Nursing Homes: 10 Worst States for Nurse Staffing

How many hours a day are home residents under the direct care of a registered nurse?

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Yesterday, the federal government rolled out a revamped and simplified approach to its evaluations of nursing homes, in order to make the onerous task of choosing the right one easier for families. Like the system the government uses for rating Medicare health and drug plans, the Nursing Home Compare site
now gives nursing homes from 1 to 5 stars, overall and in each of three areas—performance in the latest three quarterly reports in 10 key quality measures, such as the percentage of residents with urinary tract infections; performance in the latest three annual health inspections; and adequacy of both overall staffing and staffing by registered nurses.

The following 10 states have the highest percentages of nursing homes with the worst rating of 1 star for adequate staffing by registered nurses.

Rank State Total, all nursing homes 1 star
1 Louisiana 269 75.1 percent
2 Georgia 342 66.1 percent
3 Arkansas 225 54.7 percent
4 Texas 1,042 47.2 percent
5 Oklahoma 295 46.1 percent
6 Tennessee 293 41.6 percent
7 Missouri 489 41.1 percent
8 Virginia 263 37.6 percent
9 Indiana 482 32.6 percent
10 Alabama 218 31.7 percent