Hawaii PBJ Nursing Home StaffingHawaii PBJ Staffing
42 providers • 3,423 residents • 4.63 HPRD
4.63 HPRD (rank: 3)1.56 RN HPRD8.2% contract
Hawaii reported 4.63 HPRD (≈ 5.2 residents per total staff) in Q3 2025. HPRD is up 0.02 since Q3 2024. This level is above the national ratio of 3.77 HPRD and ranks #3 out of 51 states.
Put another way… On a 30-bed floor at a typical Hawaii nursing home you'd see about 5.8 staff members, including 3.4 nurse aides. For the entire 82-resident facility (Hawaii average), that's about 15.8 total staff, including 9.2 nurse aides.
Hawaii
Direct staff excludes Admin/DON. Direct staff excludes Admin/DON.
Hawaii
Hawaii
Hawaii
Hawaii PBJ Metrics
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 4.63 | #3 of 51 |
| Direct Care Nurse HPRD | 4.29 | #3 of 51 |
| RN HPRD | 1.56 | #2 of 51 |
| RN Direct Care HPRD | 1.24 | #2 of 51 |
| Nurse Aide HPRD | 2.70 | #7 of 51 |
| Contract Staff Percentage | 8.2% | — |
Special Focus Facilities
Hawaii has facilities in the Special Focus Facility program. Select a tab to view Current SFFs, Candidates, Graduates, or facilities no longer in Medicare/Medicaid.
| Facility | Months | Residents | Total HPRD | Ownership |
|---|---|---|---|---|
| Hale Makua - Kahului (Kahului) | 20 | 197 | 4.95 | Non Profit |
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.
Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.