Indiana

Nursing Home Staffing Profile — 2025Q3

498 facilities35,281 residents3.72 avg HPRD

vs National Average

-0.18 HPRD

National avg: 3.90 · Indiana: 3.72

📋

Indiana ranks among the lower-performing states for nursing home staffing, with an average of 3.72 HPRD — 0.18 hours below the national average. Only 58.6% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.66 HPRD, with 27.5% of facilities meeting the 0.75 research recommendation.

3.72

Average Total HPRD

All nursing staff combined

▼ 0.18 vs national

0.66

Average RN HPRD

Recommended: 0.75

▼ 0.02 vs national

58.6%

Meet CMS Benchmark

292 of 498 facilities

16.8%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

3.1%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.58

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Indiana's 498 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.60

avg HPRD

267 facilities (54%)

Non-Profit

4.08

avg HPRD

109 facilities (22%)

Government

3.66

avg HPRD

122 facilities (24%)

💡 Non-profit facilities in Indiana average 0.48 more HPRD than for-profit ones — about 13% higher staffing.

▲ Best Staffed in Indiana

Top 5 by total nurse HPRD

A+

BARRINGTON OF CARMEL, THE

UNIVERSITY PLACE HEALTH CENTER AND ASSISTED LIVING

RETREAT AT THE STRATFORD, THE

ASBURY TOWERS HEALTH CARE CENTER

GREENCASTLE

7.32 HPRD

RN: 1.68

RESTORACY OF GOSHEN, THE

GOSHEN

5.62 HPRD

RN: 0.62

▼ Most Understaffed in Indiana

Bottom 5 by total nurse HPRD

498

BELMONT HEALTH & REHABILITATION, THE

TRANSCENDENT HEALTHCARE OF BOONVILLE - NORTH

APERION CARE SUMMERFIELD

TRANSCENDENT HEALTHCARE OF BOONVILLE

⚖️

Compare Two Facilities Side by Side

Pick any two Indiana nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Indiana — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Marion	45	3.67	0.59	55.6%	Mixed C/B
▸Allen	29	3.77	0.66	62.1%	Mixed C/B
▸St. Joseph	18	4.01	0.73	94.4%	Mixed B/A
▸Vanderburgh	17	3.96	0.75	88.2%	Mixed B/C
▸Hamilton	17	4.29	0.84	58.8%	Mixed B/C
▸Elkhart	13	3.89	0.62	61.5%	Mixed C/B
▸Lake	13	3.70	0.59	61.5%	Mixed B/C
▸Delaware	13	3.81	0.64	76.9%	Mixed B/C
▸Madison	11	3.82	0.54	54.5%	Mostly C
▸Tippecanoe	11	4.34	1.00	54.5%	Mixed C/A
▸Vigo	10	3.94	0.79	70.0%	Mixed B/C
▸Johnson	10	3.59	0.57	60.0%	Mostly C
▸Porter	10	3.47	0.76	50.0%	Mixed B/C
▸Hendricks	9	3.48	0.52	66.7%	Mostly C
▸Wayne	8	3.70	0.73	62.5%	Mixed C/A
▸Warrick	8	3.40	0.50	50.0%	Mixed C/D
▸Wabash	8	3.92	0.66	75.0%	Mixed D/A
▸Floyd	7	3.88	0.58	85.7%	Mostly B
▸Henry	7	3.82	0.67	71.4%	Mostly C
▸Clark	7	3.69	0.51	57.1%	Mostly C
▸Monroe	7	3.45	0.68	42.9%	Mixed B/C
▸Dubois	7	3.52	0.72	28.6%	Mostly C
▸Howard	7	3.55	0.61	57.1%	Mostly C
▸Morgan	6	3.67	0.74	50.0%	Mixed C/A
▸Knox	6	3.29	0.70	16.7%	Mostly C
▸Bartholomew	6	3.83	0.86	66.7%	Mixed C/A+
▸Lawrence	6	3.48	0.59	66.7%	Mixed B/C
▸Grant	6	3.63	0.45	83.3%	Mixed C/D
▸Kosciusko	6	3.93	0.71	50.0%	Mixed C/B
▸Noble	5	3.58	0.71	40.0%	Mostly C
▸Daviess	5	3.73	0.69	60.0%	Mostly C
▸Decatur	5	3.79	0.75	80.0%	Mostly C
▸Putnam	5	3.95	0.74	20.0%	Mostly C
▸Ripley	5	3.39	0.76	20.0%	Mostly C
▸Shelby	5	3.74	0.50	80.0%	Mostly C
▸Boone	5	3.89	0.61	40.0%	Mostly C
▸Hancock	5	3.53	0.53	60.0%	Mixed B/C
▸Huntington	5	3.82	0.42	40.0%	Mostly C
▸Jefferson	5	3.63	0.77	60.0%	Mixed A/C
▸La Porte	5	3.52	0.56	60.0%	Mixed B/C
▸Wells	4	3.95	0.78	75.0%	Mixed A+/B
▸Miami	4	3.71	0.65	50.0%	Mostly C
▸De Kalb	4	3.90	0.70	100.0%	Mostly B
▸Montgomery	4	3.51	0.45	50.0%	Mixed D/B
▸Dearborn	4	3.27	0.66	25.0%	Mixed D/B
▸Jackson	4	3.83	0.70	75.0%	Mixed C/A
▸Cass	4	3.71	0.70	75.0%	Mixed B/C
▸Gibson	4	3.34	0.64	25.0%	Mostly C
▸Clinton	4	3.64	0.59	50.0%	Mixed B/C
▸Scott	4	3.66	0.66	50.0%	Mixed B/C
▸Marshall	4	3.58	0.77	25.0%	Mostly C
▸Harrison	3	3.48	0.51	33.3%	Mostly D
▸Spencer	3	3.42	0.72	33.3%	Mostly C
▸Adams	3	4.03	0.71	66.7%	Mostly C
▸Pulaski	3	3.56	0.75	100.0%	Mostly B
▸Fayette	3	3.46	0.83	66.7%	Mostly B
▸Rush	2	3.57	0.81	100.0%	Mostly B
▸Blackford	2	3.85	0.89	100.0%	Mostly B
▸Clay	2	3.34	0.72	50.0%	Mixed B/C
▸Fulton	2	3.94	0.83	100.0%	Mostly B
▸Greene	2	4.05	0.60	50.0%	Mixed A/C
▸Jasper	2	3.81	0.54	50.0%	Mixed B/C
▸Jay	2	3.40	0.58	0.0%	Mostly C
▸Lagrange	2	3.40	0.57	0.0%	Mostly C
▸Martin	2	3.64	0.51	50.0%	Mixed B/D
▸Newton	2	3.38	0.41	50.0%	Mostly D
▸Orange	2	3.39	0.63	50.0%	Mixed B/C
▸Owen	2	3.23	0.45	0.0%	Mixed C/D
▸Perry	2	3.37	0.86	0.0%	Mostly C
▸Pike	2	3.28	0.94	0.0%	Mostly C
▸Posey	2	3.73	0.63	100.0%	Mostly B
▸Randolph	2	3.88	0.72	100.0%	Mostly B
▸Steuben	2	3.33	0.52	0.0%	Mostly C
▸Sullivan	2	3.41	0.70	50.0%	Mixed B/C
▸Vermillion	2	3.35	0.49	50.0%	Mostly C
▸Washington	2	3.46	0.45	50.0%	Mixed C/D
▸White	2	3.72	0.81	100.0%	Mixed B/C
▸Whitley	2	3.55	0.96	50.0%	Mixed B/C
▸Union	1	3.44	0.96	0.0%	Mostly C
▸Jennings	1	3.03	0.39	0.0%	Mostly D
▸Carroll	1	3.45	0.95	0.0%	Mostly C
▸Franklin	1	3.31	0.72	0.0%	Mostly C
▸Fountain	1	3.33	0.43	0.0%	Mostly C
▸Warren	1	3.51	0.51	100.0%	Mostly C
▸Starke	1	3.62	0.72	100.0%	Mostly B
▸Crawford	1	3.75	0.61	100.0%	Mostly B
▸Brown	1	2.79	0.28	0.0%	Mostly D
▸Switzerland	1	3.39	1.22	0.0%	Mostly C
▸Ohio	1	3.33	0.64	0.0%	Mostly C
▸Tipton	1	3.17	0.43	0.0%	Mostly C

HPRD Range in Indiana

The spread between best and worst staffed facilities

3.35

25th pctile

3.58

Median

3.92

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.