Oklahoma PBJ Nursing Home StaffingOklahoma PBJ Staffing
268 providers • 16,324 residents • 3.81 HPRD
3.81 HPRD (rank: 25)3.81 HPRD · Rk 250.32 RN HPRD2.0% contract
Oklahoma's statewide staffing ratio is 3.81 HPRD in Q4 2025. Oklahoma's statewide staffing ratio is up slightly (+0.04) since Q4 2024. This level is near the national ratio of 3.76 HPRD and ranks #25 out of 51 states.
Oklahoma
Direct staff excludes Admin/DON. State min. (~2.92 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~2.92 HPRD) may reflect calculated equivalents by MACPAC.
Oklahoma
Oklahoma
Oklahoma
OK Staffing Stats
| Metric | Oklahoma | CMS Region 6CMS Region 6 includes Arkansas, Louisiana, New Mexico, Oklahoma, and Texas.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 | 3.81 | 3.54-0.27 vs OK | 3.76-0.05 vs OK | #25 of 51 |
| Direct Care Nurse HPRD | 3.54 | 3.25-0.28 vs OK | 3.50-0.04 vs OK | #24 of 51 |
| RN HPRD | 0.32 | 0.37+0.05 vs OK | 0.62+0.30 vs OK | #50 of 51 |
| RN Direct Care HPRD | 0.20 | 0.24+0.04 vs OK | 0.43+0.24 vs OK | #49 of 51 |
| Nurse Aide HPRD | 2.56 | 2.21-0.35 vs OK | 2.28-0.28 vs OK | #11 of 51 |
| Contract Staff Percentage | 2.0% | 2.7%+0.7 pts vs OK | 5.3%+3.3 pts vs OK | #48 of 51 |
| Median Case-Mix HPRD (Acuity) | 3.20 | 3.58+0.38 vs OK | 3.74+0.54 vs OK | #51 of 51 |
| Rural Facilities (Share) | 51% | 34%-17.0 pts vs OK | 27%-23.2 pts vs OK | #13 of 51 |
PBJ320 High-Risk (92)
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 Oklahoma (92 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.