Nursing Homes: 10 Worst States for Overall Staffing

Low nurse turnover and high quality of nursing care are vital to the well being of home residents.

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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 overall staffing.

Rank State Total, all nursing homes 1 star
1 Louisiana 269 62.5 percent
2 Georgia 342 57.6 percent
3 Tennessee 293 44.7 percent
4 Texas 1,042 41.4 percent
5 Virginia 263 39.2 percent
6 Indiana 482 38.6 percent
7 New Mexico 46 37.0 percent
8 West Virginia 123 33.3 percent
9 Missouri 489 31.1 percent
10 North Carolina 386 30.3 percent