Avon Healthcare
9 Facilities1 StatesAvg Total HPRD: 3.65
Avon Healthcare operates 9 nursing homes across 1 state. Average total nurse HPRD this quarter: 3.65.
Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.
| State | Provider | City | Total HPRD | RN HPRD | Overall Rating | Staffing Rating |
|---|---|---|---|---|---|---|
| MI | The Springs at Rochester Hills Rehab and Nursing C Abuse, 1 star | Rochester Hills | 3.63 | 0.50 | 1 | 3 |
| MI | Seacrest Rehabilitation and Nursing Center | Monroe | 3.36 | 0.24 | 4 | 3 |
| MI | Clearstream Rehabilitation and Nursing Center Abuse | Hastings | 3.09 | 0.32 | 2 | 1 |
| MI | Adrian Bay Rehabilitation and Nursing Center | Adrian | 3.55 | 0.48 | 2 | 3 |
| MI | Alamo Nursing Home Inc 1 star | Kalamazoo | 3.61 | 0.47 | 1 | 2 |
| MI | Niles Care Center, Llc SFF Candidate | Niles | 3.38 | 0.47 | 2 | 2 |
| MI | Springcreek Rehabilitation and Nursing Center | Adrian | 3.54 | 0.41 | 3 | 3 |
| MI | Monroe Springs Skilled Nursing and Rehab | Monroe | 3.78 | 0.41 | 5 | 3 |
| MI | Harbor Post Acute Center | Wyoming | 4.92 | 1.04 | 2 | — |
Methodology
This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).
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.
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