District Of Columbia PBJ Nursing Home StaffingDistrict Of Columbia PBJ Staffing
17 providers • 2,037 residents • 4.33 HPRD
4.33 HPRD (rank: 7)4.33 HPRD · Rk 71.23 RN HPRD6.6% contract
District Of Columbia's statewide staffing ratio is 4.33 HPRD in Q4 2025. District Of Columbia's statewide staffing ratio is up (+0.15) since Q4 2024. This level is above the national ratio of 3.76 HPRD and ranks #7 out of 51 states.
District Of Columbia
Direct staff excludes Admin/DON. State min. (~3.56-4.16 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.56-4.16 HPRD) may reflect calculated equivalents by MACPAC.
District Of Columbia
District Of Columbia
District Of Columbia
DC Staffing Stats
| Metric | District Of Columbia | CMS Region 3CMS Region 3 includes Delaware, the District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia.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 | 4.33 | 3.70-0.63 vs DC | 3.76-0.57 vs DC | #7 of 51 |
| Direct Care Nurse HPRD | 3.91 | 3.42-0.49 vs DC | 3.50-0.41 vs DC | #8 of 51 |
| RN HPRD | 1.23 | 0.66-0.58 vs DC | 0.62-0.62 vs DC | #3 of 51 |
| RN Direct Care HPRD | 0.86 | 0.43-0.43 vs DC | 0.43-0.43 vs DC | #3 of 51 |
| Nurse Aide HPRD | 2.44 | 2.12-0.32 vs DC | 2.28-0.16 vs DC | #19 of 51 |
| Contract Staff Percentage | 6.6% | 8.6%+2.0 pts vs DC | 5.3%-1.4 pts vs DC | #18 of 51 |
| Median Case-Mix HPRD (Acuity) | 3.76 | 3.82+0.06 vs DC | 3.74-0.02 vs DC | #25 of 51 |
| Rural Facilities (Share) | 0% | 22%+21.7 pts vs DC | 27%+27.3 pts vs DC | #50 of 51 |
PBJ320 High-Risk (2)
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 District Of Columbia (2 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.