.75
65.8%
Meet CMS Benchmark
34.2% fall below 3.48 HPRD
15.7%
Weekend Drop-off
Avg reduction Sat/Sun
3.72
Median HPRD
50th percentile
29.9%
Meet Research 4.10
Research-recommended staffing
5.2%
Agency Staff
Contract/temp worker hours
941
F-Rated Facilities
Under 2.5 HPRD

Average HPRD

Total nurse hours per resident per day over time

Average HPRDMedian HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

RN Staffing Trend

Registered nurse hours per resident per day

RN HPRDCNA HPRDLPN HPRDRN Recommendation (0.75) — research standard

Benchmark Compliance

Percentage of facilities meeting key staffing thresholds

Meet CMS 3.48 — % of facilities at or above the CMS staffing standardMeet Research 4.10 — % of facilities at or above the research recommendationMeet RN 0.75 — % of facilities meeting the RN staffing recommendation

Weekend Staffing Gap

Average staffing reduction on weekends vs. weekdays

Weekend Drop-off — average % reduction in staffing on weekends vs. weekdays

Agency / Contract Staff

Average percentage of hours from agency or contract workers

Agency Staff % — share of total hours from agency or contract workers

Grade Distribution

How facility grades break down each quarter

A+ — exceeds research standardA — meets research recommendationB — meets CMS benchmarkC — below benchmarkD — significantly understaffedF — critically understaffed

Ownership Comparison

Average HPRD by ownership type over time

For-ProfitNon-ProfitGovernment

State Movers

Top Gainers

HI41 facilities
4.71+0.20
MS200 facilities
4.21+0.12
VT34 facilities
4.36+0.11
KY267 facilities
4.05+0.08
DC17 facilities
4.80+0.06

Most Declined

PR7 facilities
4.05-0.86
NM67 facilities
3.57-0.40
GU1 facilities
7.43-0.26
WY34 facilities
3.87-0.15
ND73 facilities
4.43-0.13

Staffing by State

Average total nursing HPRD — click a state to see its trends

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.

Grade Distribution — 2025Q3

How 14,487 facilities are graded

A+
809
5.6%
A
1,662
11.5%
B
3,676
25.4%
C
4,543
31.4%
D
2,856
19.7%
F
941
6.5%
⚖️

Compare Two Facilities Side by Side

See how any two nursing homes stack up against these national trends

Compare Facilities →

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

National averages are computed from daily staffing data reported by all 14,487 nursing homes. CMS is not affiliated with and does not endorse this website.