Alaska PBJ Nursing Home StaffingAlaska PBJ Staffing
13 providers • 558 residents • 5.80 HPRD
5.80 HPRD (rank: 1)5.80 HPRD · Rk 11.76 RN HPRD14.5% contract
Alaska's statewide staffing ratio is 5.80 HPRD in Q4 2025. Alaska's statewide staffing ratio is down (−0.36) since Q4 2024. This level is above the national ratio of 3.76 HPRD and ranks #1 out of 51 states.
Alaska
Direct staff excludes Admin/DON. Direct staff excludes Admin/DON.
Alaska
Alaska
Alaska
AK Staffing Stats
| 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 | 5.80 | 4.41-1.39 vs AK | 3.76-2.04 vs AK | #1 of 51 |
| Direct Care Nurse HPRD | 5.49 | 4.11-1.38 vs AK | 3.50-1.99 vs AK | #1 of 51 |
| RN HPRD | 1.76 | 0.81-0.95 vs AK | 0.62-1.14 vs AK | #1 of 51 |
| RN Direct Care HPRD | 1.47 | 0.60-0.88 vs AK | 0.43-1.04 vs AK | #1 of 51 |
| Nurse Aide HPRD | 3.41 | 2.77-0.64 vs AK | 2.28-1.12 vs AK | #2 of 51 |
| Contract Staff Percentage | 14.5% | 5.4%-9.1 pts vs AK | 5.3%-9.2 pts vs AK | #2 of 51 |
| Median Case-Mix HPRD (Acuity) | 3.97 | 3.80-0.17 vs AK | 3.74-0.23 vs AK | #29 of 51 |
| Rural Facilities (Share) | 70% | 21%-48.6 pts vs AK | 27%-42.7 pts vs AK | #4 of 51 |
PBJ320 High-Risk (4)
PBJ320 high-risk PBJ320 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 Alaska (4 facilities).
| Facility | Census | CMS ratings | Indicators | Total HPRD |
|---|---|---|---|---|
| Loading facilities… | ||||
Methodology
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.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.