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  • Zero-RN days: how often US nursing homes ran a day with no registered nurse on the floor

    In the CMS Payroll-Based Journal's 2025 Q2 snapshot, 5.86% of nursing-home facility-days with residents present recorded zero registered-nurse direct-care hours — 77,542 days across 5,062 facilities. The rate ranged from 27.9% in Louisiana to 0.2% in Rhode Island. Days before the federal staffing floor was rescinded, this is the baseline the country now keeps.

    2026-06-04 · 18 min
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Sourced from federal agencies. Fonteum, Inc., Delaware C-corp. © 2026.

Fonteum is a US healthcare provenance registry.

About Fonteum ›

Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 22 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

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1,322,867 nurse-staffing records · CMS PBJ