Elderwood at Liverpool

Liverpool, NY • 3.22 HPRD • 149 residents • For Profit • Entity: ElderwoodLiverpool, NY • 3.22 HPRD • 149 residentsFor Profit • Elderwood

Phoebe J
PBJ Takeaway: Elderwood at Liverpool
3.22 HPRD3.22 HPRD (3.08 Direct HPRD)149 residentsStaffing: ★Overall: ★★

Elderwood at Liverpool reported 3.22 HPRD (≈ 7.4 residents per total staff) in Q3 2025. This level is below its case-mix (acuity) 3.89 HPRD and in the bottom 26% of nursing homes in New York (3.57 HPRD).

Put another way… On a typical 30-bed floor at Elderwood at Liverpool you’d see about 4.0 staff, including 2.0 nurse aides. For the entire 149-resident facility, that’s about 20.0 total staff, including 10.0 nurse aides.

320 Consulting
Reported vs. Case-Mix (Acuity)

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

Reported HPRD (3.22) is 82.8% of case-mix (3.89).

Total Staffing: Elderwood at Liverpool
Total Staffing

Elderwood at Liverpool

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: Elderwood at Liverpool
RN Staffing

Elderwood at Liverpool

Census: Elderwood at Liverpool
Census

Elderwood at Liverpool

Contract Staff %: Elderwood at Liverpool
Contract Staff %

Elderwood at Liverpool

Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.

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.