District Of Columbia PBJ Nursing Home StaffingDistrict Of Columbia PBJ Staffing
17 providers • 2,043 residents • 4.31 HPRD
4.31 HPRD (rank: 7)1.21 RN HPRD4.0% contractDC Min. ~3.56-4.16 HPRD
District Of Columbia reported 4.31 HPRD (≈ 5.6 residents per total staff) in Q3 2025. HPRD is up 0.04 since Q3 2024. This level is above the national ratio of 3.77 HPRD and ranks #7 out of 51 states.
Put another way… On a 30-bed floor at a typical District Of Columbia nursing home you'd see about 5.4 staff members, including 3.1 nurse aides. For the entire 120-resident facility (District Of Columbia average), that's about 21.5 total staff, including 12.2 nurse aides.
District Of Columbia
Direct staff excludes Admin/DON. State min. (~3.56-4.16 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.56-4.16 HPRD) may reflect calculated equivalents by MACPAC.
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia PBJ Metrics
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 4.31 | #7 of 51 |
| Direct Care Nurse HPRD | 3.90 | #9 of 51 |
| RN HPRD | 1.21 | #3 of 51 |
| RN Direct Care HPRD | 0.85 | #3 of 51 |
| Nurse Aide HPRD | 2.45 | #18 of 51 |
| Contract Staff Percentage | 4.0% | — |
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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