PBJ Nursing Home Staffing Dashboard

50 Million Days. 15,000 Nursing Homes.
One PBJ Dashboard.

Nursing Home Staffing Data Overview

The PBJ Dashboard provides comprehensive staffing data for over 15,000 U.S. nursing homes using CMS Payroll-Based Journal data from 2017 to present.

Key Statistics (Q2 2025)

National Average HPRD: 3.781 hours per resident day
Highest State: Oregon (5.019 HPRD)
Lowest State: Texas (3.343 HPRD)
Data Coverage: 50 states + DC, 15,000+ facilities
Time Period: Q1 2017 through Q2 2025 (34 quarters)

Top 5 States by Staffing (Q2 2025)

Oregon: 5.019 HPRD
Alaska: 6.016 HPRD
North Dakota: 4.656 HPRD
Hawaii: 4.452 HPRD
Maine: 4.338 HPRD

Note: JavaScript is required for interactive maps and charts. Visit the full dashboard for interactive exploration of state and facility-level data.

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Total HPRD

3.0 4.5

Nursing Home Staffing Trends

Source: CMS Payroll-Based Journal Data • 320 Consulting