Oregon's statewide staffing ratio is 4.91 HPRD in Q1 2026. Oregon's statewide staffing ratio is down (−0.09) since Q1 2025. This level is above the national ratio of 3.75 HPRD and ranks #2 out of 51 states.
Oregon
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.
Oregon
Oregon
Oregon
25 facilities flagged for staffing or quality concerns.
| Facility | City | CMS ratings | Risk flags | Total HPRD |
|---|---|---|---|---|
| Avamere Rehabilitation of EugeneEugene | Eugene | 1★ | 5.09 HPRD | |
| Avamere Rehabilitation of LebanonLebanon | Lebanon | ⚠1★ | 4.50 HPRD | |
| Belmont Care and RehabilitationPortland | Portland | ⚠1★1★S | 5.26 HPRD | |
| Cascade Terrace Post AcutePortland | Portland | SFF cand.c.1★ | 4.69 HPRD | |
| Chehalem Post AcuteNewberg | Newberg | 1★ | 4.63 HPRD |
Latest state staffing metrics for Oregon.
| Metric | Oregon | CMS 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 HPRD | 4.91 | 4.39-0.53 vs OR | 3.75-1.17 vs OR | #2 of 51 |
| Direct Care Nurse HPRD | 4.61 | 4.07-0.53 vs OR | 3.48-1.13 vs OR | #2 of 51 |
| RN HPRD | 0.64 | 0.83+0.19 vs OR | 0.62-0.02 vs OR | #31 of 51 |
| RN Direct Care HPRD | 0.43 | 0.61+0.18 vs OR | 0.44+0.01 vs OR | #34 of 51 |
| Nurse Aide HPRD | 3.36 | 2.75-0.62 vs OR | 2.26-1.10 vs OR | #1 of 51 |
| Contract Staff Percentage | 6.2% | 4.9%-1.3 pts vs OR | 5.3%-0.9 pts vs OR | #20 of 51 |
| Median Case-Mix HPRD (Acuity) | — | 3.74 | 3.74 | #32 of 51 |
| Rural Facilities (Share) | 16% | 21%+5.0 pts vs OR | 27%+10.9 pts vs OR | #40 of 51 |
State rank reflects the displayed value, not necessarily stronger or weaker performance.
Largest organizations linked to facilities in CMS owner data.
Most facilities linked in CMS owner data (Oregon).
| Organization | Facilities |
|---|---|
| Frederick G Apt | 18 |
| Jason H Murray | 18 |
| John T Mitchell | 18 |
| Joshua O Jergensen | 18 |
| Mark D Hancock | 18 |
| Pacs Group, Inc. | 18 |
| Pacs Holdings, LLC | 18 |
| Providence Group Nh, LLC | 18 |
Recent CMS change-of-ownership activity.
57 ownership changes at 57 Oregon facilities · 01/01/2016 – 02/01/2026.
Showing 10 of 40
Showing the most recent 40 of 57 indexed changes. Browse full OR ownership & CHOW search.
Daily PBJ data, employee rosters, and facility-level analysis.
Staffing from CMS Payroll-Based Journal (PBJ) public files (2017–2026), plus Provider Information and chain data where shown. State staffing context via MACPAC (2022). Methodology · PBJ explained.
Metrics
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.