Standard Tier Module
Nursing Home Staffing HPPD Compliance Calculator
A deterministic, in-browser tool for skilled-nursing / long-term-care administrators, Directors of Nursing, and elder-care compliance staff.
See it run - a worked example, 100% in this browser tab
The local-first solution
Computes hours per resident day (daily nursing hours divided by resident census) for RN, LPN/LVN and CNA staff plus the total, and tests each against the state minimum you enter, reporting the exact HPPD and daily-hours gap to close any shortfall. The CMS 2024 figures (3.48 total, 0.55 RN, 2.45 nurse aide) are shown as a benchmark only: that federal standard never took effect. Public Law 119-21 section 71111 bars enforcement through September 30, 2034, and CMS rescinded it by interim final rule published December 3, 2025. State floors are unaffected and are the operative requirement where they exist. Every figure is exact arithmetic over the floor you enter, and the floors used are always shown.
Honest scope
Your state floor, its effective date and any state hardship exemption are what you must confirm; those govern. The federal figures are a rescinded benchmark, and this tool will not report a facility as federally non-compliant against a rule with no force. Not modeled: case-mix adjustment of HPPD targets, the RN-onsite 24/7 coverage rule, waiver eligibility, contract vs. employee hour classification, PBJ reporting mechanics, and shift-based nurse-to-resident ratios. Not legal, regulatory or clinical advice.
Authorities cited
- 42 CFR 483.35 - Nursing services: staffing requirements for long-term-care facilities.
- CMS "Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" final rule, 89 FR 40876 (May 10, 2024) - set the 3.48 total, 0.55 RN and 2.45 nurse-aide HPPD figures. It never took effect; shown here as a benchmark only.
- Public Law 119-21 section 71111 (July 4, 2025) - bars CMS from implementing, administering or enforcing the 2024 staffing standard through September 30, 2034.
- CMS interim final rule, December 3, 2025 (FR doc 2025-21792) - rescinds the 2024 minimum staffing standard.
- Social Security Act 1819(b)(4)(C) & 1919(b)(4)(C) (42 USC 1395i-3 / 1396r) - the Medicare/Medicaid nurse-staffing sufficiency requirement that 42 CFR 483.35 implements.
- CMS Payroll-Based Journal (PBJ) - the staffing-hours data source from which HPPD is computed for the Five-Star staffing rating.
- CMS State Operations Manual, Appendix PP - Guidance to Surveyors for Long-Term Care Facilities (F-tags for 483.35 sufficient-staffing deficiencies).
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Run it on your own data
Open it inside GDBS to save runs to Sandbox, attach results to a Worklog case, or share through a Gate client portal - all in the browser, nothing uploaded to anyone’s cloud.