Georgia PBJ Nursing Home StaffingGeorgia PBJ Staffing

351 providers • 31,309 residents • 3.51 HPRD

Phoebe J
PBJ Takeaway: Georgia

3.51 HPRD (rank: 47)0.46 RN HPRD3.3% contractGA Min. ~2.06 HPRD

Georgia reported 3.51 HPRD (≈ 6.8 residents per total staff) in Q3 2025. HPRD is up 0.02 since Q3 2024. This level is below the national ratio of 3.77 HPRD and ranks #47 out of 51 states.

Put another way… On a 30-bed floor at a typical Georgia nursing home you'd see about 4.4 staff members, including 2.7 nurse aides. For the entire 89-resident facility (Georgia average), that's about 13.0 total staff, including 7.9 nurse aides.

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Total Staffing: Georgia
Total Staffing

Georgia

Georgia Total Staffing

Direct staff excludes Admin/DON. State min. (~2.06 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~2.06 HPRD) may reflect calculated equivalents by MACPAC.

RN Staffing: Georgia
RN Staffing

Georgia

Georgia RN Staffing
Resident Census: Georgia
Resident Census

Georgia

Georgia Resident Census
Contract Staff %: Georgia
Contract Staff %

Georgia

Georgia Contract Staff %
Georgia PBJ Metrics
MetricValueNational Rank
Total Nurse Staffing HPRD3.51#47 of 51
Direct Care Nurse HPRD3.28#45 of 51
RN HPRD0.46#46 of 51
RN Direct Care HPRD0.29#46 of 51
Nurse Aide HPRD2.14#44 of 51
Contract Staff Percentage3.3%
Special Focus Facilities

Georgia has facilities in the Special Focus Facility program. Select a tab to view Current SFFs, Candidates, Graduates, or facilities no longer in Medicare/Medicaid.

FacilityMonthsResidentsTotal HPRDOwnership
Perimeter Rehabilitation Suites By Harborview (Atlanta)22173.07For-Profit
Legacy Transitional Care & Rehabilitation (Atlanta)321822.85For-Profit

Source: CMS Special Focus Facility program

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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