Facilities Below the 2024 RN Staffing Benchmark
6,470 facilities across 48 states report RN staffing below 0.55 hours per resident per day — the level the 2024 federal rule would have required.
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Facilities Below the 0.55 Hour Benchmark, by State
Select a state to see its facilities, staffing hours, and grades.
| State | Facilities Below Benchmark |
|---|---|
| Texas | 927 facilities |
| California | 655 facilities |
| Ohio | 373 facilities |
| Missouri | 361 facilities |
| Illinois | 278 facilities |
| New York | 266 facilities |
| Florida | 249 facilities |
| Louisiana | 243 facilities |
| Oklahoma | 242 facilities |
| North Carolina | 231 facilities |
| Georgia | 225 facilities |
| Pennsylvania | 224 facilities |
| Indiana | 195 facilities |
| Arkansas | 184 facilities |
| New Jersey | 171 facilities |
| Tennessee | 158 facilities |
| Virginia | 147 facilities |
| Massachusetts | 138 facilities |
| Michigan | 119 facilities |
| South Carolina | 103 facilities |
| Iowa | 100 facilities |
| Mississippi | 93 facilities |
| Kansas | 90 facilities |
| Connecticut | 78 facilities |
| Kentucky | 76 facilities |
| Alabama | 74 facilities |
| Nebraska | 66 facilities |
| Arizona | 56 facilities |
| Maryland | 46 facilities |
| Oregon | 45 facilities |
| Colorado | 44 facilities |
| West Virginia | 33 facilities |
| New Mexico | 31 facilities |
| Wisconsin | 20 facilities |
| South Dakota | 17 facilities |
| Nevada | 16 facilities |
| Rhode Island | 16 facilities |
| Minnesota | 15 facilities |
| Washington | 12 facilities |
| Idaho | 11 facilities |
| Montana | 9 facilities |
| New Hampshire | 8 facilities |
| Delaware | 6 facilities |
| Wyoming | 6 facilities |
| Vermont | 5 facilities |
| North Dakota | 3 facilities |
| Utah | 3 facilities |
| Maine | 2 facilities |
Methodology
Data sourced from the CMS Provider Data Catalog. Facilities are ranked using the most recent available data. Grades are computed from RN staffing hours, health deficiencies, and CMS quality ratings.
Dataset date: October 27, 2026
Source files: CMS Provider Info (4pq5-n9py), CMS Deficiencies (r5ix-sfxw), CMS Ownership (y2hd-n93e)
Related Reports
Explore other facility quality reports built from official CMS inspection data.
Uncorrected Deficiencies → High Deficiencies → Why the staffing rule was repealed →