Arkansas PBJ Nursing Home StaffingArkansas PBJ Staffing

218 providers • 16,742 residents • 4.10 HPRD

Phoebe J
PBJ Takeaway: Arkansas

4.10 HPRD (rank: 14)0.39 RN HPRD2.0% contractAR Min. ~3.42 HPRD

Arkansas reported 4.10 HPRD (≈ 5.8 residents per total staff) in Q3 2025. HPRD is up 0.03 since Q3 2024. This level is above the national ratio of 3.77 HPRD and ranks #14 out of 51 states.

Put another way… On a 30-bed floor at a typical Arkansas nursing home you'd see about 5.1 staff members, including 3.5 nurse aides. For the entire 77-resident facility (Arkansas average), that's about 13.2 total staff, including 8.9 nurse aides.

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Total Staffing: Arkansas
Total Staffing

Arkansas

Arkansas Total Staffing

Direct staff excludes Admin/DON. State min. (~3.42 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.42 HPRD) may reflect calculated equivalents by MACPAC.

RN Staffing: Arkansas
RN Staffing

Arkansas

Arkansas RN Staffing
Resident Census: Arkansas
Resident Census

Arkansas

Arkansas Resident Census
Contract Staff %: Arkansas
Contract Staff %

Arkansas

Arkansas Contract Staff %
Arkansas PBJ Metrics
MetricValueNational Rank
Total Nurse Staffing HPRD4.10#14 of 51
Direct Care Nurse HPRD3.77#16 of 51
RN HPRD0.39#49 of 51
RN Direct Care HPRD0.19#50 of 51
Nurse Aide HPRD2.76#5 of 51
Contract Staff Percentage2.0%
Special Focus Facilities

Arkansas has facilities in the Special Focus Facility program. Select a tab to view Current SFFs, Candidates, Graduates, or facilities no longer in Medicare/Medicaid.

FacilityMonthsResidentsTotal HPRDOwnership
Ashley Rehabilitation and Health Care Center (Rogers)6523.41For-Profit

Source: CMS Special Focus Facility program

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.

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