Texas PBJ Nursing Home StaffingTexas PBJ Staffing
1,162 providers • 87,499 residents • 3.35 HPRD
3.35 HPRD (rank: 50)0.41 RN HPRD2.0% contract
Texas reported 3.35 HPRD (≈ 7.2 residents per total staff) in Q3 2025. HPRD is up 0.04 since Q3 2024. This level is below the national ratio of 3.77 HPRD and ranks #50 out of 51 states.
Put another way… On a 30-bed floor at a typical Texas nursing home you'd see about 4.2 staff members, including 2.5 nurse aides. For the entire 75-resident facility (Texas average), that's about 10.5 total staff, including 6.3 nurse aides.
Texas
Direct staff excludes Admin/DON. Direct staff excludes Admin/DON.
Texas
Texas
Texas
Texas PBJ Metrics
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 3.35 | #50 of 51 |
| Direct Care Nurse HPRD | 3.07 | #51 of 51 |
| RN HPRD | 0.41 | #47 of 51 |
| RN Direct Care HPRD | 0.28 | #47 of 51 |
| Nurse Aide HPRD | 2.01 | #51 of 51 |
| Contract Staff Percentage | 2.0% | — |
Special Focus Facilities
Texas 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 |
|---|---|---|---|---|
| Coral Rehabilitation and Nursing of Arlington (Arlington) | 11 | 75 | 3.93 | For-Profit |
| Oakmont Healthcare and Rehabilitation of Humble (Humble) | 9 | 60 | 3.44 | For-Profit |
| Terrell Healthcare Center (Terrell) | 8 | 61 | 4.15 | For-Profit |
| Harmony Care at Beaumont (Beaumont) | 6 | 53 | 3.92 | For-Profit |
| Gracy Woods Nursing Center (Austin) | 12 | 92 | 3.82 | For-Profit |
| Paradigm at Woodwind Lakes (Houston) | 22 | 132 | 3.42 | 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.
Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.