State staffing standards

MACPAC-cited estimates · sorted by state

Primary source: MACPAC — State Policies Related to Nursing Facility Staffing

PBJ320 shows estimated HPRD standards as policy context next to CMS Payroll-Based Journal (PBJ) staffing. Figures are drawn from MACPAC’s nursing facility staffing policy compendium — not a substitute for current statute or regulation.

Estimates, not legal citations. Values are estimated total staffing HPRD. Rows marked with * use MACPAC’s federal-floor framing (~0.30 HPRD). Always verify against current state rules.

On facility pages, PBJ320 also screens reported daily PBJ staffing against a state’s MACPAC total-HPRD estimate — currently configured for New York (3.56) and Connecticut (3.06) only. This flags days below that threshold in the CMS data; it is not a legal finding of understaffing. Full criteria: Data sources.

State Estimated HPRD
Alabama0.30 *
Alaska0.38
Arizona0.54
Arkansas3.42
California3.56
Colorado2.06
Connecticut3.06
Delaware3.34
District of Columbia3.56—4.16
Florida3.66
Georgia2.06
Hawaii0.30 *
Idaho2.46
Illinois2.56—3.86
Indiana0.56
Iowa1.76—2.06
Kansas1.91—2.06
Kentucky0.30 *
Louisiana2.41
Maine3.02
Maryland3.06
Massachusetts3.64
Michigan2.31
Minnesota2.06
Mississippi2.86
Missouri0.30 *
Montana1.90
Nebraska0.30 *
Nevada0.30 *
New Hampshire0.30 *
New Jersey2.56
New Mexico2.56
New York3.56
North Carolina0.30 *
North Dakota0.30 *
Ohio2.56
Oklahoma2.92
Oregon2.46
Pennsylvania2.76
Rhode Island3.64
South Carolina2.01
South Dakota0.30 *
Tennessee2.06
Texas0.46
Utah0.30 *
Vermont3.06
Virginia0.30 *
Washington3.46
West Virginia2.31
Wisconsin2.06—3.31
Wyoming1.56—2.31

Source: MACPAC state nursing facility staffing policies (compendium / derived estimates). Methodology: Data sources. Related: Q1 2026 staffing data.