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

By Avery Comarow , Megan Johnson

Posted: December 19, 2008

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
Nursing Home

It is just so sad that this is the way we treat our elderly, who have paved the road of the current America we live in. As if living through the Great Depression and WW2 wasn't enough, now they get treated like prisoners in their own bodies at a nursing home. My grandmother lives with me and will never go into a nursing home, even if it means me taking on another job to pay for her care.

Melissa of CA @ Dec 20, 2008 17:30:14 PM

Nursing home Nightmares

I have been a nurse for 7 years.Most of my experience has been in LTC,nursing homes.Working in a nursing is like a punishment.Nurses have 25 plus patients to care for,overseeing staff and dealing with family members.CNAs are stretched to the limit.They have 12 plus patients.Most patients in this type of setting are total care.Most patients only get cleaned and changed once a shift.Some dont even get fed because there is too many to feed and not enough staff.This is not care.This is a nightmare.All I can do is pray for the patients and their families.

jane doe of NC @ Dec 20, 2008 16:16:08 PM

Nursing home Nightmares

I have been a nurse for 7 years.Most of my experience has been in LTC,nursing homes.Working in a nursing is like a punishment.Nurses have 25 plus patients to care for,overseeing staff and dealing with family members.CNAs are stretched to the limit.They have 12 plus patients.Most patients in this type of setting are total care.Most patients only get cleaned and changed once a shift.Some dont even get fed because there is too many to feed and not enough staff.This is not care.This is a nightmare.All I can do is pray for the patients and their families.

jane doe of NC @ Dec 20, 2008 16:16:07 PM

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