North Dakota |
A specific ratio for CNAs is not provided. |
Sufficient qualified nursing personnel are required to meet residents’ nursing care needs. |
North Dakota Regulatory Code 33-07-03.2-14 Nursing Services |
New Hampshire |
A specific ratio for CNAs is not provided. |
Facilities should provide sufficient and appropriate staff to provide core services as listed. |
New Hampshire Code of Administrative Rules He-P 803.15 – Required Services |
New Jersey |
A specific ratio for CNAs is not provided. |
Sufficient licensed and ancillary staff are required. Residents require a minimum of 2.5 HPRD, 20 percent of which RNs or LPNs must provide. |
New Jersey Administrative Code Title 8, Chapter 39 |
New Mexico |
A specific ratio for CNAs is not provided. However, the direct care staff ratios are as follows: SNF Day shift: one to seven Evening shift: one to 10 Night shift: one to 12 Intermediate Care Facilities Day shift: one to eight Evening shift: one to 10 Night shift: one to 13 |
Sufficient nursing staff is required to meet the specific needs of each patient. In SNFs, a seven-day average of 2.5 HPRD is required per resident. In Intermediate Care Facilities, a seven-day average of 2.3 HPRD per resident is required. |
New Mexico Administrative Code Effective June 2020, 7.9.2.51 Nursing Staff |
New York |
Effective on January 1, 2023, no less than 2.2 HPRD to be provided by a CNA. |
Sufficient qualified nursing personnel are required to meet residents’ nursing care needs. Each resident must receive a total of 3.5 HPRD. |
New York Codes, Rules and Regulations Section 415.13 Nursing Services and Minimum Nursing Staff Requirements |
Ohio |
A specific ratio for CNAs is not provided. |
Sufficient qualified nursing personnel are required to meet residents’ nursing care needs. Each resident must receive a minimum of 2.5 HPRD. |
Ohio Administrative Code 3701 Nursing Homes -17-08 Personnel Requirements |
Oklahoma |
A specific ratio for CNAs is not provided. |
Facilities should be staffed to provide nursing and health services at all times. |
Oklahoma Administrative Rules 310:675-13-5. Nursing Services |
Oregon |
The minimum CNA-to-patient ratios are as follows: Day shift: one to seven Evening shift: one to 9.5 Night shift: one to 17 |
Facilities must have sufficient staff to meet the minimum requirements listed in the rules regarding CNA-to-patient ratios. |
Oregon Administrative Rules 411-086-0100 Nursing Services: Staffing |
Pennsylvania |
Effective on July 1, 2023, the CNA-to-resident ratios are as follows: Day shift: one to 12 Evening shift: one to 12 Night shift: one to 20 Effective July 1, 2024, the CNA-to-resident ratios are as follows: Day shift: one to 10 Evening shift: one to 11 Night shift: one to 15 |
Effective on July 1, 2023, residents shall receive a minimum of 2.87 HPRD. Effective on July 1, 2024, residents shall receive a minimum of 3.2 HPRD. |
Pennsylvania Administrative Code Title 28 § 211.12. Nursing Services |
Rhode Island |
A specific ratio for CNAs is not provided. At least one nursing assistant must be included in creating the staffing pattern plan. |
A sufficient number of nursing service staff is required at all times. |
Rhode Island Code of Regulations Title 216, 40-10-1.16.6 Nursing Services and Minimum Staffing |
South Carolina |
A specific ratio for CNAs is not provided. |
An adequate number of direct care staff is required at all times. |
South Carolina Code of State Regulations 61-17.600.603 – Direct Care Staff |
South Dakota |
A ratio for CNAs to residents is not provided. |
An adequate number of direct care staff is required at all times. The ratio of RNs or LPNs to CNAs must be sufficient for appropriate supervision. |
South Dakota Administrative Rules 44:73:06:07 Nursing Service Staffing |
Tennessee |
A specific ratio for CNAs is not provided. |
Each resident must receive a minimum of two HPRD, of which .4 must be provided by licensed nursing personnel. |
Tennessee Rules and Regulations CHAPTER 0720-18 Standards for Nursing Homes |
Texas |
A specific ratio for CNAs is not provided. |
A facility must have sufficient staff with the appropriate skills to provide nursing services for each resident. |
Texas Administrative Code Title 26 Code § 554.1001 – Nursing Services |
Utah |
A specific ratio for CNAs is not provided. |
Nursing staff must be present at all times to provide services to residents. |
Utah Administrative Code R432-150-5. Scope of Services |
Vermont |
A specific ratio for licensed nursing assistants (LNAs) is not provided. LNAs must provide a minimum of two HPRD for each resident. |
Sufficient staff must be on duty at all times to provide resident services. Each resident must receive a minimum of three HPRD on a weekly average. |
Code of Vermont Rules 13-110-005-X 7.13. Nursing Services |
Virginia |
A specific ratio for CNAs is not provided. |
A facility must provide sufficient qualified nurses and certified nurse aides on all shifts. |
Virginia Administrative Code 12VAC5-371-210. Nurse Staffing |
Washington |
A specific ratio for CNAs is not provided. |
Sufficient staff must be on duty at all times to provide resident services. |
Washington Administrative Code WAC 388-97-1080 |
West Virginia |
A specific ratio for CNAs is not provided. See table 64-13.A. (p.77) for minimum ratios of personnel to residents. |
Sufficient nursing personnel are required at all times to provide services. Each resident must receive no less than 2.25 HPRD. |
West Virginia Code of State Rules Title 64. Series 13. Nursing Home Licensure. 8.14 Nursing Services Staffing |
Wisconsin |
A specific ratio for CNAs is not provided. |
There must be sufficient nursing service personnel to care for the specific needs of each patient. |
Wisconsin Administrative Code § DHS 132.62 – Nursing Services |
Wyoming |
A specific ratio for CNAs is not provided. |
Sufficient nursing staff is required to meet resident needs. Each resident requiring skilled nursing care must receive 2.25 HPRD. Each resident not requiring skilled nursing care must receive 1.5 HPRD. |
Wyoming Rules and Regulations Chapter 11. Section 9. Nursing Services |