Salem Transitional Care

Salem, OR • 5.24 HPRD • 66 residents • For Profit • Entity: AvamereSalem, OR • 5.24 HPRD • 66 residentsFor Profit • Avamere

Phoebe J
PBJ Takeaway: Salem Transitional Care
5.24 HPRD5.24 HPRD (4.92 Direct HPRD)66 residentsStaffing: ★★★★Overall: ★★

Salem Transitional Care reported 5.24 HPRD (≈ 4.6 residents per total staff) in Q3 2025. This level is above its case-mix (acuity) 4.20 HPRD and in the 70th percentile of nursing homes in Oregon (4.94 HPRD).

Put another way… On a typical 30-bed floor at Salem Transitional Care you’d see about 6.6 staff, including 4.0 nurse aides. For the entire 66-resident facility, that’s about 14.4 total staff, including 8.9 nurse aides.

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Reported vs. Case-Mix (Acuity)

Case-mix is a CMS metric based on resident acuity.

Reported HPRD (5.24) is 124.9% of case-mix (4.20).

Total Staffing: Salem Transitional Care
Total Staffing

Salem Transitional Care

Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.

RN Staffing: Salem Transitional Care
RN Staffing

Salem Transitional Care

Census: Salem Transitional Care
Census

Salem Transitional Care

Contract Staff %: Salem Transitional Care
Contract Staff %

Salem Transitional Care

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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.