Where does the data come from?

From the Centers for Medicare & Medicaid Services (CMS) nursing home data, which every Medicare- or Medicaid-certified nursing home reports. Staffing hours come from payroll records the homes submit each quarter; turnover and administrator departures cover the 12 months to December 2025.

How often is it updated?

CMS publishes new nursing home data once a month, and the list refreshes when it does. Staffing hours change once a quarter, so most months the staffing figures stay the same while ratings and other fields update.

Does a signal mean a facility needs agency staff?

No. A signal means the published numbers moved. Hours can fall because the number of residents rose, a unit closed, or reporting changed. Treat a signal as a reason to look, not as a statement about a facility.

Can I search around a city instead of a whole state?

Yes. Choose a city and a radius of 10, 25, 50 or 100 miles; facilities over the state line are included.

Yes, from your account page at any time. You keep access until the end of the month already paid for.

Nursing Home Staffing Signals for Staffing Agencies

Every certified nursing home where CMS-reported staffing moved in Q1 2026: aide hours down, turnover up, or a lower staffing rating. Filter by state or by distance from a city, and download the list.

Monthly; cancel any time.

This quarter across the country

1,643nursing homes with two or more signals

899with aide hours down 10% or more since Q4 2025

1,648with staff turnover up 10 points or more

1,939with a lower staffing rating than in Q4 2025

Out of 14,697 nursing homes with staffing data for Q1 2026.

The five signals

Aide hours down (quarter). Nurse aide hours per resident per day fell 10% or more from the previous quarter.
Aide hours down (year). Nurse aide hours per resident per day fell 10% or more from the same quarter a year earlier.
Nurse hours down (year). Total nurse staffing hours per resident per day fell 10% or more from a year earlier.
Turnover up. Total nursing staff turnover rose 10 percentage points or more over the year before.
Staffing rating down. The CMS staffing star rating fell from the previous quarter.

Hour-based signals are counted only for homes with 20 or more residents, where a few shifts do not swing the average. Each facility in the list shows its figures for Q1 2026, Q4 2025 and Q1 2025, its phone number, size, owner type and chain, and administrator departures in the last 12 months.

Signals by state

Nursing homes with each staffing signal, by state, Q1 2026
State	Homes	Aide hours down (quarter)	Aide hours down (year)	Nurse hours down (year)	Turnover up	Staffing rating down	Two or more
Alaska	20	1	4	4	4	0	2
Alabama	224	19	29	22	22	23	28
Arkansas	221	22	27	21	20	31	32
Arizona	140	12	17	8	13	24	14
California	1,165	20	55	48	86	108	57
Colorado	210	10	25	27	18	41	31
Connecticut	191	7	18	15	16	39	22
District of Columbia	17	0	1	1	1	2	1
Delaware	44	4	5	2	1	3	4
Florida	694	18	47	42	55	78	50
Georgia	356	29	55	33	34	39	46
Hawaii	43	1	4	3	5	2	3
Iowa	387	24	44	39	54	49	47
Idaho	80	2	11	6	17	7	7
Illinois	666	49	77	58	79	75	76
Indiana	507	39	60	28	57	57	55
Kansas	296	17	39	32	35	38	40
Kentucky	267	21	33	17	34	38	35
Louisiana	265	24	32	27	25	42	40
Massachusetts	341	8	24	20	34	49	28
Maryland	221	5	15	8	22	28	19
Maine	78	2	7	7	4	5	5
Michigan	422	30	36	28	37	54	35
Minnesota	338	13	45	35	55	32	36
Missouri	487	63	91	67	54	70	92
Mississippi	202	17	18	7	17	18	11
Montana	61	5	5	5	6	10	7
North Carolina	419	25	45	27	47	55	40
North Dakota	72	4	9	4	12	8	7
Nebraska	180	17	29	23	14	34	27
New Hampshire	73	3	13	7	4	12	10
New Jersey	348	8	31	30	31	57	32
New Mexico	68	7	12	8	13	12	13
Nevada	66	5	8	8	7	6	10
New York	593	41	66	45	53	69	64
Ohio	922	64	105	65	112	150	110
Oklahoma	283	27	43	36	33	50	46
Oregon	128	7	13	13	13	18	13
Pennsylvania	656	35	59	48	66	112	70
Rhode Island	72	1	5	4	6	8	4
South Carolina	187	7	23	11	11	21	17
South Dakota	96	6	9	7	11	16	9
Tennessee	303	25	43	30	39	45	49
Texas	1,177	91	165	115	223	144	172
Utah	97	3	11	8	16	11	8
Virginia	289	19	28	20	50	35	31
Vermont	33	1	2	3	2	5	3
Washington	193	14	29	23	16	22	28
Wisconsin	323	9	28	17	47	59	30
West Virginia	123	14	13	10	14	24	20
Wyoming	36	4	5	6	2	3	6

Staffing: Q1 2026 against Q4 2025 and Q1 2025. Turnover: the 12 months to December 2025 against the 12 months a year earlier. Source: CMS nursing home provider information, monthly releases.

What a signal is, and is not

A signal is a change in the numbers a nursing home reports to CMS. It is not a statement that the home is short of staff, is hiring, or uses agencies. Hours per resident can fall because more residents arrived, and a rating can drop when CMS changes how ratings are calculated. The list is a starting point for calls, with each facility's public workplace record one click away on its nursing home page.

Questions

Where does the data come from?: From the Centers for Medicare & Medicaid Services (CMS) nursing home data, which every Medicare- or Medicaid-certified nursing home reports. Staffing hours come from payroll records the homes submit each quarter; turnover and administrator departures cover the 12 months to December 2025.
How often is it updated?: CMS publishes new nursing home data once a month, and the list refreshes when it does. Staffing hours change once a quarter, so most months the staffing figures stay the same while ratings and other fields update.
Does a signal mean a facility needs agency staff?: No. A signal means the published numbers moved. Hours can fall because the number of residents rose, a unit closed, or reporting changed. Treat a signal as a reason to look, not as a statement about a facility.
Can I search around a city instead of a whole state?: Yes. Choose a city and a radius of 10, 25, 50 or 100 miles; facilities over the state line are included.
Can I cancel?: Yes, from your account page at any time. You keep access until the end of the month already paid for.