Michigan PBJ Nursing Home StaffingMichigan PBJ Staffing
418 providers • 35,630 residents • 3.96 HPRD
3.96 HPRD (rank: 18)3.96 HPRD · Rk 180.70 RN HPRD2.8% contract
Michigan's statewide staffing ratio is 3.96 HPRD in Q4 2025. Michigan's statewide staffing ratio is up slightly (+0.01) since Q4 2024. This level is above the national ratio of 3.76 HPRD and ranks #18 out of 51 states.
Michigan
Direct staff excludes Admin/DON. State min. (~2.31 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~2.31 HPRD) may reflect calculated equivalents by MACPAC.
Michigan
Michigan
Michigan
MI Staffing Stats
| Metric | Michigan | CMS Region 5CMS Region 5 includes Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.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 | 3.96 | 3.69-0.26 vs MI | 3.76-0.20 vs MI | #18 of 51 |
| Direct Care Nurse HPRD | 3.64 | 3.41-0.23 vs MI | 3.50-0.14 vs MI | #21 of 51 |
| RN HPRD | 0.70 | 0.69-0.01 vs MI | 0.62-0.08 vs MI | #24 of 51 |
| RN Direct Care HPRD | 0.45 | 0.48+0.04 vs MI | 0.43-0.02 vs MI | #29 of 51 |
| Nurse Aide HPRD | 2.33 | 2.20-0.13 vs MI | 2.28-0.05 vs MI | #25 of 51 |
| Contract Staff Percentage | 2.8% | 4.6%+1.8 pts vs MI | 5.3%+2.4 pts vs MI | #44 of 51 |
| Median Case-Mix HPRD (Acuity) | 3.59 | 3.95+0.36 vs MI | 3.74+0.15 vs MI | #37 of 51 |
| Rural Facilities (Share) | 26% | 30%+4.4 pts vs MI | 27%+1.5 pts vs MI | #34 of 51 |
PBJ320 High-Risk (116)
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 Michigan (116 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.