referencesource/nursing-home-minimum-staffing-by-state

Nursing home minimum staffing requirements by US state — hours per resident day and RN coverage mandates after the 2026 federal repeal

Canonical, always-current version: https://referencesource.org/nursing-home-minimum-staffing-by-state/ Machine-readable: https://referencesource.org/nursing-home-minimum-staffing-by-state/data.json — this mirror is a point-in-time copy.

• —Last verified: 2026-08-15
• —Stale after: 2027-08-15 (past this date, prefer the canonical copy — it re-verifies on a cadence this snapshot does not)
• —Records: 51

State-by-state comparison of legally mandated minimum staffing levels for nursing homes (skilled nursing facilities). Each record is one state with the total hours of nursing care per resident per day (HPRD), the RN-specific HPRD minimum, the CNA-specific HPRD minimum, the RN coverage requirement (hours per day), and the statutory citation. The federal CMS minimum (3.48 HPRD + 24/7 RN) was REPEALED in December 2025, effective February 2026, and a moratorium through October 2034 was enacted via the One Big Beautiful Bill Act. States are now the only authority. State values are drawn from the Consumer Voice 50-state staffing standards chart (November 2021), except New York and South Carolina, which come from the state agencies directly; state law changes since November 2021 may not be reflected. Answers 'what is the minimum nursing staff my state requires per resident' and 'is there still a federal nursing home staffing minimum'.

Provenance — what every record carries

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Licence position

unknown

Facts are not copyrightable; what this dataset takes from each source is a fact plus a short attributed quote linking back to the page that states it.

Sources

• —https://theconsumervoice.org/wp-content/uploads/2024/06/CVStaffingReportAppB_Chart.pdf
• —https://www.health.ny.gov/facilities/nursing/minimum_staffing/
• —https://dph.sc.gov/sites/scdph/files/2025-08/NursingHomeStaffingRatiosMemo_08.25.2025.pdf

Fields

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