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Minnesota

Nursing Home Staffing Profile — 2025Q3

333 facilities19,498 residents4.24 avg HPRD

vs National Average

+0.34 HPRD

National avg: 3.90 · Minnesota: 4.24

📋

Minnesota ranks among the higher-performing states for nursing home staffing, with an average of 4.24 HPRD — 0.34 hours above the national average. Only 86.8% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 1.06 HPRD, with 76.0% of facilities meeting the 0.75 research recommendation.

4.24

Average Total HPRD

All nursing staff combined

▲ 0.34 vs national

1.06

Average RN HPRD

Recommended: 0.75

▲ 0.38 vs national

86.8%

Meet CMS Benchmark

289 of 333 facilities

16.9%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

7.2%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

4.18

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Minnesota's 333 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

3.71

avg HPRD

105 facilities (32%)

Non-Profit

4.46

avg HPRD

204 facilities (61%)

Government

4.72

avg HPRD

24 facilities (7%)

💡 Non-profit facilities in Minnesota average 0.75 more HPRD than for-profit ones — about 20% higher staffing.

▲ Best Staffed in Minnesota

Top 5 by total nurse HPRD

A+

Fairview University Trans Serv

Courage Kenny Rehabilitation Institutes Trp

Capitol View Transitional Care Center

SAINT PAUL

7.28 HPRD

RN: 2.59

▼ Most Understaffed in Minnesota

Bottom 5 by total nurse HPRD

333

Madison Healthcare Services

AICOTA HEALTH CARE CENTER

Bywood East Health Care

MINNEAPOLIS

2.03 HPRD

RN: 0.45

⚖️

Compare Two Facilities Side by Side

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County Breakdown

Staffing metrics by county in Minnesota — 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
▸Hennepin	52	4.15	1.23	67.3%	Mixed A/C
▸Ramsey	26	4.24	1.11	80.8%	Mixed A/B
▸St. Louis	17	3.91	1.05	82.3%	Mostly B
▸Stearns	9	4.48	0.77	100.0%	Mostly A
▸Dakota	9	4.41	1.30	100.0%	Mostly A
▸Washington	8	3.95	1.18	75.0%	Mixed A/B
▸Olmsted	8	4.94	1.48	100.0%	Mixed A/A+
▸Wright	7	4.14	1.19	85.7%	Mostly A
▸Anoka	6	4.28	0.94	100.0%	Mixed A/B
▸Otter Tail	6	4.82	1.21	100.0%	Mixed A/A+
▸Fillmore	6	3.74	0.81	66.7%	Mixed B/C
▸Blue Earth	5	4.12	0.99	100.0%	Mostly B
▸Redwood	5	3.73	0.85	80.0%	Mixed A/B
▸Renville	4	4.04	0.70	100.0%	Mostly B
▸Winona	4	3.91	0.87	100.0%	Mostly B
▸Mower	4	4.51	0.82	75.0%	Mostly A
▸Becker	4	4.82	1.34	100.0%	Mixed A+/A
▸Polk	4	5.19	0.85	100.0%	Mixed C/A+
▸Douglas	4	4.35	1.10	100.0%	Mostly A
▸Goodhue	4	4.43	1.34	100.0%	Mixed B/A+
▸Itasca	4	4.52	1.28	75.0%	Mixed A/A+
▸Brown	4	4.36	0.87	100.0%	Mixed B/A+
▸Beltrami	4	4.49	1.11	100.0%	Mixed B/A+
▸Scott	4	4.57	1.02	100.0%	Mostly A
▸Chisago	4	5.22	1.80	100.0%	Mixed B/A+
▸Meeker	3	3.90	0.84	100.0%	Mixed A/B
▸Martin	3	4.54	1.12	100.0%	Mostly A
▸Houston	3	4.51	1.17	100.0%	Mostly A
▸Waseca	3	4.31	1.06	100.0%	Mostly A
▸Todd	3	4.23	0.79	100.0%	Mostly B
▸Yellow Medcine	3	4.06	0.76	100.0%	Mostly B
▸Mc Leod	3	4.33	1.21	100.0%	Mixed A+/A
▸Crow Wing	3	3.95	1.38	100.0%	Mostly B
▸Roseau	3	5.02	1.06	100.0%	Mostly A
▸Kandiyohi	3	4.36	0.74	100.0%	Mostly B
▸Clay	3	4.29	0.69	100.0%	Mixed A/B
▸Cottonwood	3	3.67	0.72	100.0%	Mostly B
▸Rock	3	4.20	1.05	100.0%	Mostly B
▸Morrison	3	4.22	0.93	100.0%	Mostly B
▸Freeborn	3	4.32	1.05	100.0%	Mostly A
▸Carver	3	4.23	1.13	100.0%	Mostly A
▸Norman	2	3.53	0.86	50.0%	Mixed B/C
▸Benton	2	4.12	0.77	50.0%	Mixed A/C
▸Big Stone	2	4.71	1.25	100.0%	Mostly A
▸Carlton	2	4.40	0.86	100.0%	Mostly B
▸Chippewa	2	4.49	1.03	100.0%	Mostly A
▸Dodge	2	5.10	0.83	100.0%	Mixed A/B
▸Faribault	2	4.50	1.01	100.0%	Mostly A
▸Jackson	2	4.41	0.99	100.0%	Mixed A/B
▸Kittson	2	3.75	1.07	100.0%	Mostly B
▸Koochiching	2	3.66	0.95	50.0%	Mixed B/C
▸Lac Qui Parle	2	2.22	0.47	50.0%	Mixed A/F
▸Lake	2	4.01	1.09	50.0%	Mixed A/C
▸Le Sueur	2	4.91	1.29	100.0%	Mixed A+/A
▸Lincoln	2	4.15	1.12	100.0%	Mixed A/B
▸Lyon	2	4.24	0.78	50.0%	Mixed A/C
▸Mille Lacs	2	4.49	1.07	100.0%	Mixed A+/B
▸Nobles	2	3.63	0.90	100.0%	Mostly B
▸Aitkin	2	2.59	0.57	50.0%	Mixed B/F
▸Pennington	2	3.63	0.89	50.0%	Mixed B/C
▸Pipestone	2	3.45	0.70	50.0%	Mixed B/C
▸Pope	2	4.09	0.82	100.0%	Mixed A/B
▸Rice	2	3.83	0.87	50.0%	Mixed A/C
▸Sherburne	2	4.73	1.33	100.0%	Mostly A
▸Steele	2	4.46	0.91	100.0%	Mostly A
▸Traverse	2	3.93	0.63	100.0%	Mostly B
▸Wabasha	2	4.05	0.97	50.0%	Mixed A/C
▸Wadena	2	4.42	0.81	100.0%	Mixed A/B
▸Watonwan	2	3.75	0.79	100.0%	Mostly B
▸Grant	1	4.71	1.21	100.0%	Mostly A
▸Sibley	1	3.69	0.92	100.0%	Mostly B
▸Kanabec	1	3.77	0.85	100.0%	Mostly B
▸Cass	1	3.73	1.34	100.0%	Mostly B
▸Stevens	1	3.90	0.73	100.0%	Mostly B
▸Swift	1	4.84	0.55	100.0%	Mostly B
▸Isanti	1	4.11	0.71	100.0%	Mostly B
▸Wilkin	1	4.28	1.30	100.0%	Mostly A
▸Cook	1	4.35	1.71	100.0%	Mostly A
▸Clearwater	1	4.80	0.97	100.0%	Mostly A
▸Pine	1	4.63	0.92	100.0%	Mostly A
▸Nicollet	1	4.01	0.95	100.0%	Mostly B
▸Hubbard	1	3.68	0.43	100.0%	Mostly C
▸Murray	1	4.74	1.01	100.0%	Mostly A
▸Marshall	1	4.73	0.76	100.0%	Mostly A
▸Mahnomen	1	5.63	1.41	100.0%	Mostly A+
▸Lake Of Woods	1	4.79	0.70	100.0%	Mostly B

HPRD Range in Minnesota

The spread between best and worst staffed facilities

3.73

25th pctile

4.18

Median

4.73

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.