10 best, worst states for nursing home staff levels

Alaska has the highest hours per resident day for nursing homes while Missouri has the lowest, a report by the Long Term Care Community Coalition found.

The report used data from the fourth quarter of 2022 and highlighted nurse and non-nurse staff, contract workers, turnover rate and staffing rates and other data. 

It found only 25.3 percent of nursing homes provided 4.1 HPRD, which is the minimum needed for clinical care, according to a July 13 release from the coalition.

Here are the best and worst states ranked by their hours per resident day (list includes District of Columbia):

Best 10 states

1. Alaska: 6
2. Oregon: 4.83
3. North Dakota: 4.45
4. Maine: 4.37
5. Hawaii: 4.27
6. District of Columbia: 4.27
7. Washington: 4.15
8. California: 4.13
9. Minnesota: 4.01
10. Delaware: 3.95

Worst 10 states

1. Missouri: 3.1
2. Illinois: 3.17
3. Texas: 3.24
4. Georgia: 3.33
5. Wyoming: 3.35
6. New Mexico: 3.36
7. Virginia: 3.37
8. New York: 3.41
9. Ohio: 3.44
10. Pennsylvania: 3.5