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Nursing home staff pay

Pay that certified nurse aides, medication aides, licensed practical nurses and registered nurses report for the homes they work in, shown only as reviewed ranges, next to the official wage figures from the Bureau of Labor Statistics. CMS publishes how many hours staff work in every home; it publishes nothing about what they are paid.

How staff pay reports work

  • What we ask: your job (CNA, medication aide, LPN or RN), whether the home or an agency employs you, your usual shift, your base hourly pay and the month it was true, whether you get a shift differential, and what happened to any sign-on bonus. Optional: hours a week, mandatory overtime, and how staffing felt on your usual shift, on a 1 to 5 scale.
  • What we never ask: your name, email, phone or address, and nothing about any resident. There is no free-text box anywhere on the form.
  • When a figure appears: only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. Figures for a chain, an owner, a county or a state also need reports from at least 2 homes. The typical range (25th to 75th percentile) shows once there are 10 reports. Reports older than 24 months drop out.
  • How we review: every report is checked by a person before it counts, for spam, duplicates and impossible values. Whether a report is good or bad news for the home plays no part, and nobody is rewarded for what a report says.
  • What the figures are: what staff told us, labelled with the number of reports and the latest month. They are not figures from the homes, from CMS or from BLS, and one home's figure is not a finding about how it pays.
  • Talking about pay: under the National Labor Relations Act most private-sector employees have the right to discuss their pay with each other; supervisors and some other workers are not covered.

The report form is being tested and opens on each home's page when that is done. Figures will appear here as soon as they pass the thresholds above.

Staff pay reports

Staff pay reports nationwide

No staff pay figure has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.

Official wage estimates, United States

JobMedianMiddle halfEmployed
Nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270
All employers
CNAs (nursing assistants)$20.32$17.91 to $22.701,448,910
LPNs and LVNs$30.96$28.37 to $36.55648,410
Registered nurses$46.90$38.62 to $54.023,379,720

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.

Pay by state

Each state page shows staff-reported pay for its nursing homes when it passes the thresholds, with the state's official wage estimates. The figure here is the BLS median hourly wage for nursing assistants across all employers in the state (May 2025). Every state side by side: CNA pay by state.

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