HomeNational TrendsDistrict of ColumbiaThe District, DC, District of Columbia

The District, DC, District of Columbia Staffing Trends

Tracking 4 quarters of data across 17 facilities

+0.90 vs national
4.80
Avg HPRD
All nursing staff combined
1.70
Avg RN HPRD
Recommended: 0.75
88.2%
Meet CMS Benchmark
11.8% fall below 3.48 HPRD
13.7%
Weekend Drop-off
Avg reduction Sat/Sun
4.62
Median HPRD
50th percentile
70.6%
Meet Research 4.10
Research-recommended staffing
3.8%
Agency Staff
Contract/temp worker hours
0
F-Rated Facilities
Under 2.5 HPRD

Average HPRD

Total nurse hours per resident per day over time

Average HPRDMedian HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended levelNational AverageState Average

RN Staffing Trend

Registered nurse hours per resident per day

RN HPRDCNA HPRDLPN HPRDRN Recommendation (0.75) — research standardNational AverageState Average

Benchmark Compliance

Percentage of facilities meeting key staffing thresholds

Meet CMS 3.48 — % of facilities at or above the CMS staffing standardMeet Research 4.10 — % of facilities at or above the research recommendationMeet RN 0.75 — % of facilities meeting the RN staffing recommendation

Weekend Staffing Gap

Average staffing reduction on weekends vs. weekdays

Weekend Drop-off — average % reduction in staffing on weekends vs. weekdaysNational AverageState Average

Agency / Contract Staff

Average percentage of hours from agency or contract workers

Agency Staff % — share of total hours from agency or contract workersNational AverageState Average

Grade Distribution

How facility grades break down each quarter

A+ — exceeds research standardA — meets research recommendationB — meets CMS benchmarkC — below benchmarkD — significantly understaffedF — critically understaffed

Grade Distribution — 2025Q3

How 17 facilities are graded

A+
6
35.3%
A
6
35.3%
B
3
17.6%
C
1
5.9%
D
1
5.9%
F
0
0.0%
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Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Averages are computed from daily staffing data reported by 17 nursing homes in The District, DC, District of Columbia. CMS is not affiliated with and does not endorse this website.