Maine PBJ Nursing Home StaffingMaine PBJ Staffing

73 providers • 4,753 residents • 4.34 HPRD

Phoebe J
PBJ Takeaway: Maine
PBJ320

4.34 HPRD (rank: 6)4.34 HPRD · Rk 61.07 RN HPRD10.1% contract

Maine's statewide staffing ratio is 4.34 HPRD in Q4 2025. Maine's statewide staffing ratio remains in line with Q4 2024 (4.33 HPRD). This level is above the national ratio of 3.76 HPRD and ranks #6 out of 51 states.

Total Staffing: Maine
Total Staffing

Maine

Maine Total Staffing

Direct staff excludes Admin/DON. State min. (~3.02 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.02 HPRD) may reflect calculated equivalents by MACPAC.

RN Staffing: Maine
RN Staffing

Maine

Maine RN Staffing

Resident Census: Maine
Resident Census

Maine

Maine Resident Census
Contract Staff %: Maine
Contract Staff %

Maine

Maine Contract Staff %
ME Staffing Stats
State rank reflects the displayed value, not necessarily stronger or weaker performance.
MetricMaineCMS Region 1CMS Region 1 includes Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.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 HPRD4.343.83-0.51 vs ME3.76-0.57 vs ME#6 of 51
Direct Care Nurse HPRD4.063.54-0.52 vs ME3.50-0.57 vs ME#6 of 51
RN HPRD1.070.67-0.40 vs ME0.62-0.45 vs ME#4 of 51
RN Direct Care HPRD0.810.46-0.35 vs ME0.43-0.38 vs ME#4 of 51
Nurse Aide HPRD2.812.32-0.49 vs ME2.28-0.53 vs ME#4 of 51
Contract Staff Percentage10.1%7.2%-2.9 pts vs ME5.3%-4.8 pts vs ME#8 of 51
Median Case-Mix HPRD (Acuity)3.803.76-0.04 vs ME3.74-0.06 vs ME#27 of 51
Rural Facilities (Share)44%14%-29.6 pts vs ME27%-16.3 pts vs ME#18 of 51
PBJ320 High-Risk (17)

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 Maine (17 facilities).

Facility Census CMS ratings Indicators Total HPRD
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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.

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