Michigan

Nursing Home Staffing Profile — 2025Q3

409 facilities34,542 residents4.03 avg HPRD

vs National Average

+0.13 HPRD

National avg: 3.90 · Michigan: 4.03

📋

Michigan ranks among the higher-performing states for nursing home staffing, with an average of 4.03 HPRD — 0.13 hours above the national average. Only 78.5% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.78 HPRD, with 45.0% of facilities meeting the 0.75 research recommendation.

4.03

Average Total HPRD

All nursing staff combined

▲ 0.13 vs national

0.78

Average RN HPRD

Recommended: 0.75

▲ 0.09 vs national

78.5%

Meet CMS Benchmark

321 of 409 facilities

16.7%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

2.6%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.90

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Michigan's 409 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.82

avg HPRD

313 facilities (77%)

Non-Profit

4.46

avg HPRD

59 facilities (14%)

Government

5.07

avg HPRD

37 facilities (9%)

💡 Non-profit facilities in Michigan average 0.64 more HPRD than for-profit ones — about 17% higher staffing.

▲ Best Staffed in Michigan

Top 5 by total nurse HPRD

A+

Harbor Terrace Senior Living

Michigan Veteran Homes at Grand Rapids

McLaren Lapeer Region

Oceana County Medical Care Facility

Memorial Healthcare Center

Owosso

6.44 HPRD

RN: 2.77

▼ Most Understaffed in Michigan

Bottom 5 by total nurse HPRD

409

Beaconshire Nursing Centre

Pinnacle Care of Battle Creek

CH Rehab & Nurs Cnt - Commons Dearborn

Pine Creek Manor Skilled Nursing & Rehab Center

Wayne

2.89 HPRD

RN: 0.36

⚖️

Compare Two Facilities Side by Side

Pick any two Michigan nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Michigan — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Wayne	56	3.67	0.45	69.6%	Mixed C/D
▸Oakland	43	4.10	0.64	83.7%	Mixed C/B
▸Kent	27	4.43	0.87	88.9%	Mixed A/B
▸Macomb	26	3.84	0.56	76.9%	Mixed C/B
▸Genesee	15	3.97	0.71	86.7%	Mostly B
▸Saginaw	11	4.16	0.65	100.0%	Mixed B/C
▸Ottawa	11	3.89	0.88	63.6%	Mixed B/C
▸Kalamazoo	9	3.93	0.89	88.9%	Mostly B
▸Ingham	9	4.26	1.00	100.0%	Mostly A
▸Washtenaw	9	3.85	0.63	77.8%	Mixed B/D
▸Calhoun	8	3.52	0.66	62.5%	Mixed B/A
▸Berrien	7	3.74	0.86	57.1%	Mostly C
▸Muskegon	7	4.25	0.83	71.4%	Mixed B/C
▸Monroe	7	3.92	0.55	85.7%	Mixed B/A
▸Jackson	7	4.09	0.72	85.7%	Mostly B
▸Allegan	6	4.02	0.87	66.7%	Mixed C/A+
▸Livingston	6	4.03	0.97	100.0%	Mostly B
▸Bay	6	4.15	0.82	83.3%	Mixed B/C
▸Gratiot	5	3.68	0.94	60.0%	Mixed B/C
▸St. Clair	5	3.90	0.87	100.0%	Mostly B
▸Lenawee	4	3.90	0.48	75.0%	Mostly C
▸Marquette	4	4.83	0.86	100.0%	Mixed A+/A
▸Eaton	4	4.49	0.89	100.0%	Mostly B
▸St. Joseph	4	3.24	0.69	25.0%	Mostly C
▸Grand Traverse	4	3.74	1.06	50.0%	Mixed C/A
▸Houghton	4	4.26	1.08	75.0%	Mixed A+/A
▸Delta	3	3.97	0.91	66.7%	Mixed A/B
▸Clinton	3	3.87	1.01	100.0%	Mostly B
▸Huron	3	4.81	0.96	66.7%	Mixed A+/B
▸Iosco	3	4.59	0.90	100.0%	Mostly A
▸Isabella	3	4.45	1.04	100.0%	Mostly B
▸Lapeer	3	5.26	2.10	100.0%	Mixed A+/A
▸Leelanau	3	4.25	1.20	66.7%	Mixed A+/B
▸Menominee	3	3.61	0.76	33.3%	Mostly C
▸Midland	3	4.03	0.75	100.0%	Mostly B
▸Montcalm	3	4.21	0.95	100.0%	Mostly B
▸Sanilac	3	4.28	0.96	100.0%	Mixed A/B
▸Shiawassee	3	4.71	1.54	100.0%	Mostly B
▸Tuscola	3	4.42	0.82	100.0%	Mostly B
▸Ogemaw	2	3.71	0.66	100.0%	Mostly B
▸Alpena	2	4.23	1.23	100.0%	Mixed A/B
▸Crawford	2	3.91	0.90	50.0%	Mixed A/C
▸Otsego	2	4.22	1.41	100.0%	Mostly A
▸Barry	2	4.01	0.60	50.0%	Mixed A/D
▸Clare	2	3.97	0.89	100.0%	Mostly B
▸Roscommon	2	3.38	1.06	50.0%	Mixed B/C
▸Gogebic	2	4.02	0.77	100.0%	Mixed A/B
▸Hillsdale	2	5.38	0.96	100.0%	Mixed A+/B
▸Gladwin	2	3.96	0.85	100.0%	Mixed A/B
▸Chippewa	2	4.05	0.96	100.0%	Mixed A/B
▸Emmet	2	4.54	1.00	100.0%	Mixed A+/C
▸Ionia	2	3.27	0.70	0.0%	Mostly C
▸Arenac	2	5.23	1.56	100.0%	Mixed A+/A
▸Iron	2	3.67	0.72	50.0%	Mixed B/C
▸Cass	2	4.09	0.67	50.0%	Mixed B/C
▸Dickinson	2	3.20	0.70	0.0%	Mostly C
▸Alcona	2	3.19	0.80	0.0%	Mostly C
▸Van Buren	2	3.79	0.96	50.0%	Mixed A/C
▸Charlevoix	2	3.65	0.93	50.0%	Mixed A/D
▸Branch	2	3.97	0.68	50.0%	Mixed A/D
▸Newaygo	2	3.60	0.56	50.0%	Mixed B/C
▸Benzie	2	5.76	1.69	100.0%	Mostly A+
▸Mason	2	4.23	1.23	100.0%	Mixed A/B
▸Oscoda	1	4.16	1.01	100.0%	Mostly A
▸Lake	1	3.83	0.49	100.0%	Mostly C
▸Schoolcraft	1	3.23	0.42	0.0%	Mostly C
▸Luce	1	4.16	0.38	100.0%	Mostly D
▸Mackinac	1	4.20	1.00	100.0%	Mostly A
▸Cheboygan	1	3.80	1.19	100.0%	Mostly B
▸Manistee	1	5.53	1.96	100.0%	Mostly A+
▸Mecosta	1	3.81	0.78	100.0%	Mostly B
▸Alger	1	3.14	0.75	0.0%	Mostly C
▸Wexford	1	4.78	1.14	100.0%	Mostly A
▸Missaukee	1	3.26	0.72	0.0%	Mostly C
▸Montmorency	1	4.52	1.20	100.0%	Mostly A
▸Oceana	1	6.53	1.27	100.0%	Mostly A+
▸Osceola	1	4.64	1.27	100.0%	Mostly A
▸Kalkaska	1	4.69	1.29	100.0%	Mostly A
▸Presque Isle	1	3.69	1.19	100.0%	Mostly B
▸Baraga	1	3.23	0.76	0.0%	Mostly C
▸Antrim	1	4.98	1.26	100.0%	Mostly A

HPRD Range in Michigan

The spread between best and worst staffed facilities

3.55

25th pctile

3.90

Median

4.32

75th pctile

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.