Nursing Home Staffing Profile — 2025Q3
How Florida's 685 facilities grade out
Where facilities fall across the staffing spectrum
For-profit facilities consistently staff lower than non-profit and government-run homes
Top 5 by total nurse HPRD
Bottom 5 by total nurse HPRD
Pick any two Florida nursing homes and see how they stack up across every metric
Staffing metrics by county in Florida — click a county to see individual facilities
| County | Facilities ↓ | Avg HPRD | RN HPRD | Meet Benchmark | Grades |
|---|---|---|---|---|---|
| ▸Pinellas | 61 | 3.67 | 0.62 | 59.0% | Mixed C/B |
| ▸Miami-Dade | 54 | 3.95 | 1.10 | 90.7% | Mostly B |
| ▸Palm Beach | 54 | 3.93 | 0.96 | 77.8% | Mixed B/C |
| ▸Duval | 34 | 3.85 | 0.67 | 58.8% | Mixed C/B |
| ▸Broward | 33 | 4.05 | 1.00 | 75.8% | Mixed B/C |
| ▸Orange | 32 | 3.88 | 0.77 | 75.0% | Mixed C/B |
| ▸Hillsborough | 30 | 3.70 | 0.69 | 63.3% | Mostly C |
| ▸Sarasota | 30 | 4.15 | 0.77 | 76.7% | Mixed C/B |
| ▸Volusia | 29 | 3.67 | 0.54 | 69.0% | Mixed B/D |
| ▸Polk | 25 | 3.66 | 0.58 | 64.0% | Mostly C |
| ▸Brevard | 21 | 3.65 | 0.58 | 61.9% | Mostly C |
| ▸Lee | 20 | 4.57 | 1.23 | 75.0% | Mixed A+/C |
| ▸Pasco | 18 | 3.65 | 0.60 | 66.7% | Mixed C/B |
| ▸Lake | 17 | 4.09 | 0.65 | 70.6% | Mixed C/A |
| ▸Escambia | 16 | 3.94 | 0.69 | 81.3% | Mixed B/C |
| ▸Clay | 12 | 3.96 | 0.59 | 66.7% | Mixed C/B |
| ▸Manatee | 12 | 3.84 | 0.69 | 75.0% | Mixed B/C |
| ▸Marion | 11 | 3.73 | 0.44 | 72.7% | Mostly D |
| ▸Collier | 11 | 4.62 | 1.21 | 90.9% | Mixed B/A+ |
| ▸Osceola | 10 | 3.68 | 0.77 | 70.0% | Mixed B/C |
| ▸Seminole | 10 | 3.85 | 0.64 | 70.0% | Mixed B/C |
| ▸Citrus | 9 | 3.67 | 0.46 | 88.9% | Mixed D/C |
| ▸St. Lucie | 9 | 4.04 | 0.70 | 77.8% | Mostly B |
| ▸St. Johns | 8 | 4.22 | 0.73 | 87.5% | Mixed A/C |
| ▸Okaloosa | 8 | 3.70 | 0.59 | 75.0% | Mixed B/C |
| ▸Alachua | 8 | 3.95 | 0.46 | 100.0% | Mixed C/D |
| ▸Leon | 8 | 4.36 | 1.01 | 75.0% | Mixed B/C |
| ▸Charlotte | 8 | 4.01 | 0.75 | 87.5% | Mostly B |
| ▸Hernando | 6 | 3.60 | 0.50 | 50.0% | Mixed B/C |
| ▸Indian River | 6 | 4.15 | 0.77 | 66.7% | Mixed C/A+ |
| ▸Martin | 6 | 4.01 | 0.81 | 100.0% | Mostly B |
| ▸Highlands | 5 | 3.73 | 0.56 | 60.0% | Mostly C |
| ▸Bay | 5 | 3.99 | 0.59 | 80.0% | Mixed C/A |
| ▸Jackson | 4 | 3.91 | 0.63 | 100.0% | Mixed B/C |
| ▸Sumter | 4 | 3.99 | 0.43 | 75.0% | Mixed D/B |
| ▸Columbia | 4 | 3.55 | 0.43 | 50.0% | Mixed D/B |
| ▸Santa Rosa | 4 | 3.69 | 0.79 | 100.0% | Mostly B |
| ▸Putnam | 3 | 3.75 | 0.46 | 100.0% | Mostly C |
| ▸Madison | 3 | 3.60 | 0.46 | 66.7% | Mostly C |
| ▸Suwannee | 3 | 4.05 | 0.65 | 66.7% | Mixed A/B |
| ▸Washington | 2 | 3.27 | 0.40 | 50.0% | Mostly D |
| ▸Hendry | 2 | 3.59 | 0.55 | 100.0% | Mixed B/C |
| ▸Gilchrist | 2 | 3.89 | 0.66 | 100.0% | Mixed B/C |
| ▸Flagler | 2 | 3.35 | 0.34 | 0.0% | Mostly D |
| ▸Monroe | 2 | 3.31 | 0.91 | 0.0% | Mostly C |
| ▸Nassau | 2 | 3.55 | 0.42 | 50.0% | Mixed B/D |
| ▸Calhoun | 2 | 3.93 | 0.53 | 100.0% | Mostly C |
| ▸Bradford | 2 | 3.46 | 0.37 | 50.0% | Mostly D |
| ▸Baker | 2 | 3.05 | 0.55 | 50.0% | Mixed C/D |
| ▸Walton | 2 | 3.96 | 0.63 | 100.0% | Mostly B |
| ▸Hamilton | 1 | 3.52 | 0.90 | 100.0% | Mostly B |
| ▸Levy | 1 | 3.36 | 0.26 | 0.0% | Mostly D |
| ▸Gadsden | 1 | 3.58 | 0.36 | 100.0% | Mostly D |
| ▸Hardee | 1 | 3.58 | 0.52 | 100.0% | Mostly C |
| ▸Lafayette | 1 | 4.38 | 0.56 | 100.0% | Mostly B |
| ▸Wakulla | 1 | 3.71 | 0.66 | 100.0% | Mostly B |
| ▸Jefferson | 1 | 3.44 | 0.36 | 0.0% | Mostly D |
| ▸Holmes | 1 | 3.59 | 0.42 | 100.0% | Mostly C |
| ▸Gulf | 1 | 3.36 | 0.61 | 0.0% | Mostly C |
| ▸Taylor | 1 | 3.56 | 0.49 | 100.0% | Mostly C |
| ▸De Soto | 1 | 4.26 | 0.48 | 100.0% | Mostly C |
| ▸Dixie | 1 | 4.28 | 0.67 | 100.0% | Mostly B |
| ▸Okeechobee | 1 | 4.10 | 0.76 | 100.0% | Mostly B |
| ▸Franklin | 1 | 3.36 | 0.43 | 0.0% | Mostly C |
The spread between best and worst staffed facilities
Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov
Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.