New York's statewide staffing ratio is 3.59 HPRD in Q4 2025. New York's statewide staffing ratio remains in line with Q4 2024 (3.59 HPRD). This level is below the national ratio of 3.76 HPRD and ranks #43 out of 51 states.
What does 3.59 HPRD mean?
New York nursing home residents receive an average of 3 hours and 35 minutes of staff time per day. On a 30-bed floor, that works out to about 4.5 staff on duty, including 2.7 nurse aides. Across the full 165-resident facility, that’s roughly 24.7 total staff, including 15.1 nurse aides.
NY Direct Care Min. 3.50
New York's direct-care minimum is 3.50 HPRD (RN, LPN, CNA; excludes admin/DON). MACPAC cites ~3.56 total nursing.
Total Staffing: New York
Total Staffing
New York
New York Total Staffing
Direct staff excludes Admin/DON. NY direct care min. 3.50 HPRD; MACPAC cites ~3.56.Direct staff excludes Admin/DON. NY direct care min. 3.50 HPRD; MACPAC cites ~3.56.
PBJ320 high-riskPBJ320 high-risk uses CMS-assigned indicators only (PBJ320 does not assign them): Special Focus Facility or SFF Candidate; abuse icon; one-star overall; one-star staffing.
nursing homes in New York (130 facilities).
Hilaire Farm Skilled Living & Rehabilitation Center, LLC Changed
DBA name
Pine Forest Center for Rehabilitation and Healthcare
Hilaire Rehab & Nursing Changed
Enrollment ID
O20240711001507
O20060912000361 Changed
NPI
1073353421
1316956311 Changed
Associate ID
1355886698
6901800606 Changed
CCN
335040
335040 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
06/01/2024
06/01/2024 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Fairport SNF LLC
Fairport Baptist Homes Changed
DBA name
Fairport Skilled Nursing & Rehab
— Changed
Enrollment ID
O20250122002547
O20040806000083 Changed
NPI
1881435576
1164435111 Changed
Associate ID
3779024484
8729050224 Changed
CCN
335576
335576 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
05/17/2024
05/17/2024 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Optima Care Brentwood LLC
Maria Regina Residence Inc Changed
DBA name
Maria Regina Rehabilitation and Nursing
— Changed
Enrollment ID
O20240805001564
O20120112000574 Changed
NPI
1619711124
1063419356 Changed
Associate ID
8527505817
5496922502 Changed
CCN
335837
335837 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
05/09/2024
05/09/2024 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Tupper Lake Center LLC
Adirondack Medical Center Changed
DBA name
Tupper Lake Center for Nursing and Rehabilitation
— Changed
Enrollment ID
O20240329001027
O20061006000073 Changed
NPI
1356115554
1780694059 Changed
Associate ID
0941648778
9638081284 Changed
CCN
335220
335220 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
02/01/2024
02/01/2024 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Village Acquisition I LLC
Village Center for Care Changed
DBA name
West Village Rehabilitation and Nursing Center
Village Care Rehabilitation and Nursing Center Changed
Enrollment ID
O20231201000320
O20100409000004 Changed
NPI
1982480422
1396743464 Changed
Associate ID
6305294380
0941104210 Changed
CCN
335027
335027 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
08/31/2023
08/31/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Eastside Opco LLC
East Side Nursing Home, Inc. Changed
DBA name
East Side Nursing and Rehab
East Side Nursing & Rehabilitation Center Changed
Enrollment ID
O20240625003374
O20111202000268 Changed
NPI
1487423059
1750389789 Changed
Associate ID
5991249484
6608041629 Changed
CCN
335511
335511 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
06/23/2023
06/23/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Crest Opco LLC
Crest Manor Living and Rehabilitation Center Inc Changed
DBA name
Crest Manor Living and Rehabilitation Center
Crest Manor Living and Rehabilitation Center Same
Enrollment ID
O20240627000827
O20050920000119 Changed
NPI
1811766496
1356348874 Changed
Associate ID
1658815022
4880628965 Changed
CCN
335467
335467 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
06/23/2023
06/23/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
The Premier Center for Rehabilitation of Westchester LLC
The Bethel Springvale Nursing Home Inc Changed
DBA name
Springvale Nursing and Rehabilitation Center
Bethel Nursing and Rehabilitation Center Changed
Enrollment ID
O20230523000974
O20040729000342 Changed
NPI
1386330124
1013914878 Changed
Associate ID
5395101075
3072583707 Changed
CCN
335806
335806 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
05/05/2023
05/05/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Livingston Two Operations LLC
Livingston S and V Operations LLC Changed
DBA name
Livingston Hills Nursing and Rehabilitation Center
Livingston Hills Nursing and Rehabilitation Center Same
Enrollment ID
O20230616000973
O20130729000633 Changed
NPI
1386330447
1114365467 Changed
Associate ID
1456719863
7810138161 Changed
CCN
335389
335389 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
04/21/2023
04/21/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Field
Before / Seller
After / Buyer
Organization name
Edrnc Operating LLC
Absolut Center for Nursing and Rehabilitation at Eden, LLC Changed
DBA name
Eden Rehabilitation and Nursing Center
— Changed
Enrollment ID
O20231213002772
O20070514000190 Changed
NPI
1902523434
1508993320 Changed
Associate ID
6103275300
7214034065 Changed
CCN
335607
335607 Same
Provider type
CHANGE OF OWNERSHIP
CHANGE OF OWNERSHIP Same
Effective date
01/12/2023
01/12/2023 Same
CHOW type text
CHANGE OF OWNERSHIP
CMS records this as a Change of Ownership. This comparison shows changes in CMS enrollment/entity fields. It does not, by itself, explain the business reason for the change.
Staffing from CMS Payroll-Based Journal (PBJ) public files (2017–2025), plus Provider Information and chain data where shown. State staffing context via MACPAC (2022). Methodology · PBJ explained.
Metrics
Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
