Florida PBJ Nursing Home StaffingFlorida PBJ Staffing

686 providers • 73,745 residents • 3.80 HPRD

Phoebe J
PBJ Takeaway: Florida

3.80 HPRD (rank: 30)0.71 RN HPRD1.2% contractFL Min. ~3.66 HPRD

Florida reported 3.80 HPRD (≈ 6.3 residents per total staff) in Q3 2025. HPRD is up 0.01 since Q3 2024. This level is near the national ratio of 3.77 HPRD and ranks #30 out of 51 states.

Put another way… On a 30-bed floor at a typical Florida nursing home you'd see about 4.7 staff members, including 2.9 nurse aides. For the entire 108-resident facility (Florida average), that's about 17.1 total staff, including 10.4 nurse aides.

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Total Staffing: Florida
Total Staffing

Florida

Florida Total Staffing

Direct staff excludes Admin/DON. State min. (~3.66 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.66 HPRD) may reflect calculated equivalents by MACPAC.

RN Staffing: Florida
RN Staffing

Florida

Florida RN Staffing
Resident Census: Florida
Resident Census

Florida

Florida Resident Census
Contract Staff %: Florida
Contract Staff %

Florida

Florida Contract Staff %
Florida PBJ Metrics
MetricValueNational Rank
Total Nurse Staffing HPRD3.80#30 of 51
Direct Care Nurse HPRD3.54#26 of 51
RN HPRD0.71#21 of 51
RN Direct Care HPRD0.52#17 of 51
Nurse Aide HPRD2.31#31 of 51
Contract Staff Percentage1.2%
Special Focus Facilities

Florida 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
Aventura at the Bay (Saint Petersburg)92003.51For-Profit
Gulf Coast Village (Cape Coral)18805.07Non Profit
Groves Center (Lake Wales)31163.26For-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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