CMS Payroll-Based Journal
Nursing home staffing hours
Nurse and aide hours each home reported from payroll, rolled up by quarter — often clearer than star ratings alone.
Published by CMS Payroll-Based Journal
Finest detail facility
Tables 6
How we use this · on 1 desk
“Which homes are short on nurses and losing Medicare pay for it?”
Where you'll see it
- CareSite Ops: Low scores + thin staffing, Nursing homes: Risk
- AI & Spreadsheets: at Level 3, link it into Excel or Google Sheets, download it, or ask your AI assistant about it
What we added
- Staffing set next to each home's quality pay score and inspections on the same page
- Quarter-by-quarter history kept
Staffing by quarter
Sample of 25 rows out of about 544,774
· 27 columns
| id | cy_quarter | ccn | provider_name | city | state | county_name | county_fips | days_reported | avg_mds_census | hrs_rndon | hrs_rnadmin | hrs_rn | hrs_lpnadmin | hrs_lpn | hrs_cna | hrs_natrn | hrs_medaide | avg_hrs_rndon | avg_hrs_rnadmin | avg_hrs_rn | avg_hrs_lpnadmin | avg_hrs_lpn | avg_hrs_cna | avg_hrs_natrn | avg_hrs_medaide | hrs_per_resident_day |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026Q1 | 015009 | BURNS NURSING HOME, INC. | RUSSELLVILLE | AL | Franklin | 059 | 90 | 51.63333333333333 | 619.7299999999998 | 524.6300000000001 | 3560.18 | 0.0 | 2725.7200000000003 | 11415.380000000005 | 0.0 | 0.0 | 6.8858888888888865 | 5.829222222222223 | 39.55755555555555 | 0.0 | 30.28577777777778 | 126.83755555555561 | 0.0 | 0.0 | 3.8091844200559515 |
| 2 | 2026Q1 | 015010 | COOSA VALLEY HEALTHCARE CENTER | SYLACAUGA | AL | Talladega | 121 | 90 | 80.08888888888889 | 512.0 | 2110.75 | 3284.0 | 496.0 | 5916.0 | 17569.25 | 942.5 | 0.0 | 5.688888888888889 | 23.45277777777778 | 36.48888888888889 | 5.511111111111111 | 65.73333333333333 | 195.2138888888889 | 10.472222222222221 | 0.0 | 3.7138249167591564 |
| 3 | 2026Q1 | 015012 | HIGHLANDS HEALTH AND REHAB | SCOTTSBORO | AL | Jackson | 071 | 90 | 44.51111111111111 | 477.37 | 2261.28 | 1787.4799999999993 | 943.5900000000001 | 2563.6299999999997 | 11196.380000000003 | 0.0 | 0.0 | 5.304111111111111 | 25.125333333333337 | 19.86088888888888 | 10.484333333333336 | 28.484777777777772 | 124.40422222222226 | 0.0 | 0.0 | 3.8810509236145787 |
| 4 | 2026Q1 | 015014 | EASTVIEW REHABILITATION & HEALTHCARE CENTER | BIRMINGHAM | AL | Jefferson | 073 | 90 | 74.78888888888889 | 496.0 | 429.36999999999995 | 3471.669999999999 | 0.0 | 5005.910000000002 | 12569.75 | 76.0 | 792.9599999999999 | 5.511111111111111 | 4.770777777777777 | 38.5741111111111 | 0.0 | 55.621222222222244 | 139.6638888888889 | 0.8444444444444444 | 8.810666666666666 | 3.1269246768682217 |
| 5 | 2026Q1 | 015015 | PLANTATION MANOR NURSING HOME | MC CALLA | AL | Jefferson | 073 | 90 | 95.7 | 480.0 | 0.0 | 3319.7799999999993 | 480.0 | 5970.429999999998 | 19813.219999999998 | 0.0 | 0.0 | 5.333333333333333 | 0.0 | 36.886444444444436 | 5.333333333333333 | 66.33811111111109 | 220.14688888888887 | 0.0 | 0.0 | 3.3790119586671303 |
| 6 | 2026Q1 | 015016 | ATHENS HEALTH AND REHABILITATION LLC | ATHENS | AL | Limestone | 083 | 90 | 139.38888888888889 | 424.0 | 1448.0 | 6879.4299999999985 | 776.99 | 7736.96 | 29039.20000000001 | 2133.0099999999998 | 0.0 | 4.711111111111111 | 16.08888888888889 | 76.4381111111111 | 8.633222222222223 | 85.96622222222223 | 322.6577777777779 | 23.70011111111111 | 0.0 | 3.4799194898365893 |
| 7 | 2026Q1 | 015019 | MERRY WOOD LODGE | ELMORE | AL | Elmore | 051 | 90 | 98.64444444444445 | 319.5 | 1308.11 | 5290.879999999998 | 0.0 | 4898.950000000002 | 16366.840000000002 | 15.0 | 557.41 | 3.55 | 14.534555555555555 | 58.787555555555535 | 0.0 | 54.432777777777794 | 181.8537777777778 | 0.16666666666666666 | 6.193444444444444 | 2.9912897048884886 |
| 8 | 2026Q1 | 015023 | HATLEY HEALTH CARE INC | CLANTON | AL | Chilton | 021 | 90 | 95.85555555555555 | 546.25 | 2471.0 | 2661.0 | 0.0 | 10870.460000000003 | 15170.25 | 1053.0 | 0.0 | 6.069444444444445 | 27.455555555555556 | 29.566666666666666 | 0.0 | 120.78288888888892 | 168.55833333333334 | 11.7 | 0.0 | 3.326963023067115 |
| 9 | 2026Q1 | 015024 | LIMESTONE NURSING AND REHABILITATION CENTER, LLC | ATHENS | AL | Limestone | 083 | 90 | 143.87777777777777 | 464.0 | 184.5 | 4536.0 | 944.75 | 12208.75 | 20193.25 | 2486.0 | 2481.0 | 5.155555555555556 | 2.05 | 50.4 | 10.497222222222222 | 135.65277777777777 | 224.36944444444444 | 27.622222222222224 | 27.566666666666666 | 2.8525754884547068 |
| 10 | 2026Q1 | 015027 | WETUMPKA HEALTH AND REHABILITATION, LLC | WETUMPKA | AL | Elmore | 051 | 90 | 114.38888888888889 | 484.0 | 996.0 | 4198.04 | 1674.2200000000005 | 4967.030000000002 | 25550.990000000005 | 212.15 | 197.85 | 5.377777777777778 | 11.066666666666666 | 46.644888888888886 | 18.60244444444445 | 55.18922222222224 | 283.89988888888894 | 2.357222222222222 | 2.1983333333333333 | 3.3721282175813507 |
| 11 | 2026Q1 | 015028 | KELLER LANDING | TUSCUMBIA | AL | Colbert | 033 | 90 | 78.44444444444444 | 500.5 | 1413.5400000000002 | 5706.849999999999 | 0.0 | 3028.7400000000002 | 12128.15 | 329.73 | 0.0 | 5.561111111111111 | 15.706000000000001 | 63.40944444444444 | 0.0 | 33.65266666666667 | 134.75722222222223 | 3.663666666666667 | 0.0 | 2.9552039660056653 |
| 12 | 2026Q1 | 015031 | MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION | FLORENCE | AL | Lauderdale | 077 | 90 | 198.03333333333333 | 440.0 | 3085.72 | 8723.5 | 0.0 | 15854.25 | 32210.75 | 0.0 | 0.0 | 4.888888888888889 | 34.285777777777774 | 96.92777777777778 | 0.0 | 176.15833333333333 | 357.89722222222224 | 0.0 | 0.0 | 3.1862481063793973 |
| 13 | 2026Q1 | 015032 | DIVERSICARE OF FOLEY | FOLEY | AL | Baldwin | 003 | 90 | 120.22222222222223 | 456.0 | 2290.8900000000003 | 3030.2900000000004 | 51.230000000000004 | 8336.35 | 21181.109999999993 | 0.0 | 175.54999999999998 | 5.066666666666666 | 25.454333333333338 | 33.66988888888889 | 0.5692222222222223 | 92.62611111111111 | 235.3456666666666 | 0.0 | 1.9505555555555554 | 3.008109981515711 |
| 14 | 2026Q1 | 015034 | HUNTER CREEK HEALTH AND REHABILITATION, LLC | NORTHPORT | AL | Tuscaloosa | 125 | 90 | 74.38888888888889 | 444.0 | 902.0 | 3429.1199999999994 | 908.0900000000005 | 3236.9300000000007 | 15538.769999999997 | 1028.8199999999995 | 822.2199999999999 | 4.933333333333334 | 10.022222222222222 | 38.10133333333333 | 10.089888888888895 | 35.9658888888889 | 172.65299999999996 | 11.431333333333328 | 9.135777777777777 | 3.316627333831217 |
| 15 | 2026Q1 | 015035 | WEST GATE VILLAGE | BREWTON | AL | Escambia | 053 | 90 | 99.41111111111111 | 506.5 | 2062.0 | 2431.0 | 0.0 | 11714.42 | 26131.75 | 4.0 | 30.5 | 5.627777777777778 | 22.91111111111111 | 27.011111111111113 | 0.0 | 130.16022222222222 | 290.35277777777776 | 0.044444444444444446 | 0.3388888888888889 | 4.5017514250586785 |
| 16 | 2026Q1 | 015040 | DIVERSICARE OF MONTGOMERY | MONTGOMERY | AL | Montgomery | 101 | 90 | 114.45555555555555 | 464.0 | 1981.47 | 2061.53 | 0.0 | 5826.370000000003 | 15676.790000000006 | 899.0499999999998 | 4166.45 | 5.155555555555556 | 22.016333333333332 | 22.905888888888892 | 0.0 | 64.73744444444448 | 174.18655555555563 | 9.989444444444443 | 46.29388888888889 | 2.2876118823415212 |
| 17 | 2026Q1 | 015042 | SUMTER HEALTH AND REHABILITATION, L L C | YORK | AL | Sumter | 119 | 90 | 108.11111111111111 | 504.0 | 896.0 | 3375.5100000000007 | 355.75999999999993 | 5307.1100000000015 | 21574.3 | 690.0099999999999 | 0.0 | 5.6 | 9.955555555555556 | 37.50566666666668 | 3.952888888888888 | 58.96788888888891 | 239.71444444444444 | 7.666777777777776 | 0.0 | 3.1096526207605346 |
| 18 | 2026Q1 | 015044 | CAREGIVERS OF PLEASANT GROVE, INC | PLEASANT GROVE | AL | Jefferson | 073 | 90 | 53.21111111111111 | 522.25 | 464.25 | 472.25 | 465.0 | 3125.0099999999998 | 10605.54 | 0.0 | 3222.5 | 5.802777777777778 | 5.158333333333333 | 5.247222222222222 | 5.166666666666667 | 34.72233333333333 | 117.83933333333334 | 0.0 | 35.80555555555556 | 2.9657130925036546 |
| 19 | 2026Q1 | 015045 | EAMC LANIER NURSING HOME | VALLEY | AL | Chambers | 017 | 90 | 92.0111111111111 | 0.0 | 1920.7700000000004 | 5152.450000000002 | 537.0999999999999 | 4585.809999999998 | 19195.090000000004 | 0.0 | 0.0 | 0.0 | 21.341888888888892 | 57.249444444444464 | 5.967777777777777 | 50.95344444444442 | 213.27877777777783 | 0.0 | 0.0 | 3.4939439681197926 |
| 20 | 2026Q1 | 015047 | NORTHWAY HEALTH AND REHABILITATION, LLC | BIRMINGHAM | AL | Jefferson | 073 | 90 | 108.25555555555556 | 488.0 | 744.0 | 2202.6600000000003 | 877.5100000000002 | 3878.1300000000006 | 16547.510000000002 | 5320.349999999999 | 4761.990000000001 | 5.4222222222222225 | 8.266666666666667 | 24.474000000000004 | 9.750111111111114 | 43.09033333333334 | 183.86122222222224 | 59.114999999999995 | 52.91100000000001 | 2.3225187313969005 |
| 21 | 2026Q1 | 015048 | CULLMAN HEALTH CARE CENTER | CULLMAN | AL | Cullman | 043 | 90 | 91.1 | 472.0 | 3264.75 | 3333.5 | 786.75 | 5934.25 | 18863.25 | 215.0 | 868.25 | 5.2444444444444445 | 36.275 | 37.03888888888889 | 8.741666666666667 | 65.93611111111112 | 209.59166666666667 | 2.388888888888889 | 9.647222222222222 | 3.431028174167581 |
| 22 | 2026Q1 | 015049 | EASTERN SHORE REHABILITATION AND HEALTH CENTER | DAPHNE | AL | Baldwin | 003 | 90 | 97.7 | 448.0 | 844.75 | 5031.5 | 845.0 | 7032.75 | 21066.75 | 468.0 | 0.0 | 4.977777777777778 | 9.386111111111111 | 55.90555555555556 | 9.38888888888889 | 78.14166666666667 | 234.075 | 5.2 | 0.0 | 3.7678835437279656 |
| 23 | 2026Q1 | 015050 | OAK CREST HEALTH & WELLNESS | BESSEMER | AL | Jefferson | 073 | 90 | 60.27777777777778 | 597.7000000000002 | 1203.6899999999998 | 1127.5999999999997 | 276.95000000000005 | 5040.14 | 8695.060000000003 | 0.0 | 704.2200000000003 | 6.641111111111113 | 13.37433333333333 | 12.528888888888885 | 3.0772222222222227 | 56.00155555555556 | 96.61177777777782 | 0.0 | 7.824666666666669 | 2.739686635944701 |
| 24 | 2026Q1 | 015053 | CLEBURNE COUNTY NURSING HOME | HEFLIN | AL | Cleburne | 029 | 90 | 72.62222222222222 | 464.0 | 922.2200000000004 | 3121.129999999999 | 1439.02 | 5610.5 | 13873.960000000001 | 86.97999999999999 | 2705.2000000000003 | 5.155555555555556 | 10.246888888888893 | 34.679222222222215 | 15.98911111111111 | 62.33888888888889 | 154.15511111111113 | 0.9664444444444443 | 30.05777777777778 | 3.458627600979192 |
| 25 | 2026Q1 | 015060 | RIDGEWAY REHABILITATION & SENIOR LIVING | BESSEMER | AL | Jefferson | 073 | 90 | 52.733333333333334 | 406.31000000000006 | 980.0099999999995 | 3621.8200000000006 | 160.40000000000003 | 1800.3399999999995 | 7161.9699999999975 | 0.0 | 1000.0799999999998 | 4.514555555555556 | 10.888999999999994 | 40.24244444444445 | 1.7822222222222226 | 20.00377777777777 | 79.57744444444441 | 0.0 | 11.111999999999998 | 2.651523388116308 |
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