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value | id stringlengths 4 20 | penalty_type stringclasses 2
values | regulatory_citation stringlengths 13 105 | rn_coverage_hours stringlengths 14 86 | rn_hprd stringclasses 3
values | source stringclasses 3
values | source_quote stringlengths 236 511 | state stringlengths 4 20 | total_hprd stringlengths 3 14 | url stringlengths 72 88 | verified_fields listlengths 2 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
none specified | repealed | alabama | none specified | Ala. Admin. Code r. 420-5-10-.11 | 1 RN 8 consecutive hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | AL Sufficient Staff RN (inc.DON @.06) 0.14 AL Administrative Code To attain or maintain the highest practicable physical, mental, and LPN Ala. Admin. Code r. 420-5-10-.11 psychosocial well-being of each resident. (2016). Licensed Staff (RN, | Alabama | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/alabama/ | [
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none specified | repealed | alaska | none specified | Alaska Admin. Code tit. 7, § 12.275 | 1 RN Day 7d/wk for 1-60 beds; 2 RNs Day 7d/wk and 1 RN Evening and Night for 61+ beds | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | AK Sufficient Staff RN (inc.DON @.06) 0.32 AK Administrative Code No requirement. LPN Alaska Admin. Code tit. 7, § 12.275. Licensed Staff (RN, LPN/LVN) For 1-60 occupied beds: Total LN 0.32 1 RN Day 7d/wk and 1 RN Evening 5d/wk and 1 LPN all | Alaska | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/alaska/ | [
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none specified | repealed | arizona | none specified | Ariz. Admin. Code § 9-10-412 | 1 DON RN full-time | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | AZ Sufficient Staff RN (inc.DON @.06) 0.06 AZ Administrative Code To meet the needs of a resident for nursing services. LPN Ariz. Admin. Code § 9-10-412 Licensed Staff (RN, LPN/LVN) (2021). 1 DON RN full-time Total LN 0.06 For 1-60 average daily | Arizona | 0.54 | https://referencesource.org/nursing-home-minimum-staffing-by-state/arizona/ | [
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none specified | repealed | arkansas | none specified | Arkansas Rules and Regulations for Nursing Homes § 511.1-514; ACA § 20-10-1402 | 1 RN/LPN Charge Nurse for each shift | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | AR Sufficient Staff RN (inc.DON @.06) 0.06 AR Rules for Nursing Homes To meet the needs of the residents for nursing services. LPN0.24 Arkansas Rules and Regulations Licensed Staff (RN, LPN/LVN) for Nursing Homes, Office of Long 1 DON RN full-time | Arkansas | 3.42 | https://referencesource.org/nursing-home-minimum-staffing-by-state/arkansas/ | [
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2.4 | repealed | california | none specified | Cal. Code Regs. tit. 22, § 72327 and § 72329.2; HSC § 1276.65 | 1 RN 24 hrs/day for 100+ beds | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | CA Sufficient Staff RN (inc.DON @.06) 0.30 CA Code of Regulations To meet the needs of residents. LPN Cal. Code Regs. tit. 22, § 72327 Licensed Staff (RN, LPN/LVN) and § 72329.2. For 1-59 licensed beds: Total LN 0.30 1 RN/LVN 24 hrs/day CA Health | California | 3.56 | https://referencesource.org/nursing-home-minimum-staffing-by-state/california/ | [
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none specified | repealed | colorado | none specified | Colo. Code Regs. § 1011-1 Chapter 5, Section 9 | 1 RN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | CO Sufficient Staff RN (inc.DON @.06) 0.30 Code of CO Regulations To meet the needs of residents. LPN0.24 Colo. Code Regs. § 1011-1 Chapter Licensed Staff (RN, LPN/LVN) 5, Section 9 1 DON RN full-time 40 hrs/wk Total LN 0.54 1 RN 24 hrs/7d/wk 1 | Colorado | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/colorado/ | [
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none specified | repealed | connecticut | none specified | Conn. Agencies Regs. § 19-13-D8t (j)-(k), (m); Public Act No. 21.85 | 1 RN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | CT Sufficient Staff 2021 CT Public Health Code To provide appropriate care 24 hours 7 days/week. RN (inc.DON @.06) 0.30 Conn. Agencies Regs. § 19-13-D8t Licensed Staff (RN, LPN/LVN) LPN0.40 (j)-(k), (m) (2015). 1 DON RN full-time; if more than 120 | Connecticut | 3.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/connecticut/ | [
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none specified | repealed | delaware | none specified | Del. Code Ann. tit. 16, § 1162 | 1 Nursing Supervisor RN on duty each shift 7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | DE Sufficient Staff RN (inc.DON @.06) 0.42 DE Code To meet the care needs of each resident. LPN0.66 Del. Code Ann. tit. 16, § 1162 Licensed Staff (RN, LPN/LVN) (2021). 1 DON RN full-time Total LN 1.08 1 Nursing Supervisor RN on duty each shift, | Delaware | 3.34 | https://referencesource.org/nursing-home-minimum-staffing-by-state/delaware/ | [
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none specified | repealed | district-of-columbia | none specified | D.C. Mun. Regs. tit. 22, §§ 3208-3211 | 1 Nursing Supervisor RN 24 hrs/7d/wk | 0.6 | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | DC Sufficient Staff RN (inc.DON @.06) 0.60 DC Municipal Regulations To ensure the resident receives care and services identified in the LPN0.24 D.C. Mun. Regs. tit. 22, §§ 3208- regulation. 3211. Licensed Staff (RN, LPN/LVN) Total LN 0.84 1 DON | District of Columbia | 4.16 | https://referencesource.org/nursing-home-minimum-staffing-by-state/district-of-columbia/ | [
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2.5 | repealed | florida | none specified | Fla. Admin. Code Ann. r. 59A-4.108.F; Fla. Stat. § 400.23 | 1 RN/LPN each shift; 1.0 RN/LPN hprd | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | FL Sufficient Staff RN (inc.DON @.06) 0.06 FL Administrative Code To maintain the highest practicable physical, mental, and psychological LPN0.94 Fla. Admin. Code Ann. r.59A- well-being of each resident. 4.108.F. Licensed Staff (RN, LPN/LVN) Total | Florida | 3.66 | https://referencesource.org/nursing-home-minimum-staffing-by-state/florida/ | [
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none specified | repealed | georgia | none specified | Ga. Comp. R. & Regs. 111-8-56.04 | 1 RN/LPN in each 8-hr shift 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | GA Sufficient Staff RN (inc.DON @.06) 0.06 GA Rules & Regulations To provide care for each patient according to his needs. LPN0.24 Ga. Comp. R. & Regs. 111-8-56.04 Licensed Staff (RN, LPN/LVN) (2021). 1 DON RN full-time Day; DON may direct other | Georgia | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/georgia/ | [
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none specified | repealed | hawaii | none specified | Haw. Code R. § 11-94.1-39 | 1 RN full-time Day 7d/wk; 1 RN/LPN Evening and Night | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | HI Sufficient Staff RN (inc.DON @.06) 0.08 HI Administrative Rules To meet the nursing needs of the patients. LPN0.16 Haw. Code R. § 11-94.1-39. Licensed Staff (RN, LPN/LVN) 1 RN full-time Day 7d/wk Total LN 0.24 1 RN/LPN Evening and Night CNA | Hawaii | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/hawaii/ | [
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none specified | repealed | idaho | none specified | Idaho Admin. Code r. 16.03.02.200 | 1 RN 8 hrs Day for 1-59 residents; 1 RN Day and Evening for 60-89; 1 RN 24 hrs for 90+ | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | ID Sufficient Staff RN (inc.DON @.06) 0.30 ID Administrative Rules To meet the total needs of residents. LPN Idaho Admin. Code r.16.03.02.200. Licensed Staff (RN, LPN/LVN) Total LN 0.30 1 DON RN full-time Day. If DON occupied with administration, | Idaho | 2.46 | https://referencesource.org/nursing-home-minimum-staffing-by-state/idaho/ | [
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none specified | repealed | illinois | none specified | Ill. Admin. Code tit. 77, §§ 300.1210-1230, 1240; 210 Ill. Comp. Stat. 45/3-202 | 1 DON RN full-time | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | IL Sufficient Staff RN (inc.DON @.06) 0.38 IL Administrative Code To meet the nursing needs of all residents. LPN0.57 Ill. Admin. Code tit. 77, §§ Licensed Staff (RN, LPN/LVN) 300.1210-1230, 1240 (2021). 1 DON RN full-time or minimum 36 hrs/wk (at | Illinois | 3.83 | https://referencesource.org/nursing-home-minimum-staffing-by-state/illinois/ | [
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none specified | repealed | indiana | none specified | Title 410, Art. 16.2, Sec. 3.1-17 | 1 RN 8 consecutive hrs/7d/wk; 0.5 RN/LPN hprd | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | IN Sufficient Staff RN (inc.DON @.06) 0.14 IN Administrative Code To maintain highest practicable physical, mental, and psychosocial LPN0.42 Title 410, Art. 16.2, Sec. 3.1-17. well-being of each resident. Licensed Staff (RN, LPN/LVN) Total LN | Indiana | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/indiana/ | [
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none specified | repealed | iowa | none specified | Iowa Admin. Code r. 481-58.11 | 1 RN/LPN 24 hrs/7d/wk for 75+ beds | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | IA Sufficient Staff RN (inc.DON @.06) 0.08 IA Administrative Code To meet the needs of individual residents. LPN0.32 Iowa Admin. Code r. 481-58.11. Licensed Staff (RN, LPN/LVN) 1 RN/LPN Health Service Supervisor Total LN 0.40 For 1-74 beds: if | Iowa | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/iowa/ | [
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none specified | repealed | kansas | none specified | Kan. Admin. Regs. § 28-39-154 | 1 RN at least 8 consecutive hrs/7d/wk; 1 RN/LPN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | KS Sufficient Staff RN (inc.DON @.06) 0.08 KS Administrative Regulations To attain or maintain the highest practicable physical, mental, and LPN0.32 Kan. Admin. Regs. § 28-39-154. psychosocial well-being. Licensed Staff (RN, LPN/LVN) Total LN | Kansas | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/kansas/ | [
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none specified | repealed | kentucky | none specified | 902 Ky. Admin. Regs. 20:048, Section 3 (10)(c) | 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | KY Sufficient Staff RN (inc.DON @.06) 0.06 KY Administrative Regulations To meet the total needs of the patients on a 24-hour basis. LPN0.24 902 Ky. Admin. Regs. 20:048, Licensed Staff (RN, LPN/LVN) Section 3 (10)(c). 1 DON RN full-time Day; may | Kentucky | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/kentucky/ | [
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none specified | repealed | louisiana | none specified | La. Admin. Code Title 48, §§ 9821, 9823, 9825 | 1 RN/LPN Charge Nurse for each unit 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | LA Sufficient Staff RN (inc.DON @.06) 0.06 LA Administrative Code To provide nursing care to all residents. LPN0.48 La. Admin. Code Title 48, §§ 9821, Licensed Staff (RN, LPN/LVN) 9823, 9825. 1 DON RN full-time Day. If DON has regular | Louisiana | 2.41 | https://referencesource.org/nursing-home-minimum-staffing-by-state/louisiana/ | [
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none specified | repealed | maine | none specified | 10-144-110 Me. Code R. § 9.A | 1 RN 8 consecutive hrs 7d/wk; 1 RN on duty for 100+ beds on each shift | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | ME Sufficient Staff RN (inc.DON @.06) 0.38 Code of ME Rules To meet the needs of residents as determined by their levels of care. LPN0.16 10-144-110 Me. Code R. § 9.A Licensed Staff (RN, LPN/LVN) (2021). 1 DON RN full-time Total LN 0.54 1 RN 8 | Maine | 2.99 | https://referencesource.org/nursing-home-minimum-staffing-by-state/maine/ | [
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none specified | repealed | maryland | none specified | Md. Code Regs. 10.07.02.18-20 | 1 RN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MD Sufficient Staff RN (inc.DON @.06) 0.36 Code of MD Regulations To provide appropriate bedside care. LPN Md. Code Regs. 10.07.02.18. Licensed Staff (RN, LPN/LVN) Total LN 0.36 1 DON RN Code of MD Regulations 1 RN/LPN Charge Nurse on duty at all | Maryland | 3.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/maryland/ | [
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none specified | repealed | massachusetts | none specified | 105 Mass. Code Regs. 150.007 | 1 RN/LPN Charge Nurse 24 hrs/7d/wk per unit | 0.508 | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MA Sufficient Staff RN (inc.DON @.06) 0.51 Code of MA Regulations To meet the needs of residents and assure that measures, treatments and LPN 105 Mass. Code Regs. 150.007. other activities and services are carried out, recorded, and reviewed. Total | Massachusetts | 3.64 | https://referencesource.org/nursing-home-minimum-staffing-by-state/massachusetts/ | [
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none specified | repealed | michigan | none specified | Mich. Comp. Laws § 333.21720a | 1 RN/LPN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MI Sufficient Staff RN (inc.DON @.06) 0.06 MI Compiled Laws To meet the needs of each patient. LPN0.24 Mich. Comp. Laws § 333.21720a. Licensed Staff (RN, LPN/LVN) 1 DON RN Total LN 0.30 1 RN/LPN 24 hrs/7d/wk CNA Direct Care Staff DC2.25 2.25 | Michigan | 2.31 | https://referencesource.org/nursing-home-minimum-staffing-by-state/michigan/ | [
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none specified | repealed | minnesota | none specified | Minn. R. 4658.0500, 4658.0510 | 1 RN/LPN 8 hrs/7d/wk; RN on call when not on duty | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MN Sufficient Staff RN (inc.DON @.06) 0.06 MN Administrative Rules To meet the needs of residents. LPN0.08 Minn. R. 4658.0500, 4658.0510 Licensed Staff (RN, LPN/LVN) (2007). 1 DON RN full-time (at least 35 hrs) Total LN 0.14 1 RN/LPN 8 hrs/7d/wk | Minnesota | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/minnesota/ | [
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none specified | repealed | mississippi | none specified | MS Admin Code, Title 15, Part 16, Rule 45.4.1 | 1 RN Day 7d/wk; 1 RN/LPN Charge Nurse Day and Evening | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MS Sufficient Staff RN (inc.DON @.06) 0.14 MS Administrative Code No requirement. LPN0.64 MS Admin Code, Title 15, Part 16, Licensed Staff (RN, LPN/LVN) Rule 45.4.1. 1 DON RN full-time Day (40 hrs/wk) Total LN 0.78 For 1-60 beds: DON may be | Mississippi | 2.86 | https://referencesource.org/nursing-home-minimum-staffing-by-state/mississippi/ | [
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none specified | repealed | missouri | none specified | Mo. Code of State Regulations 19 CSR 30-85.042 | 1 RN Day and 1 RN/LPN Evening and Night for skilled nursing | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MO Sufficient Staff RN (inc.DON @.06) 0.14 MO Code of State Regulations To attain or maintain the highest practicable level of physical, mental and LPN0.16 Mo. Code of State Regulations. 19 psychosocial well-being. CSR 30-85.042. Licensed Staff | Missouri | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/missouri/ | [
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1.2 | repealed | montana | none specified | Mont. Admin. R. 37.106.605 | 1 RN Day for 4-40 beds; 1 RN Evening for 51+ beds | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | MT Sufficient Staff RN (inc.DON @.06) 0.32 Administrative Rules of MT To meet the nursing needs of the residents, reflecting current concepts of LPN0.40 Mont. Admin. R. 37.106.605. restorative and geriatric care. Licensed Staff (RN, LPN/LVN) Total | Montana | 1.92 | https://referencesource.org/nursing-home-minimum-staffing-by-state/montana/ | [
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none specified | repealed | nebraska | none specified | 175 NAC 12-006.04C | 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NE Sufficient Staff RN (inc.DON @.06) 0.14 NE Agency Rules for Health and To provide nursing care to all residents in accordance with resident LPN0.24 Human Services care plans. Regulation and Licensure, SNF-NF- Licensed Staff (RN, LPN/LVN) Total | Nebraska | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/nebraska/ | [
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none specified | repealed | nevada | none specified | NAC 449.74517 | 1 RN 8 consecutive hrs/7d/wk; 1 LPN Charge Nurse each shift | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NV Sufficient Staff RN (inc.DON @.06) 0.14 NV Administrative Code To attain and maintain the highest practicable physical, mental and LPN0.24 NAC 449.74517. psychosocial well-being of each patient. Licensed Staff (RN, LPN/LVN) Total LN 0.38 1 DON | Nevada | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/nevada/ | [
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none specified | repealed | new-hampshire | none specified | He-P 803.15(d)(1)-(2); He-P 803.17(c) | 1 RN 8 hrs/7d/wk; 1 RN/LPN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NH Sufficient Staff RN (inc.DON @.06) 0.14 NH Code of Administrative Rules To meet the needs of residents during all hours of operation. LPN0.24 Ch. He-P 803. Licensed Staff (RN, LPN/LVN) He-P 803.15(d)(1)-(2). 1 DON RN full-time Total LN 0.38 1 | New Hampshire | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/new-hampshire/ | [
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none specified | repealed | new-jersey | none specified | NJ Adm Code Title 8, Ch. 39, Subch. 25 and 26 | 1 RN on duty Day; 1 RN on duty or on call Evening and Night | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NJ Sufficient Staff RN (inc.DON @.06) 0.14 NJ Administrative Code No requirement. LPN0.42 NJ Adm Code Title 8, Ch. 39, Licensed Staff (RN, LPN/LVN) Subch. 25 and 26. 1 DON RN full-time Total LN 0.56 For 150+ licensed beds: add 1 Asst. DON RN CNA | New Jersey | 2.56 | https://referencesource.org/nursing-home-minimum-staffing-by-state/new-jersey/ | [
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none specified | repealed | new-mexico | none specified | NM Adm Code Title 7, Chapter 9, Part 2, 50-51 | 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NM Sufficient Staff RN (inc.DON @.06) 0.06 NM Administrative Code To care for the specific needs of each resident on each tour of duty. LPN0.18 NM Adm Code Title 7, Chapter 9, Licensed Staff (RN, LPN/LVN) Part 2, 50-51. 1 DON RN full-time Day | New Mexico | 2.56 | https://referencesource.org/nursing-home-minimum-staffing-by-state/new-mexico/ | [
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2.2 | repealed | new-york | civil penalty up to $2,000 per day for each day in a quarter of noncompliance | Public Health Law § 2895-b and 10 NYCRR 415.13 | none specified | none specified | https://www.health.ny.gov/facilities/nursing/minimum_staffing/ | Nursing Homes are required by New York State Public Health Law and Regulations to meet minimum staffing standards. These minimum standards require every nursing home to maintain daily staffing hours equal to 3.5 hours of care per resident per day by a certified nurse aide, licensed practical nurse, or registered nurse.... | New York | 3.5 | https://referencesource.org/nursing-home-minimum-staffing-by-state/new-york/ | [
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none specified | repealed | north-carolina | none specified | 10A NCAC 13D .2302-.2303 | 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | NC Sufficient Staff RN (inc.DON @.06) 0.14 NC Administrative Code To attain or maintain the physical, mental, and psychosocial well-being LPN0.24 10A NCAC 13D .2302-.2303. of each patient. Licensed Staff (RN, LPN/LVN) Total LN 0.38 1 DON RN | North Carolina | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/north-carolina/ | [
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none specified | repealed | north-dakota | none specified | ND Admin. Code 33-07-03.2-14 | 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | ND Sufficient Staff RN (inc.DON @.06) 0.14 ND Administrative Code To meet the nursing care needs of residents. LPN0.24 ND Admin. Code 33-07-03.2-14. Licensed Staff (RN, LPN/LVN) 1 DON RN Total LN 0.38 1 RN 8 consecutive hrs/7d/wk CNA 1 RN/LPN | North Dakota | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/north-dakota/ | [
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none specified | repealed | ohio | none specified | Ohio Admin. Code 3701-17-08 | 1 DON RN full-time 8 hrs between 6am-6pm | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | OH Sufficient Staff RN (inc.DON @.06) 0.06 OH Administrative Code To meet the needs of the residents in an appropriate and timely manner. LPN 3701-17-08. Licensed Staff (RN, LPN/LVN) 1 DON RN full-time (8 hrs, between 6am-6pm) Total LN 0.06 Direct | Ohio | 2.56 | https://referencesource.org/nursing-home-minimum-staffing-by-state/ohio/ | [
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none specified | repealed | oklahoma | none specified | Okla. Admin. Code § 310:675-13-5; 63 O.S. § 1-1925.2 | 1 RN/LPN 8 hrs 7d/wk; 1 RN/LPN on duty at all times | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | OK Sufficient Staff RN (inc.DON @.06) 0.01 OK Administrative Code To meet the needs of all residents on a continuous basis. LPN0.32 Okla. Admin. Code § 310:675-13-5. Licensed Staff (RN, LPN/LVN) 1 DON RN/LPN Day and available by phone Total LN | Oklahoma | 2.92 | https://referencesource.org/nursing-home-minimum-staffing-by-state/oklahoma/ | [
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2.05 | repealed | oregon | none specified | OAR 411-086-0100 | 1 RN/LPN Charge Nurse 24 hrs/7d/wk including 1 RN 8 consecutive hrs | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | OR Sufficient Staff RN (inc.DON @.06) 0.14 OR Administrative Rules To provide nursing services for each resident as needed. LPN0.16 OAR 411-086-0100 (Temporary Licensed Staff (RN, LPN/LVN) effective 8/24/2021 through 1 DON RN Total LN 0.30 | Oregon | 2.35 | https://referencesource.org/nursing-home-minimum-staffing-by-state/oregon/ | [
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none specified | repealed | pennsylvania | none specified | PA Admin. Code Title 28, Sec. 211.12 | 1 RN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | PA Sufficient Staff RN (inc.DON @.06) 0.30 PA Administrative Code To meet the needs of all residents. LPN Title 28, Sec. 211.12. Licensed Staff (RN, LPN/LVN) 1 DON RN full-time (1 per facility) Total LN 0.30 1 RN Charge Nurse 24 hrs/7d/wk For 1-59 | Pennsylvania | 2.76 | https://referencesource.org/nursing-home-minimum-staffing-by-state/pennsylvania/ | [
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2.6 | repealed | rhode-island | none specified | R.I. Gen. Laws § 23-17.5-32; RI Code of Regulations Title 216, Ch. 40, Subch. 10 | 1 RN on duty 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | RI Sufficient Staff 2021 RI Code of Regulations To meet the needs of residents. RN (inc.DON @.06) 0.32 Title 216, Chapter 40, Subchapter Licensed Staff (RN, LPN/LVN) 10. LPN 1 DON RN full-time 1 RN on duty 24 hrs/7d/wk Total LN 0.32 RI Statute For | Rhode Island | 3.87 | https://referencesource.org/nursing-home-minimum-staffing-by-state/rhode-island/ | [
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1.63 | repealed | south-carolina | none specified | 2025-2026 Appropriations Act (2025 Act No. 69 (H.4025)), proviso 31.17; R61-17, Code of State Regulations | at least one licensed nurse per shift for each staff work area | none specified | https://dph.sc.gov/sites/scdph/files/2025-08/Nursing_Home_Staffing_Ratios_Memo_08.25.2025.pdf | Regulations for nursing home staffing for the current fiscal year must (1) provide a minimum of one and sixty-three hundredths (1.63) hours of direct care per resident per day from the non-licensed nursing staff; and (2) maintain at least one licensed nurse per shift for each staff work area. | South Carolina | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/south-carolina/ | [
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none specified | repealed | south-dakota | none specified | SD Administrative Rules Chapter 44:73:06 | 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | SD Sufficient Staff RN (inc.DON @.06) 0.06 SD Administrative Rules To meet resident’s total care needs at all times. LPN0.24 Chapter 44:73:06. Licensed Staff (RN, LPN/LVN) 1 DON RN full-time Day Total LN 0.30 1 RN/LPN Charge Nurse 24 hrs/7d/wk | South Dakota | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/south-dakota/ | [
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none specified | repealed | tennessee | none specified | TN Rules and Regulations Ch. 1200-8-6-.06(4)(a)(b)(d) | 1 RN/LPN 24 hrs/7d/wk; minimum 0.4 hprd RNs/LPNs | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | TN Sufficient Staff RN (inc.DON @.06) 0.06 TN Rules and Regulations To provide nursing care to all residents as needed. LPN0.34 Ch. 1200-8-6-.06(4)(a)(b)(d). Licensed Staff (RN, LPN/LVN) Revised 11/20. 1 DON RN Total LN 0.40 1 RN/LPN 24 hrs/7d/wk | Tennessee | 2.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/tennessee/ | [
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none specified | repealed | texas | none specified | TX Administrative Code Title 26, Rule 554.1001 | 1 RN 8 consecutive hrs/7d/wk; 0.4 hprd RN/LPN | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | TX Sufficient Staff RN (inc.DON @.06) 0.14 TX Administrative Code To attain or maintain the highest practicable physical, mental, and LPN0.26 Title 26, Rule 554.1001. psychosocial well-being of each resident. Licensed Staff (RN, LPN/LVN) Total LN | Texas | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/texas/ | [
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none specified | repealed | utah | none specified | UT Administrative Code R432-150-5 | 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN Charge Nurse each shift | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | UT Sufficient Staff RN (inc.DON @.06) 0.14 UT Administrative Code To meet the needs of the residents. LPN0.24 R432-150-5. Licensed Staff (RN, LPN/LVN) Skilled care facility: Total LN 0.38 1 DON RN full-time CNA 1 RN 8 consecutive hrs/7d/wk DC 1 | Utah | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/utah/ | [
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2.0 | repealed | vermont | none specified | CVR 13-110-005-7.13 | 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN Charge Nurse 24 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | VT Sufficient Staff RN (inc.DON @.06) 0.14 Code of VT Rules To attain or maintain the highest practicable physical, mental, and LPN0.24 CVR 13-110-005-7.13. psychosocial well-being of each resident. Licensed Staff (RN, LPN/LVN) Total LN 0.38 1 | Vermont | 3.06 | https://referencesource.org/nursing-home-minimum-staffing-by-state/vermont/ | [
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none specified | repealed | virginia | none specified | 12 VAC5-371-200, 210, 220 | 1 RN/LPN Nursing Supervisor 7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | VA Sufficient Staff RN (inc.DON @.06) 0.06 VA Administrative Code To meet the assessed nursing care needs of all residents. LPN0.08 12 VAC5-371-200, 210, 220. Licensed Staff (RN, LPN/LVN) 1 DON RN full-time Total LN 0.14 For 1-59 beds: DON may be | Virginia | none specified | https://referencesource.org/nursing-home-minimum-staffing-by-state/virginia/ | [
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none specified | repealed | washington | none specified | WA Administrative Code Ch. 388-97-1080 | 1 RN directly supervising 16 hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | WA Sufficient Staff RN (inc.DON @.06) 0.22 WA Administrative Code To attain or maintain the highest practicable physical, mental and LPN0.32 Ch. 388-97-1080. psychosocial well-being of each resident. Licensed Staff (RN, LPN/LVN) Total LN 0.54 1 | Washington | 3.46 | https://referencesource.org/nursing-home-minimum-staffing-by-state/washington/ | [
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none specified | repealed | west-virginia | none specified | 64 CSR 13-8, 64 CSR 13-17 | 1 RN/LPN Charge Nurse 24 hrs/7d/wk; 1 RN 8 consecutive hrs/7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | WV Sufficient Staff RN (inc.DON @.06) 0.14 WV Code of State Rules To attain or maintain the highest practicable physical, mental, and LPN0.24 64 CSR 13 – 8. And see below 64 psychosocial well-being of each resident. CSR 13 -17 for Table 64-13A for | West Virginia | 2.31 | https://referencesource.org/nursing-home-minimum-staffing-by-state/west-virginia/ | [
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none specified | repealed | wisconsin | none specified | WI Administrative Code DHS 132.62(2)-(3); § 50.04(2)(d) | 1 RN/LPN Charge Nurse on duty at all times | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | WI Sufficient Staff RN (inc.DON @.06) 0.30 WI Administrative Code To care for the specific needs of each resident. LPN0.20 Chapter DHS 132.62(2) & (3). Licensed Staff (RN, LPN/LVN) 1 DON RN full-time Total LN 0.50 WI Statute Skilled care | Wisconsin | 2.56 | https://referencesource.org/nursing-home-minimum-staffing-by-state/wisconsin/ | [
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none specified | repealed | wyoming | none specified | WY Rules and Regulations Ch. 11, Sec. 9 | 1 RN/LPN Charge Nurse Day 7d/wk | none specified | https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf | WY Sufficient Staff RN (inc.DON @.06) 0.06 WY Rules and Regulations To meet the needs of the residents. LPN0.48 Ch. 11, Sec. 9. Licensed Staff (RN, LPN/LVN) 1 DON full-time RN Total LN 0.54 1 RN/LPN Charge Nurse Day 7d/wk for each nursing station | Wyoming | 2.31 | https://referencesource.org/nursing-home-minimum-staffing-by-state/wyoming/ | [
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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
Every record carries source (the URL the value was read from) and
source_quote (a verbatim quote from that page stating it). A value you
cannot check against its page is indistinguishable from an invented one;
these can all be checked. Each record is also individually addressable on
the canonical site at its url.
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/CV_StaffingReport_AppB_Chart.pdf
- https://www.health.ny.gov/facilities/nursing/minimum_staffing/
- https://dph.sc.gov/sites/scdph/files/2025-08/Nursing_Home_Staffing_Ratios_Memo_08.25.2025.pdf
Fields
See any record in data/records.jsonl — field names are self-describing,
and the canonical page for each record renders them with labels:
https://referencesource.org/nursing-home-minimum-staffing-by-state/
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