Seagate Rehabilitation and Nursing Center

Total Nurse HPRD Calculation

Total Nurse HPRD includes all nursing staff positions:

• RN (Registered Nurse): RN, RN Admin, RN DON (Director of Nursing)
• LPN (Licensed Practical Nurse): LPN, LPN Admin
• Nursing Assistant: CNA (Certified Nursing Assistant), Nurse Aide in Training, Medication Aide/Technician

Formula

Total Nurse HPRD = (RN Hours + LPN Hours + Nursing Assistant Hours) ÷ Census

Direct Staffing Metrics

Direct HPRD metrics exclude administrative and supervisory positions to focus on direct patient care hours. These metrics provide a more accurate view of hands-on care staffing levels:

• Direct HPRD: Total direct patient care hours, excluding RN Admin, RN DON, and LPN Admin positions
  • Direct HPRD = (Direct RN Hours + Direct LPN Hours + Nursing Assistant Hours) ÷ Census
• Direct RN HPRD: Registered Nurse direct care hours, excluding RN Admin and RN DON positions
  • Direct RN HPRD = (RN Hours only, excluding RN Admin and RN DON) ÷ Census
• Direct LPN HPRD: Licensed Practical Nurse direct care hours, excluding LPN Admin positions
  • Direct LPN HPRD = (LPN Hours only, excluding LPN Admin) ÷ Census

Direct metrics are particularly useful for understanding actual patient-facing staffing, as administrative and supervisory roles may have different responsibilities that don't directly translate to resident care hours.

Data Source

CMS Payroll-Based Journal (PBJ) data provides daily staffing hours and resident census for all Medicare/Medicaid certified nursing homes.

Contract Staff

Contract percentage shows the proportion of hours worked by agency/temporary staff versus facility employees.