Don’t punish SNFs for training

Dec 30, 2016 | Rules for Staff, Hours & Census

Don’t punish SNFs for training

The Centers for Medicare & Medicaid Services have made information technology and staff competency a priority for the past five years. In response, skilled nursing facility educators expanded training programs to keep up with increased needs. For example, a Certified Nursing Assistant early detection training program was focused on decreasing re-hospitalizations.

Then in July 2016, the Payroll Based Journal system became mandated. It requires a SNF to deduct the hours CNAs participate in in-service training so that staffing levels will be accurately reflected for the Nursing Compare Five Star Rating reporting. Consequently, SNFs are be penalized for training their staff. That’s despite saving the CMS money by avoiding unnecessary hospital readmissions and improving quality of care.




December 30, 2016


Marcus, Jeff R. “Don’t Punish SNFs for Training.” McKnight’s Long-Term Care News, 30 Dec. 2016,