Daily nurse-staffing data on every Medicare-certified nursing home — even after the federal minimum was repealed.
Fonteum snapshot 2026-05-08 (CY2025Q4): national-mean total-nurse HPRD is 3.87 across 14,362 Medicare-certified nursing homes; 4,153 (28.92%) meet the 4.1 HPRD policy-research threshold and 7.4% fall below 3.0 HPRD. The Trump administration rescinded the Biden-era 3.48 nurse-hour minimum on December 3, 2025 (effective February 2, 2026); the data is still published. Fonteum surfaces the staffing layer per-facility from real CY2025Q4 PBJ daily submissions.
See the Audit Pack →Daily Nurse-Staffing Per Facility
Every Medicare-certified nursing home reports daily nurse-staffing via the PBJ system. RN, LPN, CNA hours per resident per day; weekend coverage; contract-staff share.
Total Nurse Hours per Resident Day
National-mean total-nurse HPRD across 14,362 facilities in CY2025Q4. Direct-care HPRD (RN+LPN+CNA only): 3.41. RN HPRD: 0.47. The Biden-era 3.48 federal minimum was rescinded December 3, 2025 (effective February 2, 2026); per-facility transparency is the remaining accountability layer.
Meeting 4.1 HPRD Policy Threshold
4,153 of 14,362 facilities meet the 4.1 HPRD policy-research threshold (Lynn et al.); 7.4% fall below 3.0 HPRD. National-mean contract-labor share: 4.96%. AARP FL/USF (Jan 2026) found PE-acquired facilities cut direct-care staffing 13% (4.21 → 3.66 hrs/day).
State staffing variation in CY2025Q4
Mean total-nurse HPRD per facility, by state. Filter: ≥30 facilities reporting. The 4.1 HPRD threshold is the Lynn et al. policy-research baseline (NOT a federally enforceable standard after the December 3, 2025 mandate rescission).
Nursing Home Staffing Analysis — Sprint 2 flagship study
Forthcoming flagship study mining the PBJ daily-granularity dataset for the December 2025 mandate-repeal context. Source material drafted; publication queued for Sprint 2 fast-fold or Sprint 2 proper. Cross-link will populate this slot when the study lands.