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New York Nursing Home Staffing Calculator
New York requires 3.5 hours of care per resident per day, with at least 2.2 hours from certified nurse aides and at least 1.1 hours from registered or licensed practical nurses.
Counted New York's way and the way CMS counts it for Care Compare, side by side, with staff per shift for any target you choose. An estimate for planning, not legal advice.
New York: New York requires 3.5 hours of care per resident per day, with at least 2.2 hours from certified nurse aides and at least 1.1 hours from registered or licensed practical nurses. The Department of Health checks each quarter, using CMS PBJ data and the daily census, and counts the days that fell below.
Sources: New York State Department of Health, Nursing Home Minimum Staffing; 10 NYCRR 415.13, Nursing services and minimum nursing staff requirements. Checked October 13, 2026.
By clicking Calculate, you agree to the Terms, including the release, assumption of risk, and indemnity in Section 28.15 and that what you enter and do on this page may be recorded, and you acknowledge the Privacy Policy. Results are estimates for planning, may be inaccurate, and are not guaranteed. They are not a recommendation, legal advice, or a compliance finding.
How the nursing home staffing calculator works
Enter your residents and nursing hours
One day, a week or a quarter. Total hours by job, or the number of people on each shift.
Pick a target
Your state if it is one we checked (New York, Florida, Illinois, California), your own number, or none for the CMS count alone.
Read both counts and the staff per shift
The CMS count, your state's own count, warnings CMS acts on, and how many RNs, LPNs and CNAs each shift needs for the target.
What New York counts
- Counts certified nurse aide, LPN and RN hours.
- Leaves out hours spent on administrative services as PBJ defines them, so this calculator leaves out director of nursing hours and RN and LPN admin hours.
- Since January 1, 2023, aides who are not yet certified (aides in training, medication aides who are not CNAs) no longer count toward the 3.5 or the 2.2, so this calculator leaves out aide-in-training and medication aide hours.
- Leaves out time spent in training when staff are not available for their primary duties.
The Department of Health checks each quarter, using CMS PBJ data and the daily census, and counts the days that fell below.
- If some of your medication aides are certified nurse aides, their hours may count; check with the Department.
Sources: New York State Department of Health, Nursing Home Minimum Staffing; 10 NYCRR 415.13, Nursing services and minimum nursing staff requirements. Read on October 13, 2026.
Worked example
For one day with 100 residents, 40 RN, 80 LPN and 220 CNA hours, plus 8 director of nursing, 8 RN admin, 10 aide-in-training and 20 medication aide hours: Total (CNA, LPN, RN): 3.40 against 3.50, short by 0.10. Certified nurse aide: 2.20 against 2.20, at the target. RN and LPN: 1.20 against 1.10, above by 0.10. Counted the CMS way, the same day is 3.86.
New York nursing home staffing: questions
- What is the minimum nurse staffing in New York nursing homes?
- New York requires 3.5 hours of care per resident per day, with at least 2.2 hours from certified nurse aides and at least 1.1 hours from registered or licensed practical nurses. The Department of Health checks each quarter, using CMS PBJ data and the daily census, and counts the days that fell below.
- What counts toward New York's staffing hours?
- Counts certified nurse aide, LPN and RN hours. Leaves out hours spent on administrative services as PBJ defines them, so this calculator leaves out director of nursing hours and RN and LPN admin hours. Since January 1, 2023, aides who are not yet certified (aides in training, medication aides who are not CNAs) no longer count toward the 3.5 or the 2.2, so this calculator leaves out aide-in-training and medication aide hours. Leaves out time spent in training when staff are not available for their primary duties.
- How do you calculate New York's staffing hours per resident day?
- For one day with 100 residents, 40 RN, 80 LPN and 220 CNA hours, plus 8 director of nursing, 8 RN admin, 10 aide-in-training and 20 medication aide hours: Total (CNA, LPN, RN): 3.40 against 3.50, short by 0.10. Certified nurse aide: 2.20 against 2.20, at the target. RN and LPN: 1.20 against 1.10, above by 0.10. Counted the CMS way, the same day is 3.86.
- Is New York's count the same as Care Compare's?
- No. Care Compare counts every PBJ nursing job code (directors of nursing, admin nurses, aides in training and medication aides included) and adjusts for acuity before giving stars. The calculator shows both counts side by side.
- Is this legal advice?
- No. It is an estimate for planning, not legal advice. Confirm with your state agency and CMS. We read New York's rule at its source on October 13, 2026.
An estimate for planning, not legal advice. Confirm with your state agency and CMS. Rules checked October 13, 2026; laws and CMS methods change.
The nursing home staffing calculator for every state. Other checked states: Florida, Illinois, California.