ND Staffing Trends

Tracking 4 quarters of data across 73 facilities

+0.53 vs national
4.43
Avg HPRD
All nursing staff combined
0.92
Avg RN HPRD
Recommended: 0.75
90.4%
Meet CMS Benchmark
9.6% fall below 3.48 HPRD
19.4%
Weekend Drop-off
Avg reduction Sat/Sun
4.35
Median HPRD
50th percentile
68.5%
Meet Research 4.10
Research-recommended staffing
15.8%
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 Average

RN Staffing Trend

Registered nurse hours per resident per day

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

Agency / Contract Staff

Average percentage of hours from agency or contract workers

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

Ownership Comparison

Average HPRD by ownership type over time

For-ProfitNon-ProfitGovernment

Grade Distribution — 2025Q3

How 73 facilities are graded

A+
9
12.3%
A
30
41.1%
B
26
35.6%
C
8
11.0%
D
0
0.0%
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 73 nursing homes in ND. CMS is not affiliated with and does not endorse this website.