Source: 1) Charlene Harrington, Helen Carrillo, and Rachel Garfield, Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2014,August 2015. Table 7, Average RN, LPN/LVN, & Assistant Hours per Resident Day in Certified Nursing Facilities by State and Calendar Year (2009 - 2014data), (Washington, DC:  Kaiser Commission on Medicaid and the Uninsured), available at http://ltcombudsman.org/uploads/files/library/deficiencies-09-14.pdf.  2) Charlene Harrington, Helen Carrillo, and Rachel Garfield, Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2015, July 2017.  Supplemental Table 22, Average RN, LPN/LVN, & Assistant Hours per Resident Day in Certified Nursing Facilities by State and Calendar Year (2015 data), (Washington, DC:  Kaiser Commission on Medicaid and the Uninsured), available at https://www.kff.org/medicaid/report/nursing-facilities-staffing-residents-and-facility-deficiencies-2009-through-2015/  
Total direct care hours include RN, LPN/LVN, and Nursing Assistant hours.

Notes: These data come from file "V:\OED\Pol&Strat\PPI\PPI\DE Update\LTSS Data\NF Staffing\NF Staffing Hours_12.28.17.

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