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Market Intelligence for Senior Care

685 nursing homes. 3.6 HPRD state law. The lowest contract rate in the country.

Florida requires 3.6 HPRD — one of the highest state minimums in the country — and it shows in the numbers: only 27% of facilities fall below the 3.48 industry benchmark on total hours. But the RN gap persists: 35% are below 0.55 RN HPRD. And at just 1.20% contract staffing, Florida has the thinnest agency market among major states — a wide-open deployment opportunity.

685
Facilities Tracked
27%
Below 3.48 HPRD
35%
Below 0.55 RN HPRD
1.20%
Avg Contract Staffing
View Sample Report →
Source: CMS Payroll-Based Journal (PBJ) · SeniorIndex analysis
Florida enforces one of the highest state HPRD minimums
Florida Statutes Chapter 400 requires nursing homes to provide a minimum of 3.6 HPRD, including at least 1.0 hours from CNAs. The Agency for Health Care Administration (AHCA) monitors compliance and can impose fines, place facilities on conditional licensure, or initiate moratoriums on new admissions. Florida also requires facilities to post staffing levels publicly.
State Law

3.6 HPRD minimum

Florida Statutes Ch. 400: 3.6 total HPRD including 1.0 CNA hours. One of the highest state-level requirements in the country. AHCA conducts quarterly reviews.

Source: FL Statutes Ch. 400; FL Admin Code 59A-4.108
Strong Compliance

Only 27% below total HPRD benchmark

Florida’s state law drives results — 73% of facilities meet the 3.48 industry benchmark on total hours. But 241 facilities (35%) still fall short on RN-specific coverage.

Untapped Contract Market

1.20% contract staffing — lowest among major states

Florida facilities rely almost entirely on permanent staff. At 1.20% contract utilization, the state has the thinnest agency presence among states with 500+ facilities. Staffing agencies face minimal existing competition.

Source: State statutes · 42 U.S.C. §1395i-3 · CMS Enforcement Actions
Top 15 Florida counties by facility count
Pinellas County leads the state in zero-RN days at 2.3 per facility per quarter. South Florida (Miami-Dade, Palm Beach, Broward) shows strong RN coverage — all above 0.95 RN HPRD.
CountyFacilitiesAvg HPRDRN HPRDBelow 3.48Below 0.55 RNZero-RN DaysStability Score
Pinellas613.670.62525 (40%)29 (47%)2.384.9
Miami-Dade543.951.1025 (9%)2 (3%)0.086.9
Palm Beach543.930.96312 (22%)1 (1%)0.087.0
Duval343.850.67014 (41%)16 (47%)0.087.3
Broward334.051.0018 (24%)1 (3%)0.286.6
Orange323.880.77425%28%0.086.8
Hillsborough303.700.69236%33%0.086.9
Sarasota304.150.76523%33%0.286.1
Volusia293.670.54331%55%0.185.9
Polk253.660.57636%56%0.087.1
Brevard213.650.57638%38%0.086.4
Lee204.571.22525%20%0.086.5
Pasco183.650.60133%50%0.186.4
Lake174.090.64529%52%0.086.7
Escambia163.940.69518%31%0.084.5
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Full Florida Market Intelligence
All 685 facilities · County rankings · Top 25 acquisition targets · Payer mix analysis
Source: CMS Payroll-Based Journal (PBJ) · CMS Provider Data · SeniorIndex analysis of Q3 2025 data · State law: FL Statutes Ch. 400
Florida intelligence for every buyer
Staffing Agencies

1.20% contract rate — wide open market

Florida has 685 facilities, a 3.6 HPRD state requirement, and virtually no agency competition. 241 facilities need RN help. This is the least saturated major market in the country for contract staffing.

PE Firms & REITs

Strong regulatory framework reduces post-acquisition risk

Florida’s 3.6 HPRD law means staffing expectations are clear and enforceable. Buyers know exactly what operating standard they’re acquiring into — no ambiguity about “sufficient staffing.”

Operators

AHCA monitors quarterly — know your numbers first

The Agency for Health Care Administration reviews staffing data every quarter. Our reports show where you stand relative to county peers before AHCA does — and flag the RN gap that total HPRD hides.