Investing In Staffing Doesn’t Necessarily Lead To Skilled Nursing Profits

Staffing takes a front seat when driving quality of care

Dec 12, 2019

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 resident per day, all pulled from quarterly Payroll-Based Journal reports

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

Apr 30, 2019

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 threshold for days without RN staffing wasn’t a surprise to Feige; CMS had hinted at the move in various forums, he told SNN.

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

Aug 14, 2018

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

Nursing Home Staffing Measures Transitioning to PBJ Data

Apr 30, 2018

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.

Changes and Results from First PBJ Submission

Mar 30, 2017

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

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

Aug 12, 2016

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