PBJ News Topic

Minimum Staffing Roundup

CMS should be careful in what it asks for: providers, consumer groups, and legal analysts weigh in on minimum staffing mandate

December 23, 2022

McKnights

Our Take: Discussions around a federal minimum staffing mandate for skilled nursing facilities intensified waiting for a CMS announcement. Responses from industry leaders, consumer advocates, and legal experts evaluated its feasibility, the reality…

Read this post

CMS starts study to inform minimum staffing rules for nursing homes

August 30, 2022

Our Take: In August 2022, CMS launched a four-part staffing study that included a literature review, site visits to 75 nursing homes across 15 states, quantitative analyses using PBJ data, and cost analyses.…

Read this post

CMS reveals differing opinions on minimum staffing approach

August 10, 2022

Our Take: CMS issued the FY 2023 SNF proposed rule and included a formal Request for Information on establishing federal minimum staffing requirements for long-term care facilities. The rule drew more than 3,000…

Read this post

Staffing Minimums digest: Federal legislation, State mandates, Agency costs, and Legal challenges

July 28, 2022

Our Take: Federal and state efforts to impose minimum staffing requirements on SNFs are intensifying, even as providers face a labor shortage, rising agency costs, and inadequate Medicaid reimbursement. Legal challenges, proposed PBJ-linked…

Read this post

PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

Staffing lawsuits increase scrutiny on employment levels & wages

July 1, 2026

Latest PBJ News

Our Take: Multiple lawsuits all turn on the same underlying evidence: payroll-based journal hours, timecards, and staffing schedules…

PBJ Reporting Moving to iQIES System

June 30, 2026

PBJ Policy & Enforcement

Our Take: CMS is retiring “QIES,” its first PBJ submission system. Starting August 17, 2026, all staffing data…

New US DOL joint employer rule impacts senior care

June 26, 2026

Latest PBJ News

Our Take: The U.S. Department of Labor proposed a new joint employer rule under the Fair Labor Standards…

SCOTUS Upholds Administration’s Decision to Strip TPS From Haitian & Syrian Immigrants

June 25, 2026

Latest PBJ News

Our Take: The Supreme Court ruled 6-3 that federal courts cannot block the Trump administration’s termination of Temporary…

OIG Audit Finds CMS’s PBJ Oversight Fell Short: 5% of RN Staffing Hours Unsupported

June 18, 2026

Our Take: A new HHS Office of Inspector General (OIG) audit found that CMS was not effective in…

Tort Immunity and Nursing Home Staffing

June 1, 2026

PBJ Research & Analysis

Our Take: A study of 13,205 nursing homes found that states giving SNFs immunity from COVID-19 liability reduced…

Is minimum staffing at play in the mid-term elections?

May 20, 2026

Minimum Staffing Roundup

Our Take: Senate Democrats outlined plans to revive nursing home staffing standards, expand Medicare-covered home care, and tighten…

NJ SNF sues CMS over PBJ audits, citing no appeal rights

April 22, 2026

Latest PBJ News

Our Take: A New Jersey skilled nursing facility filed a federal lawsuit on April 21, 2026, alleging that…

Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce

April 18, 2026

PBJ Research & Analysis

Our Take: A Health Affairs Scholar study found that CMS’ turnover metric is likely understating real facility churn…

SNF pay rate proposals bring heightened CMS enforcement

April 10, 2026

PBJ Policy & Enforcement

Our Take: CMS has proposed a 2.4% Medicare rate increase for SNFs in FY 2027 while simultaneously expanding…

Newsletter Signup

Get monthly update emails.
Or join the PBJ Circle for conversations, events & more PBJ resources