Alaska PBJ Nursing Home StaffingAlaska PBJ Staffing
Alaska's statewide staffing ratio is 5.73 HPRD in Q1 2026. Alaska's statewide staffing ratio is down (−0.43) since Q1 2025. This level is above the national ratio of 3.75 HPRD and ranks #1 out of 51 states.
- Q2 2025: 6.02
- Q3 2025: 5.98
- Q4 2025: 5.80
- Q1 2026: 5.73
Staffing hours per resident day for Alaska, calculated by PBJ320 from CMS’s quarterly PBJ nurse staffing files.
Alaska
Direct staff excludes Admin/DON. Direct staff excludes Admin/DON.
Alaska
Alaska
Alaska
Explore Alaska
PBJ320 High-risk facilities in Alaska
3 facilities flagged for staffing or quality concerns.
| Facility | City | CMS ratings | Risk flags | Total HPRD |
|---|---|---|---|---|
| Centennial Post AcuteAnchorage | Anchorage | 1★ | 4.47 HPRD | |
| Ketchikan Med Ctr New Horizons Transitional CareKetchikan | Ketchikan | 1★ | 6.79 HPRD | |
| Polaris Extended CareAnchorage | Anchorage | ⚠ | 4.61 HPRD |
Staffing snapshot
Latest state staffing metrics for Alaska.
| Metric | Alaska | CMS Region 10CMS Region 10 includes Alaska, Idaho, Oregon, and Washington.Regional figures are calculated from facility-level data using the same methodology as the state figures. | U.S. | State rankRanks compare the 50 states and D.C. by the displayed metric value. A higher or lower rank is not inherently positive or negative for every metric, including contract staffing share and rural-facility share. |
|---|---|---|---|---|
| Total Nurse Staffing HPRD | 5.73 | 4.39-1.34 vs AK | 3.75-1.98 vs AK | #1 of 51 |
| Direct Care Nurse HPRD | 5.40 | 4.07-1.32 vs AK | 3.48-1.92 vs AK | #1 of 51 |
| RN HPRD | 1.72 | 0.83-0.89 vs AK | 0.62-1.10 vs AK | #1 of 51 |
| RN Direct Care HPRD | 1.41 | 0.61-0.80 vs AK | 0.44-0.98 vs AK | #1 of 51 |
| Nurse Aide HPRD | 3.30 | 2.75-0.56 vs AK | 2.26-1.04 vs AK | #2 of 51 |
| Contract Staff Percentage | 12.8% | 4.9%-7.9 pts vs AK | 5.3%-7.5 pts vs AK | #4 of 51 |
| Median Case-Mix HPRD (Acuity) | — | 3.73 | 3.74 | #38 of 51 |
| Rural Facilities (Share) | 70% | 21%-48.6 pts vs AK | 27%-42.7 pts vs AK | #4 of 51 |
State rank reflects the displayed value, not necessarily stronger or weaker performance.
Ownership groups in Alaska
Most facilities linked in CMS owner data (Alaska).
Ownership changes in Alaska
5 ownership changes at 5 Alaska facilities · 01/01/2016 – 02/01/2026.
| Activity | Activity | Effective | Details | Facility | Buyer | Seller |
|---|---|---|---|---|---|---|
ActivityEntity changed 03-01-2025 | Entity changed | 03-01-2025 | Polaris Extended Care | Korsin Healthcare LLC | Providence Health & Services Washington | |
ActivityEntity changed 03-01-2025 | Entity changed | 03-01-2025 | Polaris Transitional Care | Korsin Healthcare LLC | Providence Health & Services Washington | |
ActivityEntity changed 08-01-2024 | Entity changed | 08-01-2024 | Centennial Post Acute | Centennial SNF Healthcare LLC | Care Center (Anchorage) Inc. | |
ActivityEntity changed 07-10-2023 | Entity changed | 07-10-2023 | Wildflower Court | Bartlett Regional Hospital | Wildflower Court Inc | |
ActivityEntity changed 11-01-2018 | Entity changed | 11-01-2018 | Wrangell Medical Center Ltc | Southeast Alaska Regional Health Consortium | Wrangell Medical Center |
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How these figures are calculatedMethods, definitions, and data sources
Staffing from CMS Payroll-Based Journal (PBJ) public nurse files (2017–2026), plus Provider Information (September 2026 processing snapshot) and chain data where shown. State staffing context via March 2022 compendium. Methodology · PBJ guide.
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.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.