Nursing Home Hours per Resident Day (CMS PBJ Method and Exclusions)

Nursing home reported nurse staffing hours per resident day by the CMS PBJ method, with CMS's six exclusions.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

RN hours
7000
LPN hours
8000
Nurse aide hours
20000
Resident census, summed over the days
9000
Weekend nurse hours
2500
Weekend nurse aide hours
1400
Weekend resident census, summed
650
Days with residents and no RN hours
0

Result: Total nurse 3.889, RN 0.778, weekend total nurse 3.846 reported hours per resident day.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • RN hours (job codes 5 to 7)
  • LPN hours (job codes 8 and 9)
  • Nurse aide hours (job codes 10 to 12)
  • Resident census, summed over the days
  • Weekend nurse hours (job codes 5 to 12)
  • Weekend nurse aide hours (job codes 10 to 12)
  • Weekend resident census, summed
  • Days with residents and no RN hours
How this is calculated

Citation

CMS. Design for Care Compare, Nursing Home Five-Star Quality Rating System: Technical Users' Guide, September 2026: Staffing Domain (PBJ job codes, hours per resident day over the MDS census, the six exclusion criteria) and Scoring Exceptions. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.