Oregon PBJ Nursing Home StaffingOregon PBJ Staffing

120 providers • 6,912 residents • 5.00 HPRD

Phoebe J
PBJ Takeaway: Oregon
PBJ320

5.00 HPRD (rank: 2)5.00 HPRD · Rk 20.65 RN HPRD7.3% contract

Oregon's statewide staffing ratio is 5.00 HPRD in Q4 2025. Oregon's statewide staffing ratio is down slightly (−0.04) since Q4 2024. This level is above the national ratio of 3.76 HPRD and ranks #2 out of 51 states.

Total Staffing: Oregon
Total Staffing

Oregon

Oregon Total Staffing

Direct staff excludes Admin/DON. State min. (~2.46 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~2.46 HPRD) may reflect calculated equivalents by MACPAC.

RN Staffing: Oregon
RN Staffing

Oregon

Oregon RN Staffing

Resident Census: Oregon
Resident Census

Oregon

Oregon Resident Census
Contract Staff %: Oregon
Contract Staff %

Oregon

Oregon Contract Staff %
OR Staffing Stats
State rank reflects the displayed value, not necessarily stronger or weaker performance.
MetricOregonCMS Region 10CMS Region 10 includes Alaska, Idaho, Oregon, and Washington.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 HPRD5.004.41-0.58 vs OR3.76-1.24 vs OR#2 of 51
Direct Care Nurse HPRD4.704.11-0.59 vs OR3.50-1.20 vs OR#2 of 51
RN HPRD0.650.81+0.17 vs OR0.62-0.03 vs OR#30 of 51
RN Direct Care HPRD0.440.60+0.16 vs OR0.43Same as OR#33 of 51
Nurse Aide HPRD3.422.77-0.65 vs OR2.28-1.14 vs OR#1 of 51
Contract Staff Percentage7.3%5.4%-1.9 pts vs OR5.3%-2.0 pts vs OR#15 of 51
Median Case-Mix HPRD (Acuity)3.643.80+0.15 vs OR3.74+0.10 vs OR#32 of 51
Rural Facilities (Share)16%21%+5.0 pts vs OR27%+10.9 pts vs OR#40 of 51
PBJ320 High-Risk (28)

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 Oregon (28 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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