California PBJ Nursing Home StaffingCalifornia PBJ Staffing
1,139 providers • 100,004 residents • 4.36 HPRD
4.36 HPRD (rank: 5)0.57 RN HPRD2.3% contractCA Min. ~3.56 HPRD
California reported 4.36 HPRD (≈ 5.5 residents per total staff) in Q3 2025. HPRD is up 0.10 since Q3 2024. This level is above the national ratio of 3.77 HPRD and ranks #5 out of 51 states.
Put another way… On a 30-bed floor at a typical California nursing home you'd see about 5.4 staff members, including 3.3 nurse aides. For the entire 88-resident facility (California average), that's about 16.0 total staff, including 9.6 nurse aides.
California
Direct staff excludes Admin/DON. State min. (~3.56 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.56 HPRD) may reflect calculated equivalents by MACPAC.
California
California
California
California PBJ Metrics
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 4.36 | #5 of 51 |
| Direct Care Nurse HPRD | 4.10 | #5 of 51 |
| RN HPRD | 0.57 | #41 of 51 |
| RN Direct Care HPRD | 0.45 | #29 of 51 |
| Nurse Aide HPRD | 2.61 | #9 of 51 |
| Contract Staff Percentage | 2.3% | — |
Special Focus Facilities
California has facilities in the Special Focus Facility program. Select a tab to view Current SFFs, Candidates, Graduates, or facilities no longer in Medicare/Medicaid.
| Facility | Months | Residents | Total HPRD | Ownership |
|---|---|---|---|---|
| Greenfield Care Center of Fairfield (Fairfield) | 13 | 57 | 4.52 | For-Profit |
| Riverside Postacute Care (Riverside) | 23 | 171 | 4.10 | For-Profit |
| Sunray Healthcare Center (Los Angeles) | 17 | 88 | 4.72 | For-Profit |
| Artesia Palms Care Center (Artesia) | 47 | 198 | 5.28 | For-Profit |
| Rancho Seco Care Center (Galt) | 3 | 94 | 3.89 | For-Profit |
| Rio Hondo Subacute & Nursing Center (Montebello) | 17 | 134 | 4.64 | For-Profit |
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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