PBJ News Category

Five Star Staffing Ratings

Sep 21 2023

CMS Updates Staffing & Turnover Measures

the Centers for Medicare & Medicaid Services (CMS) issued updates to guidance on minimum health and safety standards that Long-Term Care (LTC) facilities (often called “nursing homes”) must meet to participate in Medicare and Medicaid. CMS also updated and developed new guidance in the State...
Nov 23 2022

U.S. News & World Report nursing home ratings poke holes in CMS ratings

U.S. News & World Report nursing home ratings poke holes in CMS ratingsU.S. News & World Report recently released its 2022-2023 nursing home ratings, which revealed major differences in its assessments compared with the Centers for Medicare and Medicaid’s (CMS) star rating system. The...
Nov 11 2022

Ask the payment expert …. about the total nurse staffing measure

Q: What is the Skilled Nursing Facility Value-Based Payment Total Nurse Staffing Measure? A: The Total Nursing Hours Per Resident Day Measure uses auditable electronic data reported to the Payroll-Based Journal system to calculate total nursing hours per resident day. It is one of two new measures...
Jul 31 2022

Thousands of nursing homes face lower Five-Star ratings

New Five-Star scoring metrics could penalize an estimated 10% to 16% of providers who have relied on staffing strengths to drive their overall ratings. The Centers for Medicare & Medicaid Services on Thursday published new guidance for calculating staffing stars in the public-facing rating...
Jan 30 2022

To Advance Information on Quality of Care, CMS Makes Nursing Home Staffing Data Available

the Centers for Medicare & Medicaid Services (CMS) will begin posting for the first time ever, staff turnover rates and weekend staff levels for nursing homes on the Medicare.gov Care Compare website today

Nov 02 2021

How to Boost Your Nursing Home Star Rating

For the administrator looking to improve an overall quality score quickly, the staffing score is a good place to start.

The staffing score will boost a facility’s overall score by one star if it: exceeds the health inspection score, and is either four or five stars.

Sep 20 2021

Staffing Rating Under 4 Stars? Review PBJ Data; Set and Monitor Goals

Staffing is difficult—that was a defining truth for nursing homes before the COVID-19 public health emergency created a full-blown staffing crisis that still is harming providers throughout healthcare. So, it may seem like the wrong time for directors of nursing services (DNSs) to pay much...
Jul 27 2021

5 Star, QMs, and PBJ Data Updates

5 Star, QM’s and PBJ data updates have been released. Last week, we shared that QRP’s were released for review. All are critical reporting which impacts our 2022 FY reimbursement and our publicly displayed information on Care Compare. There are a few small windows of time for review and correction...
Mar 16 2021

Marys Take: Maggots, Rape and Yet Five Stars: How U.S. Ratings of Nursing Homes Mislead the Public

Nursing homes have manipulated the influential star system in ways that have masked deep problems — and left them unprepared for Covid-19. The piece, as you may have already deduced speaks to Nursing Home Compare, the Five-Star Rating System and Payroll Based Journal (PBJ).

Nov 30 2020

CMS Announces Updates to Five Star Quality Rating System

CMS announced on December 4 that the Five Star Quality Rating system will resume all updates with the January 2021 refresh. Due to the public health emergency (PHE) first issued in March 2020, the 3 domains of the rating system had previously been held constant at varying times throughout the past...
Oct 14 2020

Cutting through the COVID staffing star confusion

COVID-19 has dominated the news — and the senior care industry. Over the past few months, CMS has issued waivers, updated waivers, and repealed waivers. Amidst this COVID chaos is confusion over what PBJ Staffing data is currently posted on Nursing Home Compare. Is it Q1?…Q2? When do you see...
Feb 05 2020

Top 9 Things to Remember About PBJ

Accurate PBJ reporting can impact your Five-Star rating, referral patterns, census stability and overall long-term viability.

Dec 12 2019

Staffing takes a front seat when driving quality of care

In CMS’s new rating methodology, facilities are rewarded for staffing more RNs — and punished when they don’t have enough. Ratings on the staffing domain are based on two measures: the number of RN hours per resident per day and total nursing hours (combined RN, LPN, and nurse aide hours) per...
Apr 30 2019

CMS: Hundreds More Buildings Could Receive One-Star Staffing Ratings Under New Rules

The new, stricter skilled nursing staffing standards slated for implementation by the federal government next month weren’t entirely unexpected, but they raise questions about the broader problem of understaffed facilities — and hundreds of buildings could be in the crosshairs. The drop in the...
Feb 27 2019

Investing in Staffing Doesn’t Necessarily Lead to Skilled Nursing Profits

Facilities that perform well on their staffing ratings see financial results well below those of national medians according to a webinar hosted by CliftonLarsonAllen (CLA) health care principals Cory Rutledge and Matt Wocken. With their margins so narrow, SNFs have to be judicious about how they...
Aug 14 2018

Skilled Nursing Facilities Can’t Just ‘Check the Box’ Under New Payroll Requirements

In Skilled Nursing News, Don Feige and others discuss the impact of CMS using PBJ for Five Star ratings and how providers are adapting.

Apr 30 2018

Nursing Home Staffing Measures Transitioning to PBJ Data

Leading Age NY informs its members how CMS is shifting the data source used to calculate the staffing measures of the nursing home quality rating system from self reported 671 data to auditable PBJ reports.

CMS urges diligence PBJ data
Mar 30 2017

Changes and Results from First PBJ Submission

Skilled nursing providers should submit their next round of payroll based journaling data well ahead of the May 15 deadline in order to catch errors, Centers for Medicare & Medicaid Services officials said Thursday

Aug 12 2016

Studies: Five-Star Ratings Linked To Consumer Demand, Nurse Training

As reported in Provider Magazine, consumers increasingly are more likely to choose a skilled nursing care center if it has a Five-Star Rating of five stars, according to a recent study by Health Services Research

PBJ News by Topic

All Topics
CMS' PBJ Policies
PBJ news in the topic includes CMS' PBJ Policies
Five Star Staffing Ratings
PBJ news in the topic includes Five Star Staffing Ratings
Minimum Staffing
PBJ news in the topic includes Minimum Staffing HPRDD
Nursing HPRD & Turnover
PBJ news in the topic includes Nursing Hours per resident day & staff turnover and RN nursing hours
PBJ Audits by CMS
PBJ news in the topic includes PBJ Audits by CMS
Research Studies of PBJ Data
PBJ news in the topic includes Research Studies of PBJ Data
Rules for PBJ Reporting
PBJ news in the topic includes CMS Rules for PBJ Reporting and submission
State Mandates & Medicaid
PBJ news in the topic includes state nursing homes staffing mandates or state Medicaid funding for staffing
Survey & FTags for Staffing
PBJ news in the topic Survey & FTags for Staffing