Appendix
Mean Quality Measure, nursing staff turnover, nursing hours, and share meeting proposed standard, by state, August 2023
| State | Quality Measure | Turnover (%) | RN total hours/ day | RN HPRD | LPN HPRD | NA HPRD | Total HPRD | Meet Proposed Standard (%) |
|---|---|---|---|---|---|---|---|---|
| AK | 3.9 | 51.4 | 74.4 | 2.3 | 0.8 | 4.4 | 7.5 | 94.1% |
| AL | 3.3 | 51.0 | 51.0 | 0.6 | 0.8 | 2.3 | 3.8 | 20.0% |
| AR | 3.4 | 54.5 | 26.3 | 0.4 | 1.0 | 2.5 | 3.9 | 4.2% |
| AZ | 4.2 | 54.7 | 50.5 | 0.7 | 1.0 | 2.2 | 4.0 | 20.7% |
| CA | 4.4 | 46.1 | 41.2 | 0.6 | 1.2 | 2.5 | 4.3 | 18.5% |
| CO | 3.9 | 60.0 | 54.1 | 0.9 | 0.7 | 2.2 | 3.8 | 20.5% |
| CT | 3.6 | 42.0 | 61.6 | 0.7 | 0.8 | 2.1 | 3.7 | 15.9% |
| DC | 4.5 | 40.6 | 126.8 | 1.5 | 0.7 | 2.6 | 4.8 | 52.9% |
| DE | 4.1 | 47.7 | 80.2 | 1.1 | 1.0 | 2.3 | 4.3 | 16.3% |
| FL | 3.9 | 52.5 | 66.9 | 0.7 | 0.8 | 2.4 | 3.9 | 19.6% |
| GA | 2.8 | 54.0 | 34.2 | 0.4 | 1.0 | 2.0 | 3.4 | 5.1% |
| HI | 4.7 | 42.3 | 102.5 | 1.5 | 0.4 | 2.7 | 4.6 | 53.7% |
| IA | 3.3 | 55.9 | 34.9 | 0.7 | 0.6 | 2.3 | 3.6 | 23.4% |
| ID | 4.3 | 52.9 | 40.3 | 0.9 | 0.8 | 2.5 | 4.2 | 25.0% |
| IL | 3.1 | 52.5 | 57.3 | 0.7 | 0.7 | 2.0 | 3.4 | 13.4% |
| IN | 3.9 | 55.7 | 39.5 | 0.6 | 0.8 | 2.2 | 3.6 | 10.0% |
| KS | 3.0 | 55.1 | 32.6 | 0.7 | 0.7 | 2.5 | 3.9 | 32.1% |
| KY | 2.8 | 55.3 | 49.9 | 0.8 | 0.9 | 2.3 | 4.0 | 20.2% |
| LA | 2.3 | 55.3 | 21.1 | 0.3 | 1.2 | 2.2 | 3.6 | 0.8% |
| MA | 3.5 | 48.1 | 59.7 | 0.7 | 0.9 | 2.1 | 3.7 | 11.4% |
| MD | 3.7 | 49.4 | 75.7 | 0.9 | 0.9 | 2.1 | 3.9 | 14.8% |
| ME | 3.5 | 53.3 | 60.9 | 1.0 | 0.5 | 2.9 | 4.5 | 72.9% |
| MI | 4.0 | 52.6 | 53.5 | 0.8 | 0.9 | 2.3 | 3.9 | 25.2% |
| MN | 3.7 | 49.9 | 57.4 | 1.0 | 0.7 | 2.4 | 4.1 | 38.7% |
| MO | 2.9 | 60.8 | 27.5 | 0.5 | 0.7 | 2.1 | 3.3 | 7.8% |
| MS | 2.1 | 51.3 | 38.5 | 0.6 | 1.1 | 2.3 | 4.0 | 18.1% |
| MT | 3.3 | 62.6 | 41.4 | 0.8 | 0.5 | 2.3 | 3.6 | 25.4% |
| NC | 3.1 | 57.3 | 41.4 | 0.6 | 0.9 | 2.2 | 3.8 | 11.5% |
| ND | 3.4 | 51.8 | 52.3 | 0.9 | 0.6 | 2.9 | 4.4 | 65.3% |
| NE | 3.4 | 55.9 | 36.6 | 0.7 | 0.7 | 2.5 | 4.0 | 31.1% |
| NH | 3.4 | 52.3 | 54.7 | 0.8 | 0.8 | 2.3 | 3.9 | 26.0% |
| NJ | 4.3 | 49.2 | 72.8 | 0.7 | 0.9 | 2.1 | 3.8 | 15.4% |
| NM | 3.2 | 61.1 | 45.5 | 0.6 | 0.7 | 2.2 | 3.5 | 15.2% |
| NV | 4.1 | 52.5 | 60.0 | 0.8 | 1.0 | 2.3 | 4.1 | 26.2% |
| NY | 4.0 | 43.7 | 99.9 | 0.7 | 0.8 | 2.1 | 3.6 | 13.3% |
| OH | 4.0 | 58.1 | 39.7 | 0.6 | 1.0 | 2.0 | 3.6 | 8.5% |
| OK | 2.9 | 60.5 | 18.9 | 0.3 | 0.9 | 2.5 | 3.8 | 2.9% |
| OR | 3.6 | 55.4 | 33.0 | 0.7 | 0.9 | 3.2 | 4.8 | 50.8% |
| PA | 3.7 | 52.5 | 66.3 | 0.8 | 0.9 | 2.0 | 3.7 | 14.2% |
| RI | 3.3 | 49.1 | 66.3 | 0.8 | 0.5 | 2.4 | 3.6 | 36.1% |
| SC | 3.2 | 56.6 | 45.4 | 0.7 | 1.0 | 2.2 | 3.9 | 16.1% |
| SD | 3.2 | 52.9 | 40.6 | 0.8 | 0.5 | 2.3 | 3.6 | 27.7% |
| TN | 3.3 | 54.9 | 42.0 | 0.6 | 1.1 | 2.0 | 3.7 | 5.0% |
| TX | 3.5 | 59.3 | 24.4 | 0.4 | 1.0 | 1.9 | 3.3 | 2.5% |
| UT | 4.4 | 60.4 | 60.9 | 1.2 | 0.5 | 2.4 | 4.1 | 30.6% |
| VA | 3.4 | 57.5 | 48.0 | 0.6 | 1.0 | 1.9 | 3.6 | 10.0% |
| VT | 3.0 | 61.6 | 51.8 | 0.8 | 1.0 | 2.5 | 4.2 | 33.3% |
| WA | 4.1 | 53.8 | 56.4 | 0.9 | 0.8 | 2.5 | 4.2 | 47.6% |
| WI | 3.6 | 53.8 | 48.4 | 1.0 | 0.6 | 2.3 | 3.9 | 34.3% |
| WV | 2.6 | 50.9 | 48.6 | 0.7 | 0.9 | 2.1 | 3.8 | 15.0% |
| WY | 3.5 | 54.4 | 48.6 | 0.9 | 0.5 | 2.4 | 3.8 | 26.5% |

Source: Author’s analysis of CMS nursing home provider data, August 2023 (CMS 2023b).
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