Anything PBJ in one spot

The PBJ Policy Manual outlines how SNFs must report quarterly staffing levels. Facilities must provide detailed information on employee identifiers, date worked, hours to be included, and unique job title and pay type codes.

The most recent PBJ Policy Manual is version 2.7, published in June 2025.

CMS communicates major policy changes and updates through letters and memorandums sent to State Survey Agencies from its Center for Clinical Standards and Quality, Safety & Oversight (QSO) Group.

PBJ-specific QSO memos outline program goals, staffing requirements, enforcement efforts and use of PBJ data.

CMS provides PBJ guides, spreadsheets, instructions, and online software tools to help skilled nursing providers and their vendors comply with PBJ reporting requirements.

This resource hub includes important, current links to CMS’ essential PBJ tools.

CMS publishes a listing of all skilled nursing facilities and their Five Star ratings on its Care Compare site.

The Five-Star Technical User’s Guide describes the methods CMS uses to compute the overall Five Star rating as well as the Five Star ratings for Staffing, Quality and Inspections.

PBJ data is frequently used by researchers to analyze nursing home staffing in the U.S.

Countless academic research studies of PBJ data continues to make headlines & influence policy makers.

Review PBJ Central’s archives of the latest PBJ research studies & its related media coverage.

Use this exclusive directory to find just the right partner for your PBJ needs.

The PBJ directory identifies how the vendor can support data collection, staffing and improve PBJ reporting and analysis.