Appendix E
Other States Nurse Staffing Ratios
Staffing Ratios
The majority of states, 37, have established some type of nurse staffing requirements. However these requirements vary considerably. The three categories below group states according to type of nurse staffing requirement. Note that some staes appear in more than one category because the may have more than one type of requirement. HCFA obtained this data from the National Citizens' Coalition for Nursing Home Reform.
Hours of Nursing Care Per Patient Day:
California Illinois Michigan Pennsylvania
Colorado Indiana Minnesota Tennessee
Connecticut Iowa Mississippi Texas
Delaware Kansas Montana Washington
Florida Louisiana Nevada West Virginia
Georgia Maryland New Jersey Wisconsin
Idaho Massachusetts1 North Carolina Wyoming
Staff Members to Resident Ratio:
Arkansas Maine Oklahoma Texas
Kansas Michigan Oregon West Virginia
Louisiana Ohio South Carolina
RN 24-hours 7 days a Week:
California Hawaii Rhode Island
Colorado Maryland
Connecticut Pennsylvania
Source: HCFA, Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes, Report to Congress, July 2000, attachment to executive summary.
1 The program review committee contacted the state of Massachusetts. According to the Department of Health, Division of Health Care Quality, Massachusetts does not have minimum nursing staff ratios but follows those contained in the federal law.