Puerto Rico PBJ Nursing Home StaffingPuerto Rico PBJ Staffing
7 providers • 199 residents • 3.54 HPRD
3.54 HPRD (rank: —)3.54 HPRD2.76 RN HPRD4.7% contract
Puerto Rico's statewide staffing ratio is 3.54 HPRD in Q4 2025. Puerto Rico's statewide staffing ratio is down (−1.35) since Q4 2024. This level is below the national ratio of 3.76 HPRD.
Puerto Rico
Direct staff excludes Admin/DON. Direct staff excludes Admin/DON.
Puerto Rico
Puerto Rico
Puerto Rico
PR Staffing Stats
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 3.54 | #None of 51 |
| Direct Care Nurse HPRD | 3.01 | #None of N/A |
| RN HPRD | 2.76 | #None of 51 |
| RN Direct Care HPRD | 2.26 | #None of N/A |
| Nurse Aide HPRD | 0.00 | #None of N/A |
| Contract Staff Percentage | 4.7% | #None of N/A |
| Median Case-Mix HPRD (Acuity) | N/A | #None of N/A |
| Rural facilities (share) | 0% | U.S. 27% · #52 of 51 |
PBJ320 High-Risk (1)
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 Puerto Rico (1 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.