The Long Term Care Community Coalition (LTCCC) issued a report on May 2, 2025 entitled, “LTCCC Alert: Nine in 10 Nursing Homes Fall Short of Expected Staffing, New Federal Data Show (Q3 2024)” in which it found, based on its analysis of the most recent payroll-based journal (PBJ) data reported by the federal Centers for Medicare & Medicaid Services (CMS), “the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on the latest federal staffing data, 9 in 10 nursing homes fall below their expected staffing levels.”
LTCCC’s Executive Director stated at the time its report was issued, “This new methodology, detailed in a clinical investigation published today [May 2, 2025] in the Journal of the American Geriatrics Society, offers a critical tool for the public to understand what staffing levels a nursing home should actually be providing—based not on arbitrary benchmarks, but on the facility’s own assessment of its residents’ needs. It gives residents, families, operators, and policymakers a clear and meaningful way to gauge whether a nursing home is adequately staffed to ensure safe, appropriate care.”
The clinical investigation reported in the Journal of the American Geriatrics Society stated: “Expected registered RN hours per resident day (HRPD) ranged from 0.55 to 2.39 for the lowest and highest CMIs. Certified nursing assistants HPRD ranged from 2.45 to 3.6 HPRD, and total nursing ranged from 3.48 to 7.68 HPRD. In 2024, US NHs reported that the average facility CMI was 1.35. Reported RN HPRD was 32% below expected staffing, CNA HPRD was 30% below, and total nursing HPRD was 22% below expected staffing. NHs in the three highest CMI groups were more likely to meet expected RN or total HPRD than NHs in lower CMI groups.” Source
The LTCCC’s report stated:
Staffing Facts for Q3 2024
- The average U.S. nursing home provided 3.73 total nurse staff hours per resident day (HPRD), including 0.60 RN HPRD.
- The new staffing expectation model, based on each facility’s case-mix index (CMI), shows that 90.5% of nursing homes reported staffing levels below their expected HPRD.
- The median nursing home fell 25.1% short of expected staffing levels.
- Based on resident acuity, the national average expected staffing level was 4.94 HPRD.
If you or a loved one suffered injuries (or worse) while a resident of a nursing home in the United States due to nursing home neglect, nursing home negligence, nursing home abuse, nursing home understaffing, nursing home pressure ulcer (bedsore), or the nursing home failing to properly care for a vulnerable adult, you should promptly find a nursing home claim lawyer in your state who may investigate your nursing home claim for you and file a nursing home claim on your behalf or behalf of your loved one, if appropriate.
Click here to visit our website to be connected with medical malpractice attorneys (nursing home claim attorneys) in your U.S. state who may assist you with your nursing home claim, or call us toll-free in the United States at 800-295-3959.
Turn to us when you don’t know where to turn.