The Bristol Care Center

Tampa, FL • 3.74 HPRD • 227 residents • For ProfitTampa, FL • 3.74 HPRD • 227 residentsFor Profit

Phoebe J
PBJ Takeaway: The Bristol Care Center
3.74 HPRD3.74 HPRD (3.43 Direct HPRD)227 residentsStaffing: ★★★Overall: ★

The Bristol Care Center reported 3.74 HPRD (≈ 6.4 residents per total staff) in Q3 2025. This level is around its case-mix (acuity) 3.57 HPRD and in the 57th percentile of nursing homes in Florida (3.80 HPRD).

Put another way… On a typical 30-bed floor at The Bristol Care Center you’d see about 4.7 staff, including 2.8 nurse aides. For the entire 227-resident facility, that’s about 35.4 total staff, including 21.3 nurse aides.

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Reported vs. Case-Mix (Acuity)

Case-mix is a CMS metric based on resident acuity.

Reported HPRD (3.74) is 104.9% of case-mix (3.57).

Total Staffing: The Bristol Care Center
Total Staffing

The Bristol Care Center

Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.

RN Staffing: The Bristol Care Center
RN Staffing

The Bristol Care Center

Census: The Bristol Care Center
Census

The Bristol Care Center

Contract Staff %: The Bristol Care Center
Contract Staff %

The Bristol Care Center

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Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

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.