Vermont PBJ Nursing Home StaffingVermont PBJ Staffing
34 providers • 2,448 residents • 4.21 HPRD
4.21 HPRD (rank: 9)0.79 RN HPRD24.3% contractVT Min. ~3.06 HPRD
Vermont reported 4.21 HPRD (≈ 5.7 residents per total staff) in Q3 2025. HPRD is up 0.08 since Q3 2024. This level is above the national ratio of 3.77 HPRD and ranks #9 out of 51 states.
Put another way… On a 30-bed floor at a typical Vermont nursing home you'd see about 5.3 staff members, including 3.1 nurse aides. For the entire 72-resident facility (Vermont average), that's about 12.6 total staff, including 7.5 nurse aides.
Vermont
Direct staff excludes Admin/DON. State min. (~3.06 HPRD) may reflect calculated equivalents by MACPAC. Direct staff excludes Admin/DON. State min. (~3.06 HPRD) may reflect calculated equivalents by MACPAC.
Vermont
Vermont
Vermont
Vermont PBJ Metrics
| Metric | Value | National Rank |
|---|---|---|
| Total Nurse Staffing HPRD | 4.21 | #9 of 51 |
| Direct Care Nurse HPRD | 3.96 | #7 of 51 |
| RN HPRD | 0.79 | #14 of 51 |
| RN Direct Care HPRD | 0.58 | #13 of 51 |
| Nurse Aide HPRD | 2.50 | #17 of 51 |
| Contract Staff Percentage | 24.3% | — |
Special Focus Facilities
Vermont 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 |
|---|---|---|---|---|
| Barre Gardens Nursing and Rehab, Llc (Barre) | 1 | 83 | 3.52 | For-Profit |
| Elderwood at Burlington (Burlington) | 33 | 116 | N/A | For-Profit |
| Green Mountain Nursing and Rehabilitation (Colchester) | 5 | 53 | 5.46 | For-Profit |
| Springfield Health & Rehab (Springfield) | 5 | 66 | 3.93 | For-Profit |
| St. Johnsbury Health & Rehab (Saint Johnsbury) | 5 | 63 | 4.55 | 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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